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DENTAL

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DENTAL

Administered by Guardian

All employees have the opportunity to choose between three different dental plan options after they’ve been employed for 30 days (coverage will be effective 1st of the month following 30 days). The multiple plan offering allows employees to select the plan that best fits their needs for preventive, basic, major & child orthodontia coverage. Guardian’s DentalPreferred Network is one of the industry’s largest Preferred Provider networks with over 200,000 locations.

You may access provider information, benefits information & claims status at www.guardiananytime.com or by calling (888) 600-1600.

Resources

Guardian Kit - Arhaus Full-Time

Guardian Kit - Arhaus Part-Time

Guardian Kit - TB Full-Time

Guardian Kit - TB Part-Time

It's Easy to Use Your Guardian Benefits

	Low	High	Platinum
Calendar Year Deductible: Single / Family	$50/$150	$50/$150	$50/$150
Diagnostic & Preventive Services Routine Exam, Cleanings, X-Rays, Fluoride, Sealants	0% (Deductible Waived)	0% (Deductible Waived)	0% (Deductible Waived)
Basic Services Fillings, Oral Surgery, Periodontics, Endodontics	20%	20%	10%
Major Services Crowns, Dentures, Bridges	Not Covered	50%	40%
Annual Maximum	$1,000	$1,000	$1,500
Orthodontia Children up to age 19	Not Covered	Not Covered	50%
Orthodontia Lifetime Maximum	N/A	N/A	$1,000

*This is an illustration of In-Network benefits only. Additional details regarding coverage for non-network providers can be found in the SPD.
**This summary is intended to be a reference & is not a guarantee of benefits. Please consult your SPD or plan document for a more detailed benefit description & final confirmation of coverage.