Exchange Commission Schedule rev 921

Claims & Predeterminations

Subscriber Information

Covered Benefit

Major Services

Orthodontic Services

Preventive Care

Restorative Services

Benefits Dates & Co-insurance

Member Benefits and Eligibility

Maximum Year Allowance & Deductible

Member Information 

Please confirm that ${providerName} will be your new Primary Care Dentist (PCD).

Claims

Deductible

Dental Benefits

Check out our Member Forms for more helpful information.

Member Forms

Looking for documents?

Need help?

Below is your current Primary Care Dentist.

Remember! To use your dental coverage, you must select a Primary Care Dentist (PCD).

Primary Care Dentist

Select all or specific members for a print out of the Member ID card and an accompanying Benefit Summary.

Print Out Dental Cards

Dashboard

Here to help in a changing world

You have successfully submitted your request to select or change your Primary Care Dentist.

Accepting New Patients

Accepts Credit Cards

PCD ID / Facility ID #

Gender

License Number

Location

Office Hours

Office Languages

Dentist's Office Name

Other Criteria

Plans Included

We're here to help.

Got some questions?

Search by keyword and topic on the Guardian Marketplace Exchange website. Find answers and content to meet your dental insurance coverage needs.

Search Guardian Marketplace Exchange Website | By Keyword & Topic

Click on the button below to sign into your Member Dashboard

Your account has successfully been created!

Let's get you registered

If you have already registered, please %click here%. Please enter the appropriate information in the required fields.

Registration Information

Once registered, a Member can access information about Eligibility, Benefit Details, Claims, Notice of Authorization, Forms, Grievance forms and can print or request copies of ID Cards.

Sorry! Looks like coverage in your state isn't available.

This helps us protect you. We use mailing addresses to identify members in our system. HIPPA law requires member identification in order to securely provide information back to our members.

The maximum payment your dental plan will make within a given time period. Some plans have no maximum. Some maximums apply to the lifetime of the benefit plan; others apply to a particular time period (calendar year, benefit year, etc.) or to particular services (such as a separate maximum for orthodontic benefits).

The total amount (usually expressed as an annual figure) enrollees must pay toward treatment before their health benefits are paid. The deductible plus the copayment and amount over the annual maximum are often referred to as the enrollee’s out-of-pocket costs. Under Delta Dental benefit plans, diagnostic and preventive services are often exempt from a deductible.

The most you have to pay for covered services in a plan year. After you spend this amount on deductibles, copayments, and coinsurance for in-network care and services, your health plan pays 100% of the costs of covered benefits.

Services related to misaligned teeth and/or jaws.

A request for verification of benefits before rendering services.

The remaining payment your your dental plan will make within a given time period.

The remaining amount you have to pay in order to reach your maximum out of pocket expense for covered services.

Basic services (fillings) and diagnostic services.

Bills Icon

Make a Payment (Authenticated)

Sign Out

Benefits & Eligibility

Claims & Predetermination

Make a Payment

User Icon

Log In to Dashboard

Find a Guardian dental insurance plan in your state. We offer plans directly or through the healthcare marketplace that fit your budget and coverage needs.

Dental Plans (old Our Plans)

Our Plans > Get Started Hero

Savings section

How to purchase section

Find a Dentist Map

Our Plans > Why Guardian

Our Plans Page > Learn More about our plans

Get Started

Find Dental Insurance Plans | Marketplace

Pin Icon

Find a Dentist

Get answers to Frequently Asked Questions (FAQs) at Guardian for your dental insurance needs. We provide answers for individuals, families, agents, brokers and dental practice providers to commonly asked questions.

