Dental Plans

Dental Plans

Dental coverage is provided at no charge. You have a choice of two plans:

• First Commonwealth/Guardian Dental HMO

               Provides access to services performed at participating dental HMO practices.

• First Commonwealth/Guardian PPO

               Allows you to seek dental care from dentists who either are in or out of the PPO network.

              In-network services are usually covered at a higher benefit level.

The dental plans offer 2 dental exams and cleanings per year.

Dental Plan Highlights

Dental HMO provider (as of March 2018)

Dental PPO -IL provider directory (as of March 2018)

Dental PPO - IN provider directory (as of March 2018)

VENDOR INFORMATION

Guardian Dental Plans

Plan #397485

Phone Numbers

Dental HMO: 866-494-4542

Dental PPO: 866-302-4542

Forms

PPO Claim Form

Nominate Your Dentist for Network Participation