GUARDIAN DENTALGUARD PREFERRED PPO 90 UCR

GUARDIAN DENTALGUARD PREFERRED PPO 90 UCR

With Guardian DentalGuard Preferred PPO 90 UCR you and your family can count on accessible, concerned care. Plus there are never any claim forms to complete for In-Network services! If you choose to go Out-of-Network, most dentists will submit your claims directly to Guardian - hassle free.                   

GUARDIAN DENTALGUARD PREFERRED PPO 90 UCR

Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026

PLAN RATES (MONTHLY)

Employee
$69.07
Employee/Spouse (DP)
$145.90
Employee/Child(ren)
$147.23
Family (DP)
$226.88

PLAN HIGHLIGHTS

  • 100%/80%/50% In-Network, no specialist referrals, no waiting periods; Cleaning every 6 months
  • $50 In-Network/$50 Out-of-Network calendar deductible, 3 max per family, preventive waiver
  • 100%/80%/50% Out-of-Network
  • $1,500 annual maximum In-Network/Out-of-Network combined, rollover benefit, preventive max waiver
  • Implant & orthodontia benefit - adult and children; Child orthodontia benefit $1,500 max



Dental coverage can only be elected by a group enrolling in HealthPass medical coverage.
The following billing and administrative fees apply to the Guardian DentalGuard Preferred PPO 90 UCR plan: EE $9.25, EE/Spouse $18.25, EE+Child(ren) $18.25, Family $26.50
Rates are subject to final verification at the time of enrollment. Domestic Partner coverage is included with all carriers.
Rates for Domestic Partners are the same rates for Employee/Spouse and Family.
This is a summary of plan information. Please refer to the Eligibility Guidelines for further information.