Human Resources
NDNU Guardian Dental Plan Summary
Other Benefits | Jobs | HR Office
Mananged DentalGuard DHMO/Pre-Paid* |
DentalGuard Pref/PPO** |
||
In-Network |
Out-of-Network |
||
Calendar year Deductible |
None |
$50 |
$50 3 per family limit |
Preventive Care (e.g. cleanings) |
Copay |
100% |
100% of reasonable and customary charges |
Basic Care (e.g. fillings, extractions) |
Copay |
90% |
80% of reasonable and customary charges |
Major expenses (e.g. crowns, dentures) |
Copay |
60% |
50% of reasonable and customary charges |
Orthodontia (Adult and Child) |
50% |
50% |
50% of reasonable and customary charges |
Annual Maximum Benefit |
Unlimited |
$2,000 |
$1,500 |
Office Visit Copay |
$0 |
None |
|
Network |
Managed DentalGuard |
DentalGuard Pref |
|
Monthly Switch |
Yes |
Not available |
|
*You are only covered if you go to a dentist that belongs to the Managed DentalGuard – Pre-Paid (CA) network
** You may go to any dentist, however those who belong to the Dental - DentalGuard Pref - Northern California network will be most cost effective
