Mydental.guardianlife.com View all Health

Contact Us: Guardian and Premier Access Guardian Dental

Details: Exchange. Call 844-561-5600 . Monday - Friday 9am - 9pm ET . GuardianDirect . Call 866-569-9900 . Monday - Friday 9am - 9pm ET

› Verified 4 days ago

› Url: https://mydental.guardianlife.com/contactus/ Go Now

› Get more:  HealthGo Now

Disclosures Guardian Dental

Details: Disclosures. Premier Access Insurance Company “Premier Access,” and Access Dental Plan (“Access Dental”) are wholly owned subsidiaries of The Guardian Life Insurance Company of America (“Guardian”). Premier Access is a California domiciled insurance company offering PPO dental products in California, .., among others.

› Verified 6 days ago

› Url: https://mydental.guardianlife.com/disclosures/ Go Now

› Get more:  HealthGo Now

SUMMARY OF BENEFITS For Adults 19 and Over

Details: •This plan includes the pediatric dental Essential Health Benefit (EHB) as mandated by the Affordable Care Act (ACA), which is a comprehensive set of dental services for children under age 19. •You can choose to see a dentist outside of the network and you'll be reimbursed based on the lower of your

› Verified 3 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2016/10/TN-PPO-Basic-Template-2017_FINAL-APPROVED-DTC-v2.pdf Go Now

› Get more:  HealthGo Now

Guardian’s Managed DentalGuard

Details: includes the pediatric essential health benefit, which is a comprehensive set of dental services for children under 19, includi ng diagnostic and preventive benefits such as oral examinations, x -rays, topical fluoride, and dental sealants, restorative servic es

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/Dhmo_bensum_-_FL_essentials1.pdf Go Now

› Get more:  HealthGo Now

Health Care Insurer Appeals Process Information

Details: Enclosed is your Health care Appeals Process Information Packet. This packet provides important information about how to claims decisions made by Premier Access Insurance Company. Also enclosed at the back of this packet are the Health Care Appeal Request Form and the Provider Certification Form for Expedited Medical Reviews.

› Verified 6 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2016/09/Final_-Health-Care-Insurer-Appeals-Process-Information-PacketCommercial.pdf Go Now

› Get more:  MedicalGo Now

Utah Essential Health Benefit – Guardian Choice Family

Details: Essential Health Benefit In-Network Out-of-Network** Class I/Preventive - Cleanings, Exams, Fluo ride, S ealants, S p ace Maintainers, Em erg ency Pain and Radio g raphs (Bitewings, Fu ll Mouth X -ray, Panoramic Fi lm) . 70% 70% Class II/Basic - R estorations (Amalgams and A nterior R …

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/HBEX/SOB/UT/UTPE.18_SOB.pdf Go Now

› Get more:  HealthGo Now

Utah Essential Health Benefit – Premier Choice Family Plan

Details: Utah Essential Health Benefit – Premier Choice Family Plan with EHB (for Children) UT_SOB_PLUS EHBPLUS_17 5 | P a g e 22) Missed dental appointments. 23) Porcelain and cast crowns 24) Crowns, inlays, cast restorations, or other laboratory prepared restorations on teeth which may be restored with an amalgam resin filling.

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/HBEX/SOB/UT/UTPE.17_SOB.pdf Go Now

› Get more:  HealthGo Now

Guardian Advantage PPO Silver Benefits Summary

Details: Dental-coverage-and-health-insurance-exchanges Author: Guardian Life Subject: Dental-coverage-and-health-insurance-exchanges Keywords: Dental coverage in the health insurance marketplace, SHOP Exchange, Small Business Health Options Program, North Carolina Created Date: 7/13/2016 11:57:44 AM

› Verified Just Now

› Url: https://mydental.guardianlife.com/wp-content/uploads/2016/07/CA-Guardian-Advantage-PPO-Silver-v1.pdf Go Now

› Get more:  HealthGo Now

Emdeon ePayment Enrollment and Authorization Form

Details: SX158 Paramount Health M 65088 Preferred Care Partners M 91184 Sanford M SX142 South Indiana Health Operations - HMO M 88019 Teacher’s Health Trust M 76048 Texas Children’s Health Plan - CHIP M 75228 Texas Children’s Health Plan - STAR M 39065 Time Insurance Company M 69493 Tower Life Insurance Company D, M 70408 Union Security Insurance

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2015/08/ePaymentEnrollment-form-7-2013.pdf Go Now

› Get more:  HealthGo Now

Access Dental Plan Individual Family Dental HMO

Details: Individual Essential Health Benefit Dental Program Combined Evidence of Coverage and Disclosure Form/Contract Provided by: DHMO Benefits Provided by Access Dental Plan 8890 Cal Center Drive Sacramento, CA 95826 Phone: (844) 561‐5600 Email: [email protected] Website: www.premierlife.com

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/CA/DHMO_Policy.pdf Go Now

› Get more:  HealthGo Now

Guardian Dental Insurance Plans

Details: Health Costs as a Freelancer: How to Budget for and Deduct Medical Expenses. Here’s which medical expenses you should budget as a freelancer, ways to mitigate these expenses, and what you can look forward to deducting.

