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Preventive Plus for Families and Individuals

PPO

Out of Network benefits are based on a covered fee schedule.

Preventive Care

Deductible applies.
In Network
Guardian Pays
Out Of Network
Guardian Pays
Exams, cleaning, X-rays, topical fluoride
100%
100%

Restorative Services

Deductible applies. 6 month waiting period can be waived with prior coverage*
In Network
Guardian Pays
Out Of Network
Guardian Pays
Fillings
Amalgam-One Surface; primary or permanent
50%
50%
*Waiver of waiting period available with proof of prior coverage for these services under a dental insurance plan when the termination date was no more than 30 days prior to the effective date of this plan.
**The coinsurance/copayment amounts listed are examples and may be found on the Schedule of Benefits. This plan may not be available in all Counties. Please visit the See Plans and Prices section at www.accesshealthct.com to confirm availability in your area.

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Don’t think that plan is the right fit for you? No worries! Take look at these:

PPO

Preventative for Families and Individuals

  • A PPO Plan for families that provides coverage for preventive only services.

Annual Maximum

$1000

Deductibles

FROM$50

PPO

Standard for Families and Individuals

  • Get most preventive services, such as oral exams, cleanings, and X-rays at 100%

Annual Maximum

$2000

Deductibles

FROM$60

PPO

Essentials for Families and Individuals

  • A comprehensive family plan, including adults and children.

  • You are responsible for a percent of the total billed (coinsurance).

  • Get most preventive services, such as oral exams, cleanings, and X-rays at 100% once the annual deductible has been reached.

Annual Maximum

$1000

Deductibles

FROM$50

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