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DENTAL

Regular dental checkups can help find early warning signs of certain health problems, which means you can get the care you need to get healthy. LHP/LER will continue to offer a dental program. The chart below is a brief outline of the plan. Please refer to the summary plan description for complete plan details.

PPO Plan: Receive dental care from the licensed dentist of your choice. You’ll receive the highest level of benefits if you select an in-network dentist who has agreed to provide services at a negotiated rate. If you use an out-of-network dentist, they may bill you for the difference between what the plan pays and what the dentist usually charges.

To find a dentist by name or location, go to www.GuardianAnytime.com or call the Guardian helpline 888-600-1600 and refer to your plan number: 00028892. 

Employee Contributions (Semi Monthly 24 per yr) 
  Semi-Monthly Rate
Employee $10.14
Employee & Spouse $20.58
Employee & Child(ren) $28.55
Employee & Family $41.83

Guardian Dental PPO

  In-Network  Out-of-Network*
Deductible
(Individual/Family)
$50/$150 $50/$150
Annual Maximum Benefit $1,500 $1,500
Orthodontia Lifetime Maximum $1,500 $1,500
Type A: Preventive Care $0 $0
Type B: Basic Care 80% 80%
Type C: Major Care 50% 50%
Orthodontia 50% 50%

If you use an out-of-network dentist, they may bill you for the difference between what the plan pays and what the dentist usually charges.

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