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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.

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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.

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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.

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Get Great Dental Coverage On The Exchange - Guardian Exchange

Guardian Members, Providers and Brokers can download the appropriate forms such as those used for claims, credentialing, MDG, dispute, speciality referral, W9 and Broker Agreements.

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Member Forms | Provider Forms | Broker Forms

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

Forms & Documents

Member Forms

First CommonWealth

Provider Nomination Form

Claim Form

Provider Forms

Associate Acknowledgement Form

Credentialing Checklist

MDG Advantages

MDG Dentist Profile

MDG Office Profile

W9 Form

Specialty Referral Form

Broker Forms

Broker Agreement (Individual Broker)

Broker Agreement (Agency)

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