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. We are one of the nation’s largest dental insurance providers, covering more than 8 million members, because we believe in helping you do what you do best: provide quality dental care to your communities. 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. If your plan has Orthodontic coverage it will display on this page. Coverage is limited to permanent, unrestored molar teeth. Limited to 1 per tooth in a 36 month period. In the coverage column, click on the Dental hyperlink. We are now one of the largest dental network in a number of key cities and states including California, Florida, Texas, Ohio and the New York Metro area, and behind that growth is a strong commitment to our member and providers. Sealants Sealants or preventive resin restorations: Limited to covered persons under age 16. 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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