Guardian Essentials for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
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Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Low
Basic Dental: 100%
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 100%
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $65 copay
Urgent care visit: $100 copay