The View Benefits - Dental Eligibility page displays the following sections. Locate the Coverage column and click the Dental hyperlink. Call the number mentioned in the message for benefits. Note: For plan details, limitations, and exclusions, review your certificate booklet. Note: If a message displays requesting you to call, the benefits are not available in Guardian Anytime. Orthodontics are a covered benefit for all eligible members and dependents. Orthodontics are covered on dependent children up to the age of 19 their teeth must be banded prior to their 19th birthday.įor dependent children banded prior to their 19th birthday and remaining covered under the plan, payments will continue beyond age 19 until the lifetime maximum is reached, they are no longer eligible, or their treatment ends.Īny treatment, or additional stage of treatment, that starts after age 19 is not covered. Your financial responsibility before the orthodontic coverage is applied Unless otherwise noted, this deductible is separate from the deductible applied to Preventative, Basic, and/or Major services. The benefit percentage applied to covered services Terms and definitions are provided below. means Medicare becomes your primary coverage, paying up to its coverage limits. If your plan has Orthodontic coverage it will display on this page. If you dont sign up for Medicare Part A and Part B during that time. For members who have questions about their plan benefits, and for Dental Providers to verify eligibility.

In the coverage column, click on the Dental hyperlink. Real time assistance: Speak to a live representative about your benefits, claims inquiries, or help using Customer Response Unit: 1- 80. As a member, you can verify if your plan has Orthodontic coverage by following these steps in Guardian Anytime.įrom the menu options, select Benefits and then Overview.

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