Reimbursement is based on the lower of your dentist’s fees or the amount that would be paid to dentists who have agreed to be reimbursed according to Guardian’s negotiated fee schedule. Any service or treatment method which does not meet professionally recognized standards of dental practice or which is considered to be experimental in nature. Temporary or provisional Dental Prosthesis or Appliances except interim partial dentures (stayplates) to replace Anterior Teeth extracted while covered under this Policy. Any service or treatment method which does not meet professionally recognized standards of dental practice or which is considered to be experimental in nature. Please refer to your plan documents for a compete list of limitations and exclusions. Duplication of radiograph images, the completion of claim forms, OSHA or other infection control charges. Plan documents are the final arbiter of coverage. For North Carolina residence, any reference on this site to "child" includes "foster child.". Guardian Dental Select Silver Coverage Summary (see your policy for further details) Choose any Dentist In-Network Dentist Guardian’s negotiated rates save you up to 35% at In-Network Dentists Out-of-Network Dentist Charges for services provided by participating dentists are based on Orthodontic treatment, unless the Policy provides specific benefits for orthodontic treatment. Any service furnished solely for cosmetic reasons. If We do raise Your premium due to a change in rates, then at least 60 days prior to Your renewal date, We will send written notice to You at Your last known address shown on record. Tooth re-implantation or tooth transplantation. Policy limitations and exclusions apply. Maxillofacial prosthetics that repair or replace facial and skeletal anomalies, maxillofacial surgery, orthognathic surgery or any oral surgery requiring the setting of a fracture or dislocation that is incidental to or results from a medical condition. With over 100,000 dentists in the Guardian network, it's easy to find a dentist to fit your needs. The localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue. If you choose to see a dentist outside of the Network, you'll be reimbursed based on Usual and Customary (UCR) charges. Guardian Dental Advantage Silver. Any service performed on a tooth or teeth with a guarded, questionable or poor prognosis. ,n-Network Dentist Guardian’s negotiated rates save you up to 35% at In-Network Dentists Out-of-Network Dentist Reimbursement is based on the lower of your dentist’s fees or the amount that would be paid to dentists who have agreed to be reimbursed according to Guardian’s negotiated fee schedule Your Plan Benefits Guardian Pays Application of desensitizing medicaments and desensitizing resins for cervical and/or root surface. Overdentures and related services including root canal therapy on teeth supporting an overdenture. The localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue. Charges for services provided by participating dentists are based on negotiated, discounted fee schedules, and are reimbursed directly from Guardian. After one continuous year of coverage and acceptance of premium for any portion of the second or subsequent year sufficient notice shall be a number of full months most nearly equivalent to one fourth the number of months of continuous coverage from the inception date of the Policy, to the date of mailing of the notice. The localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue. Treatment of congenital or developmental malformations or the replacement of congenitally missing teeth. Replacement of a lost, missing or stolen Appliance or Dental Prosthesis or the fabrication of a spare Appliance or Dental Prosthesis. • Get most services, including: oral exams, cleanings and x-rays covered at 80%. Guardian Dental is underwritten by The Guardian Life Insurance Company of America, New York, NY. A fixed bridge replacing the extracted portion of a hemisected tooth or the placement of more than one unit of a crown and/or bridge, per tooth. Any service performed in conjunction with, as part of, or related to a service which is not covered by this Policy. Products are not available in all states. You may renew this Policy for a further term by timely payment of renewal, unless We send You sufficient notice in writing to Your last known address shown on record of Our intention not to renew.kn Sufficient notice shall be, during the first year of any Policy, or during the first year following any lapse and reinstatement, a period of 30 days before the premium due date. Policy Form #IP-DEN-16 Policy limitations and exclusions apply.