› Verified 1 days ago

› Url: https://mydental.guardianlife.com/page/3/ Go Now

› Get more:  MedicalGo Now

Medical Dental Vision Notice of Privacy Practices

Details: health information. “Protected Health Information” is information about you that can reasonably be used to identify you and that relates to your past, present or future physical or mental health condition, the provision of health care to you or the payment for that care.

› Verified 1 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2015/07/PA-Privacy-Notice-07-13-v1.pdf Go Now

› Get more:  Mental healthGo Now

Colorado Essential Health Benefit – PPO Family Plan with

Details: Colorado Essential Health Benefit – PPO Family Plan with EHB (for Children) 1 | Page CER9_CO_SOB_PPO This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit –PPO Family Plan with EHB (for Children). Please review closely to understand all benefits, exclusions and limitations.

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/CER9.15_CO_SOB_PPO.pdf Go Now

› Get more:  HealthGo Now

California Government & Commercial Managed Care …

Details: Health Insurance Portability Accountability and Availability Act, is a Federal Law designed to provide privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers. Developed by the Department of Health and Human Services, these standards provide

› Verified 9 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/California%20Government%20and%20Commercial%20Provider%20Manual.pdf Go Now

› Get more:  MedicalGo Now

California Essential Health Benefit – PPO Family with EHB

Details: California Essential Health Benefit – PPO Family with EHB (for Children) 1 | Page CA_IP_FAM_SOB_PPO_18 This summary of benefits, along with the exclusions and limitations describe the benefits of the California Family Dental PPO Policy .

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/HBEX/SOB/CA/CAPE.18_SOB.pdf Go Now

› Get more:  HealthGo Now

California Essential Health Benefit – PPO Family with EHB

Details: California Essential Health Benefit – PPO Family with EHB (for Children) 4 | Page CA_IP_FAM_SOB_PPO_19 CLASSES OF COVERED SERVICES AND SUPPLIES (Child Individuals up to Age 19) Coverage is provided for the dental services and supplies summarized below. For a complete list of covered services, please reference the listing at the end of this

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/CA/CAPE.19_SOB.pdf Go Now

› Get more:  HealthGo Now

LOS ANGELES PREPAID HEALTH PLAN COMBINED EVIDENCE …

Details: Health Clinics or Indian Health Service Facilities, and access to emergency dental services outside the Plan’s network pursuant to federal law. • Request a State Medi-Cal fair hearing, including information on the circumstances under which an expedited fair hearing is possible.

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/EOC-LAPHP-ENG.pdf Go Now

› Get more:  HealthGo Now

Texas Essential Health Benefit – Guardian Choice Family

Details: Texas Essential Health Benefit – Guardian Choice Family Plan with EHB (for Children) 1 | P a g e TX_SOB_PC_18 This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit – Guardian Choice Family Plan

› Verified 2 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/HBEX/SOB/TXPE.18_SOB.pdf Go Now

› Get more:  HealthGo Now

Texas Essential Health Benefit – Guardian Choice for

Details: Texas Essential Health Benefit – Guardian Choice for Families and Individuals 5 | P a g e . IP-DENF-OOC-PC-21-TX . Class III: Major Dental Services • Therapeutic pulpotomy (primary tooth) excluding final restoration agency for Covered Services and Supplies. o b)Benefit only for primary (baby) teeth

› Verified Just Now

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/TX/TX_Policy-IP-DENF5-EXCH_21.pdf Go Now

› Get more:  HealthGo Now

Texas Essential Health Benefit – Premier Choice Family

Details: Texas Essential Health Benefit – Premier Choice Family Plan with EHB (for Children) 2 | P a g e TX_SOB_PC_17 CLASSES OF COVERED SERVICES AND SUPPLIES (Individuals up to Age 19) Coverage is provided for the dental services and supplies described in this section. Please note the age and frequency limitations that apply for certain procedures.

