Guardian PPO Dental Coverage
Guardian PPO Dental insurance offers simple, easy, and affordable dental plans for families and individuals. These plans may be provided by your employer or purchased directly from Guardian. Guardian PPO Dental insurance has a large network of dental practices and providers. Sunnyvale Dentist Dr. Antonious is a Guardian PPO (Preferred Provider Organization) Dental provider.
Why visit a Guardian PPO Dental provider instead of a dentist who does not participate in the Guardian network? Dentists who are in network with Guardian PPO Dental like Sunnyvale Dentist Dr. Antonious will bill you based on the Guardian reduced fee schedule, instead of their standard dental fees. This will mean lower copays for your dental care.
Your Guardian PPO Dental insurance plan has a yearly maximum coverage amount which will vary by plan as well as an annual deductible. Services are covered on a percentage basis under three categories: Preventative, Basic and Major. The annual maximum, deductible, and coverage table for your individual insurance plan can be found in the benefits booklet provided to subscribers (persons purchasing dental insurance) from your employer or directly from Guardian PPO Dental.
Preventative services normally have the highest coverage ranging on average from 80% to 100%. Cavity detecting bitewing x-ray’s, routine cleanings, oral exams, sealants and fluoride treatments are generally considered preventative services.
Basic services may include amalgam and composite fillings and basic extractions. Coverage for basic services may range from 60% to 80%.
Major services like dentures, partial dentures, crowns, and bridges are generally covered at 30% to 50%.
Oral surgery, root canal therapy, and periodontal deep cleanings usually fall under the basic category, but depending on the individual insurance plan may be considered major services. Some Guardian PPO Dental individual insurance plans have waiting periods. This period may be as little as six months or as much as one year and usually involves basic and or major services.
The insurance coordinator at Sunnyvale Dental Care will research whether or not your Guardian PPO Dental plan has a waiting period. Some services like fluoride treatments and sealants may have age limits depending upon the chosen insurance plan. We will be happy to research this for you as well.
The Sunnyvale Dental Care team is very familiar with Guardian PPO Dental insurance plans and will submit your dental claims directly to Guardian for you.