How do I find a dentist?What services are covered?Can my kids get braces?
Network Options: Dental Guard Preferred Network
Guardian makes it easy for members to access quality preventive dental care because of its clear connection to overall health, as well as the savings gained by avoiding major services and dental procedures down the line. Guardian is committed to ensuring that members have the right tools and resources to get the most from their benefits. This starts with making it easy to find a network provider online or in the free mobile app.
(800) 268-2525 | guardianlife.com
Dental Plan
Cigna PPO Low Plan
In-Network *
Annual Deductible
January 1 - December 31
January 1 - December 31
$50 per individual
$150 per family
$150 per family
Annual Maximum
January 1 - December 31
January 1 - December 31
$2,000 per individual
Preventive Services
Cleanings, routine exams, fluoride, and x-rays
Cleanings, routine exams, fluoride, and x-rays
You pay 0% for covered services,
Deductible Waived
Deductible Waived
Basic Services
Fillings, sealants, extractions, scaling & root planing, space maintainers, and bridge & crown maintenance
Fillings, sealants, extractions, scaling & root planing, space maintainers, and bridge & crown maintenance
You pay 10% AD
Major Services
Crowns, bridges, implants, dentures, inlays, onlays, veneers, general anesthesia, endodontics, and periodontics
Crowns, bridges, implants, dentures, inlays, onlays, veneers, general anesthesia, endodontics, and periodontics
You pay 40% AD
Orthodontic Services
Adults and Children
Adults and Children
Plan covers up to 50%
Orthodontic Lifetime Maximum
$2,000 per individual
AD: After Deductible
* Providers may charge more than the plan allows when you receive services out-of-network. It is recommended that you ask the out-of-network provider about their billed charges before planning care.
This information is designed to help you choose a benefit plan for 2021 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
* Providers may charge more than the plan allows when you receive services out-of-network. It is recommended that you ask the out-of-network provider about their billed charges before planning care.
This information is designed to help you choose a benefit plan for 2021 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
Employee Cost Per Pay Period (26 Pay Periods)
Employee Only
$9.23
Employee + One Dependent
$14.74
Employee + Family
$23.79
