Any service or treatment method which does not meet professionally recognized standards of dental practice or which is considered to be experimental in nature. Replacement of a lost, missing or stolen Appliance or Dental Prosthesis or the fabrication of a spare Appliance or Dental Prosthesis. All periods of insurance will begin and end at 12:01 AM Standard Time at Your place of residence, subject to the Grace in Payment of Premiums.
Overdentures and related services including root canal therapy on teeth supporting an overdenture. Any service or treatment method which does not meet professionally recognized standards of dental practice or which is considered to be experimental in nature.
Maxillofacial prosthetics that repair or replace facial and skeletal anomalies, maxillofacial surgery, orthognathic surgery or any oral surgery requiring the setting of a fracture or dislocation that is incidental to or results from a medical condition. Please refer to your plan documents for a compete list of limitations and exclusions. The localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue. Treatment of congenital or developmental malformations or the replacement of congenitally missing teeth.
Any service furnished solely for cosmetic reasons. Dental Insurance is underwritten by The Guardian Life Insurance Company of America, New York, NY. Educational services, including, but not limited to: (1) oral hygiene instruction; (2) tobacco counseling; or (3) nutritional counseling. ,n-Network Dentist Guardian’s negotiated rates save you up to 35% at In-Network Dentists Out-of-Network Dentist Reimbursement is based on the lower of your dentist’s fees or the amount that would be paid to dentists who have agreed to be reimbursed according to Guardian’s negotiated fee schedule Your Plan Benefits Guardian Pays Pulp vitality tests or caries susceptibility tests. Tooth re-implantation or tooth transplantation.
Educational services, including, but not limited to: (1) oral hygiene instruction; (2) tobacco counseling; or (3) nutritional counseling.
Duplication of radiograph images, the completion of claim forms, OSHA or other infection control charges.
Charges for services provided by participating dentists are based on negotiated, discounted fee schedules, and are reimbursed directly from Guardian.
Products are not available in all states. We reserve the right to change rates on this Policy issued to persons of the same class in Your state following the initial twelve month period. Maxillofacial prosthetics that repair or replace facial and skeletal anomalies, maxillofacial surgery, orthognathic surgery or any oral surgery requiring the setting of a fracture or dislocation that is incidental to or results from a medical condition.
Pulp vitality tests or caries susceptibility tests.
THIS POLICY IS NOT A MEDICARE SUPPLEMENT POLICY.
The actual limitations and exclusions that apply to your Dental Plan are governed by the policy forms approved for use in your state.
Any service or treatment method which does not meet professionally recognized standards of dental practice or which is considered to be experimental in nature. Guardian Dental Select Silver Coverage Summary (see your policy for further details) Choose any Dentist In-Network Dentist Guardian’s negotiated rates save you up to 35% at In-Network Dentists Out-of-Network Dentist Charges for services provided by participating dentists are based on
Replacement of a lost, missing or stolen Appliance or Dental Prosthesis or the fabrication of a spare Appliance or Dental Prosthesis. If We do refuse, We must do so for a reason other than the deterioration of Your health on all Policies of this form issued under the same class in Your state. Treatment needed due to: (1) an on-the-job or job-related injury; or (2) a condition for which benefits are payable by Worker’s Compensation or similar laws, only to the extent such benefits are the liability of the employee, employer, or Workers’ Compensation insurance carrier according to a final adjudication under the North Carolina Workers’ Compensation Act or an order of the North Carolina Industrial Commission approving a settlement agreement under the North Carolina Workers’ Compensation Act. This includes, but is not limited to: (1) characterization and personalization of a Dental Prosthesis; (2) bleaching of discolored teeth; and (3) odontoplasty. Policy limitations and exclusions apply. With over 100,000 dentists in the Guardian network, it's easy to find a dentist to fit your needs. Application of desensitizing medicaments and desensitizing resins for cervical and/or root surface.
Guardian Advantage PPO Silver. Any restoration, service, Appliance or Dental Prosthesis used solely to: (1) alter vertical dimension; (2) restore or maintain occlusion; (3) treat a condition necessitated by attrition or abrasion; or (4) splint or stabilize teeth for periodontal reasons.
Reimbursement is based on the lower of your dentist’s fees or the amount that would be paid to dentists who have agreed to be reimbursed according to Guardian’s negotiated fee schedule.
Treatment for which no charge is made.
