US Benefits 2020

Guardian Dental

+ Dental providers on site : www.guardiananytime.com

+ Maximum rollover account limit = $1,000

+ Orthodontia for dependents under age 19

In Network

Out of Network

Deductible

$50/$150

$50/$150

Annual Max

$1,500

$1,000

Preventive

100%

100%

Basic

100%

80% 50% 50%

Major

60% 50%

Orthodontia

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