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Preferred for Families and Individuals

PPO

Our Guardian Preferred is an In-Network Only plan.

Preventive Care

In Network
Guardian Pays
Exams, cleaning, X-rays, topical fluoride
100%

Restorative Services

6 month waiting period & deductible apply
In Network
Guardian Pays
Fillings
Amalgam-One Surface; primary or permanent
50%
Diagnostic Services
50%

Major Services

12 month waiting period & deductible apply
In Network
Guardian Pays
Crowns
40%
Bridges
40%
Dentures
40%
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.healthcare.gov to confirm availability in your area.

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PPO

Preventive Plus for Families and Individuals

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

  • 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$60

PPO

Select 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$60

PPO

Basics for Families and Individuals

  • A 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

$1500

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

$1200

Deductibles

FROM$60

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