Temporary or provisional Dental Prosthesis or Appliances except interim partial dentures (stayplates) to replace Anterior Teeth extracted while covered under this Policy. Temporary or provisional Dental Prosthesis or Appliances except interim partial dentures (stayplates) to replace Anterior Teeth extracted while covered under this Policy. All Policy years and Policy months will be calculated from the Policy Effective Date. Plan documents are the final arbiter of coverage.
Educational services, including, but not limited to: (1) oral hygiene instruction; (2) tobacco counseling; or (3) nutritional counseling.
Temporary or provisional Dental Prosthesis or Appliances except interim partial dentures (stayplates) to replace Anterior Teeth extracted while covered under this Policy.
This policy provides DENTAL insurance only. Any service furnished solely for cosmetic reasons.
Please refer to your plan documents for a complete list of limitations and exclusions. Any service performed in conjunction with, as part of, or related to a service which is not covered by this Policy. Bite registration, bite analysis or occlusion analysis – mounted case. Application of desensitizing medicaments and desensitizing resins for cervical and/or root surface. This usually means treatment furnished by: (1) the covered person’s employer, labor union or similar group, in its dental or medical department or clinic; (2) a facility owned or run by any governmental body; and (3) any public program, except Medicaid, paid for or sponsored by any governmental body. Guardian Dental Advantage Silver. Dental Insurance is underwritten by The Guardian Life Insurance Company of America, New York, NY. This policy provides DENTAL insurance only.
If you choose to see a dentist outside of the Network, you'll be reimbursed based on Usual and Customary (UCR) charges.
Guardian Dental Advantage Silver.
Treatment of congenital or developmental malformations or the replacement of congenitally missing teeth.
Bite registration, bite analysis or occlusion analysis - mounted case.
A fixed bridge replacing the extracted portion of a hemisected tooth or the placement of more than one unit of a crown and/or bridge, per tooth. You would be responsible for the deductible and any amounts over the UCR as well as any co-insurance, Most routine dental services, including oral exams, cleanings, x-rays, Moderately complex dental services, including fillings and simple extractions, More complex dental services including crowns, complex extractions, oral surgery, periodontal, and endodontic services, Benefit maximum payout increases every year for the 1st 3 years; one preventive visit required for each member each year. Orthodontic treatment, unless the Policy provides specific benefits for orthodontic treatment.
Any service performed in conjunction with, as part of, or related to a service which is not covered by this Policy.
But, We will cover cosmetic services needed to treat medically diagnosed congenital defects and birth abnormalities for a dependent child.
• You can see any dentist you want, but save up to 35% when you visit a dentist that participates in Guardian’s network. Treatment needed due to: (1) an on-the-job or job-related injury; or (2) a condition for which benefits are payable by Worker's Compensation or similar laws.
Tooth re-implantation or tooth transplantation.
Those shown above are illustrative only. After one continuous year of coverage and acceptance of premium for any portion of the second or subsequent year sufficient notice shall be a number of full months most nearly equivalent to one fourth the number of months of continuous coverage from the inception date of the Policy, to the date of mailing of the notice.
Maxillofacial prosthetics that repair or replace facial and skeletal anomalies, maxillofacial surgery, orthognathic surgery or any oral surgery requiring the settling of a fracture or dislocation that is incidental to or results form a medical condition.
Those shown above are illustrative only. Application of desensitizing medicaments and desensitizing resins for cervical and/or root surface.
This usually means treatment furnished by: (1) the covered person's employer, labor union or similar group, in its dental or medical department or clinic; (2) a facility owned or run by any governmental body; and (3) any public program, except Medicaid, paid for or sponsored by any governmental body..
Any service performed on a tooth or teeth with a guarded, questionable or poor prognosis.
The replacement of extracted or missing third molars (wisdom teeth). Policy limitations and exclusions apply. Products are not available in all states. • Get most services, including: oral exams, cleanings and x-rays covered at 80%. This includes, but is not limited to: (1) characterization and personalization of a Dental Prosthesis; (2) bleaching of discolored teeth; and (3) odontoplasty. Guardian’s negotiated rates save you up to 35% at In-Network Dentists, Reimbursement is based on the lower of your dentist’s fees or the amount that would be paid to dentists who have agreed to be reimbursed according to Guardian’s negotiated fee schedule, Most routine dental services, including oral exams, cleanings, x-rays, Moderately complex dental services, including fillings and simple extractions, More complex dental services including crowns, complex extractions, oral surgery, periodontal, and endodontic services, Benefit maximum payout increases every year for the 1st 3 years; one preventive visit required for each member each year.