![]() Good for those anticipating the need for dental work beyond the occasional filling.Īdvantage Bronze PPO: $16.85 per month for a single person. Good for those wanting maximum coverage.Īdvantage Silver PPO: $22.46 per month for a single person. The three PPO plans below are based on a single person living in Tulsa, Oklahoma.Īdvantage Gold PPO: $33.99 per month for a single person. Keep in mind prices vary based on your location and whether you need an individual or family plan. The average expense for dental insurance through Guardian ranges from around $16 to $60, depending on your state of residence, the level of coverage you choose (comprehensive or budget-conscious) and how soon you need dental work beyond routine care completed. If you are eligible for ACA subsidies, you must sign up for a Guardian dental plan through or your state exchange during the annual open enrollment period in November and part of December, unless you qualify for a Special Enrollment Period (SEP). Guardian Dental’s DHMO network includes 12,000 dentists and 52,000 office locations across the U.S. Referrals to specialists require preapproval from Guardian. There is no deductible or annual maximum as long as you stay with the dentist you select as your primary dental care provider. Guardian Managed DentalGuard DHMO members pay a monthly premium and copayment based on the dental service received. There are currently 124,000 dentists and 363,000 dental offices across the country participating in Guardian’s PPO network. Guardian PPO plans do not require referrals to see a specialist, and you can visit any dentist but will save money by using an in-network provider. An annual maximum caps the dental insurance payout for the year. PPO dental plans pay a monthly premium for dental insurance that covers a percentage of dental costs after members pay a deductible. Guardian Dental sells individual and family policies across the country via their website, and on in 20 state healthcare insurance exchanges. Both types of policies are available in most states while other states only allow for one or the other, depending on regulations. Guardian Dental Insurance plans fall into two categories: a Preferred Provider Organization (PPO) or Dental Health Maintenance Organization (DHMO). Get special offers, advice and tips from Retirement Living delivered to your inbox. We do this to help you identify companies that will meet your specific buying needs, and we do not receive compensation for these designations. Great Value) based on our staff's judgment. Retirement Living independently researches companies, and we use editorial discretion to award companies with special recognition (i.e. As an Amazon Associate Retirement Living earns from qualifying purchases. The compensation we receive from our partners may impact how and where companies appear on our site, including the order in which they appear. Retirement Living will not include companies on our guides that do not meet our quality standards. ![]() ![]() However, Retirement Living independently researches companies, and the compensation we receive does not affect the analysis of our staff. We may receive compensation from our partners. As a result, we provide our buyers guides and local guides free for consumers. We believe everyone deserves to make thoughtful, informed purchase decisions. We may earn money from our partners when you click a link, complete a form or call a phone number. Inside you will find detailed instructions on participation, credentialing, claims inquiries, payments, alternative benefit clauses and much more.Advertising Disclosure × Advertising Disclosure The Preferred Dentist Reference Guide is designed to help office managers learn, understand and navigate the DenteMax PPO network arrangement with Dentists, Office Managers and their practices. Download the Preferred Dentist Reference Guide.Keep up to date on important DenteMax information.Lookup effective dates for participating dentists.Download forms for updating your information with DenteMax.Look up group and administrator addresses and phone numbers.Locate new groups or administrators that have joined DenteMax.Here are some of the key elements you will find there: If you have specific questions regarding claims, you should contact the patient’s benefit plan administrator.ĭenteMax has also created a Secure Portal to provide our network dental offices with access to information. Likewise, insurer’s benefit guidelines also determine all alternative benefit payments. As a participating network office, the patients’ insurance company will handle all payments according to their submission guidelines. DenteMax is not involved with processing or paying any claims.
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