Help center

FAQ > Questions

Documents

FAQ > Provider or Broker

FAQ > Contact Us

FAQ Hero Image

Frequently Asked Questions | FAQ | Individuals, Families, Agents & Providers

Contact Us Icon

Contact Us

Contact Us > Contact Hero

Get Great Dental Coverage On The Exchange - Guardian Exchange

2023 PPO Idaho Basic for Families and Individuals

2023 IDEM Montana Basic for Families and Individuals

2023 PPO Alabama Essentials for Families and Individuals

2023 PPO Idaho Select for Families and Individuals

2023 PPO Pennsylvania  Essentials for Families and Individuals

2023 PPO Idaho Essentials for Families and Individuals

2023 PPO Pennsylvania  Basics for Families and Individuals

2023 PPO Idaho Preventive Plus for Families and Individuals

2023 PPO Ohio Select for Families and Individuals

2023 PPO Pennsylvania  Preventive Plus for Families and Individuals

2023 PPO Ohio Essentials for Families and Individuals

2023 PPO Illinois Select for Families and Individuals

2023 PPO Ohio Basics for Families and Individuals

2023 PPO Ohio Preventive Plus for Families and Individuals

2023 IDEM Montana Essentials for Families and Individuals

2023 IDEM Montana Preventive Plus for Families and Individuals

2023 PPO Minnesota Preventive Plus for Families and Individuals

2023 PPO Minnesota Essentials for Families and Individuals

2023 PPO Minnesota Basics for Families and Individuals

2023 PPO Minnesota Select for Families and Individuals

2023 PPO Virginia Preventive Plus for Families and Individuals

2023 PPO Virginia Basics for Families and Individuals

2023 PPO Virginia Essentials for Families and Individuals

2023 PPO Tennessee Preventive Plus for Families and Individuals

2023 PPO Tennessee Select for Families and Individuals

2023 PPO Tennessee Basics for Families and Individuals

2023 PPO Virginia Select for Families and Individuals

2023 PPO Tennessee Essentials for Families and Individuals

2023 PPO Oklahoma Preventive Plus for Families and Individuals

2023 PPO Oklahoma Select for Families and Individuals

2023 PPO Oklahoma Basics for Families and Individuals

2023 PPO Oklahoma Essentials for Families and Individuals

undefined PPO Pennsylvania  Basics for Families and Individuals

undefined PPO Wisconsin Preventive Plus for Families and Individuals

undefined PPO Wisconsin Select for Families and Individuals

undefined PPO Wisconsin Basics for Families and Individuals

undefined PPO Virginia Preventive Plus for Families and Individuals

undefined PPO Wisconsin Essentials for Families and Individuals

undefined PPO Virginia Basics for Families and Individuals

undefined PPO Virginia Essentials for Families and Individuals

undefined PPO Virginia Select for Families and Individuals

undefined PPO Utah Essentials for Families and Individuals

undefined PPO Utah Preventive Plus for Families and Individuals

undefined PPO Utah Choice for Families and Individuals

undefined PPO Tennessee Select for Families and Individuals

undefined PPO South Carolina Preventive Plus for Families and Individuals

undefined PPO Tennessee Preventive Plus for Families and Individuals

undefined PPO Tennessee Basics for Families and Individuals

undefined PPO Tennessee Essentials for Families and Individuals

undefined PPO South Carolina Select for Families and Individuals

undefined PPO South Carolina Essentials for Families and Individuals

undefined PPO Pennsylvania  Select for Families and Individuals

undefined PPO Pennsylvania  Preventive Plus for Families and Individuals

undefined PPO Oklahoma Select for Families and Individuals

undefined PPO South Carolina Basics for Families and Individuals

undefined PPO Pennsylvania  Essentials for Families and Individuals

undefined PPO Oklahoma Preventive Plus for Families and Individuals

undefined PPO Oklahoma Essentials for Families and Individuals

undefined PPO Ohio Select for Families and Individuals

undefined PPO Ohio Essentials for Families and Individuals

undefined PPO Ohio Preventive Plus for Families and Individuals

undefined PPO Oklahoma Basics for Families and Individuals

undefined PPO Ohio Basics for Families and Individuals

undefined PPO New Jersey Essentials for Families and Individuals

undefined DHMO Minnesota Basics for Families and Individuals

undefined PPO Arizona Choice for Families and Individuals

undefined PPO Illinois Select for Families and Individuals

undefined PPO New Jersey Preferred for Families and Individuals

undefined PPO New York Basics for Families and Individuals

undefined PPO Georgia Basics for Families and Individuals

undefined PPO Arizona Basics for Families and Individuals

undefined PPO Alabama Essentials for Families and Individuals

undefined PPO Georgia Preventive Plus for Families and Individuals

undefined PPO Michigan Essentials for Families and Individuals

undefined PPO Michigan Preventive Plus for Families and Individuals

undefined PPO New York Pediatric Essentials

undefined PPO North Carolina Preventive Plus for Families and Individuals

undefined DHMO Illinois Managed DentalGuard 

undefined PPO Alabama Preventive Plus for Families and Individuals

undefined PPO New Jersey Basics for Families and Individuals

undefined PPO Georgia Essentials for Families and Individuals

2023 PPO Wisconsin Essentials for Families and Individuals

2023 PPO Wisconsin Preventive Plus for Families and Individuals

2023 PPO Wisconsin Basics for Families and Individuals

2023 PPO Wisconsin Select for Families and Individuals

2023 PPO Texas Essentials for Families and Individuals

2023 DHMO Texas Managed DentalGuard

2023 PPO Texas Basics for Families and Individuals

2023 PPO Texas Preventive Plus for Families and Individuals

2023 PPO Texas Choice for Families and Individuals

undefined PPO Texas Choice for Families and Individuals

How can I access my commission schedule?