![]() ![]() Note: For more information regarding plan limitations and exclusions, review your certificate booklet. The amount of the Individual Deducible you have satisfied. The amount of the Individual Dental max you have used to date.ĭeductible Met to Date for Benefit Period The maximum Guardian will pay in a calendar/policy year, per person. Simple restorative services (fillings),diagnostic services and non- surgicalextractions. (Refer to your Certificate Booklet for your plan's frequency.) The amount Guardian pays toward the cost of a covered charge Guardian Pays Preventive Services Most routine dental services, including: oral exams, cleanings, x-rays. The amount you must pay on your claims before your coverage percentage is applied. However, coverage begins on the first of the month. (It can be used to calculate your eligibility for frequently used services.) With Guardian, theres no waiting period for preventive services like oral exams, cleanings, and x-rays. Indicates if the deductible is waived for this type of service. Orthodontic (If your plan does not have Orthodontic coverage, this section won’t display.) Max Rollover Summary (If your plan does not have this feature, this section won’t display.) The View Benefits - Dental Eligibility page displays the following sections.Įffective Dates of Coverage (by Service Category). If an effective date is not listed for a service, the service is not covered.Ĭoverage Information for Preventative, Basic, Major, TMJ and Cosmetic services. Locate the Coverage column and click the Dental hyperlink. Call the number mentioned in the message for benefits. Note: If a message displays requesting you to call, the benefits are not available in Guardian Anytime. įrom the menu options, select Benefits and then Overview to view your enrolled benefits. For costs and complete details of 'the coverage, call your insurance agent or the company [whichever is applicable).ĭental benefits are administered by UnitedHealthcare Dental (Dental Benefit Providers, Inc.) Vision benefits are administered by UnitedHealthcare Vision (Spectera, Inc.) Hearing benefits are administered by UnitedHealthcare Hearing.As a member, you can view your PPO Dental benefits by following these steps in Guardian Anytime. Products and services offered are underwritten by Golden Rule Insurance Company, Health Plan of Nevada, Inc., Oxford Health Insurance, Inc., UnitedHealthcare Life Insurance Company, UnitedHealthcare of the Mid-Atlantic, Inc., UnitedHealthcare of New York, Inc. The PPO fee schedule states that the total allowable cost for the dental crown is 800 before Beam coverage is applied, automatically reducing the total cost by 600. Each company is a separate entity and is not responsible for another’s financial or contractual obligations.Īdministrative services are provided by United HealthCare Services, Inc. References to UnitedHealthcare pertain to each individual company or other UnitedHealthcare affiliated companies. In addition, no individual will be denied coverage based on race, color, religion, national origin, sex, sexual orientation, marital status, personal appearance, political affiliation or source of income. No individual applying for health coverage through the individual Marketplace will be discouraged from applying for benefits, turned down for coverage, or charged more premium because of health status, medical condition, mental illness claims experience, medical history, genetic information or health disability.
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