Guardian Select for Families and Individuals – PPO

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

SKU: 69589WI0070004 Categories: Abrams, Adams, Afton, Albany, Algoma, Allenton, Alma, Almond, Amberg, Amery, Amherst, Amherst Junction, Appleton, Arcadia, Arena, Argonne, Argyle, Arkansaw, Arkdale, Arlington, Armstrong Creek, Ashippun, Ashland, Athelstane, Avalon, Avoca, Baileys Harbor, Baldwin, Balsam Lake, Bancroft, Baraboo, Barneveld, Barronett, Bay City, Bayfield, Bear Creek, Beaver Dam, Beldenville, Belgium, Belleville, Belmont, Beloit, Benton, Berlin, Big Bend, Big Falls, Birchwood, Black Creek, Black Earth, Black River Falls, Blair, Blanchardville, Bloomer, Blue Mounds, Blue River, Bonduel, Bowler, Boyceville, Brandon, Briggsville, Brillion, Bristol, Brodhead, Brookfield, Brooklyn, Brownsville, Browntown, Brule, Brussels, Burlington, Burnett, Butler, Butte Des Morts, Butternut, Caledonia, Cambria, Cambridge, Camp Douglas, Campbellsport, Caroline, Casco, Cashton, Cazenovia, Cecil, Cedarburg, Centuria, Chaseburg, Chilton, Clayton, Clear Lake, Clinton, Clintonville, Clyman, Cobb, 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View, Granton, Grantsburg, Gratiot, Green Bay, Green Lake, Green Valley, Greendale, Greenville, Greenwood, Gresham, Hager City, Hales Corners, Hammond, Hancock, Hartford, Hartland, Hawthorne, Hayward, Hazel Green, Helenville, Herbster, Hertel, Highland, Hilbert, Hillpoint, Hillsboro, Hollandale, Horicon, Hortonville, Houlton, Hubertus, Hudson, Hurley, Hustisford, Hustler, Independence, Iola, Iron Belt, Iron Ridge, Iron River, Ixonia, Jackson, Janesville, Jefferson, Johnson Creek, Juda, Juneau, Kansasville, Kaukauna, Kendall, Kenosha, Keshena, Kewaunee, Kiel, Kimberly, King, Kingston, Knapp, Krakow, La Farge, La Valle, Lake Delton, Lake Geneva, Lake Mills, Lake Nebagamon, Lakewood, Lannon, Laona, Larsen, Lebanon, Lena, Leopolis, Lime Ridge, Linden, Little Chute, Little Suamico, Livingston, Lodi, Loganville, Lomira, Lone Rock, Long Lake, Lowell, Loyal, Lublin, Luck, Luxemburg, Lyndon Station, Madison, Maiden Rock, Malone, Manawa, Maple, Marinette, Marion, Markesan, Marquette, Marshall, 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Porterfield, Potter, Pound, Poy Sippi, Poynette, Prairie Du Sac, Prairie Farm, Prescott, Princeton, Pulaski, Racine, Randolph, Readstown, Redgranite, Reedsburg, Reeseville, Rewey, Rib Lake, Rice Lake, Richfield, Richland Center, Ridgeland, Ridgeway, Rio, Ripon, River Falls, Roberts, Rochester, Rock Springs, Rosendale, Rosholt, Rubicon, Saint Croix Falls, Saint Francis, Salem, Sarona, Sauk City, Saukville, Saxon, Scandinavia, Seneca, Sextonville, Seymour, Sharon, Shawano, Shell Lake, Sherwood, Shiocton, Shullsburg, Silver Lake, Siren, Sister Bay, Slinger, Sobieski, Soldiers Grove, Solon Springs, Somerset, South Milwaukee, South Range, South Wayne, Sparta, Spooner, Spring Green, Spring Valley, Springbrook, Springfield, Star Prairie, Steuben, Stevens Point, Stockbridge, Stockholm, Stone Lake, Stoughton, Sturgeon Bay, Sturtevant, Suamico, Sullivan, Sun Prairie, Superior, Suring, Sussex, Taylor, Theresa, Thorp, Tigerton, Tilleda, Tomah, Townsend, Trego, Trempealeau, Trevor, Turtle Lake, Twin Lakes, Union Center, Union Grove, Upson, Van Dyne, Verona, Viola, Viroqua, Wabeno, Wales, Walworth, Warrens, Washburn, Washington Island, Waterford, Waterloo, Watertown, Waukau, Waukesha, Waunakee, Waupaca, Waupun, Wausaukee, Wautoma, Wauzeka, Webster, West Bend, Westboro, Westfield, Weyauwega, Wheeler, Whitehall, Whitewater, Wild Rose, Willard, Williams Bay, Wilmot, Wilson, Wilton, Windsor, Winnebago, Winneconne, Wisconsin, Wisconsin Dells, Withee, Wittenberg, Wonewoc, Woodford, Woodland, Woodville, Wrightstown, Wyocena, Zenda

Description

Description

Health Care Plan Details

Network type	PPO
Deductible	$50 per person $50 per person
Out-of-pocket max	$400 per person $800 per family
Metal tier	Low

Adult Dental

Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible

Guardian Select for Families and Individuals – PPO

Description

Health Care Plan Details

Adult Dental

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