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/TX/TXPE.17_SOB.pdf Go Now

› Get more:  HealthGo Now

Arizona Essential Health Benefit – Premier Choice for

Details: Arizona Essential Health Benefit – Premier Choice for Families and Individuals . 1 | Page . AZ_SOB_PC_IP_19 . This summary of benefits, along with the exclusions and limitations describe the benefits of the Essen tial Health Benefit – Premier Choice for Families

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/AZ/AZPE.19_SOB.pdf Go Now

› Get more:  HealthGo Now

Texas Essential Health Benefit – Guardian Basics for

Details: Texas Essential Health Benefit – Guardian Basics for Families and Individuals 1 | P a g e . IP-DENF-SCH-PB-21-TX . This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit – Guardian Basics for Families

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/TX/TXBE.21_SOB.pdf Go Now

› Get more:  HealthGo Now

Texas Essential Health Benefit – Guardian Choice for

Details: Texas Essential Health Benefit – Guardian Choice for Families and Individuals 1 | P a g e . IP-DENF-SCH-PC-21-TX . This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit – Guardian Choice for Families

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/TX/TXCE.21_SOB.pdf Go Now

› Get more:  HealthGo Now

GUARDIAN DENTAL COVERAGE FOR INDIVIDUALS AND …

Details: Guardian’s DentalGuard Preferred network. As one of the largest nationwide network on and off the health insurance marketplace, chances are your dentist is already a participant. Charges for services provided by participating dentists are based on negotiated, discounted fee schedules, and are reimbursed directly from Guardian.

› Verified 3 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2015/10/2016_Individual_Essentials_-DTC_FL_9-2.pdf Go Now

› Get more:  HealthGo Now

Nevada Low Essential Health Benefit – PLUS Family Plan

Details: Nevada Low Essential Health Benefit – PLUS Family Plan with EHB (for Children) 1 | Page CER13_NV PPO_SOB_PLUS This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit – PLUS Family Plan with EHB (for

› Verified 9 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2015/08/CER13.15_NV-PPO_SOB_PLUS.pdf Go Now

› Get more:  HealthGo Now

Arizona Essential Health Benefit – Guardian Choice Family

Details: Arizona Essential Health Benefit – Guardian Choice Family Plan with EHB (for Children) 1 | Page AZ_SOB_PC_IP_18 This summary of benefits, along with the exclusions and limitations describe the benefits of the Essen tial Health Benefit – Guardian Choice Family Plan

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/HBEX/SOB/AZ/AZPE.18_SOB.pdf Go Now

› Get more:  HealthGo Now

AUTHORIZATION TO USE & DISCLOSE HEALTH INFORMATION

Details: provider or health plan to disclose information to us: • We cannot condition our provision of services or treatment to you on the receipt of this signed authorization; • You may inspect a copy of the protected health information to be used or disclosed; • You may refuse to sign this Authorization; and

› Verified 3 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/English%20HIPAA%20Authorization.pdf Go Now

› Get more:  HealthGo Now

ASSOCIATE PROVIDER APPLICATION Dental and Vision

Details: Employmentas a health-carep roviderby a military service,hospital,HMO, or other health-care organization YES NO 3. Do you have any condition that,with or without accommodation, wouldmakeyou unableto perform the essentialfunctionswithinyour area

› Verified 9 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2015/08/PA-Associate-Provider-App-02-14-v3.pdf Go Now

› Get more:  HealthGo Now

Guardian Advantage PPO Silver Benefits Summary

Details: Dental-coverage-and-health-insurance-exchanges Author: Guardian Life Subject: Dental-coverage-and-health-insurance-exchanges Keywords: Dental coverage in the health insurance marketplace, SHOP Exchange, Small Business Health Options Program, North Carolina Created Date: 7/13/2016 11:55:50 AM

› Verified 4 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2016/07/MO-Guardian-Advantage-UCR-PPO-Silver-v2.pdf Go Now

› Get more:  HealthGo Now

SCHEDULE OF BENEFITS

Details: This plan includes BOTH Pediatric Dental Essential Health Benefits and Non-Pediatric Dental Benefits. The benefits and limitations for the Pediatric Dental Essential Health Benefits are substantially equal to those covered in the FEDVIP Benchmark Dental Plan, as identified by the Federal Government.

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/NC/NCSE.18_SOB.pdf Go Now

› Get more:  HealthGo Now

MANAGED DENTALGUARD FOR INDIVIDUALS AND FAMILIES

Details: This plan also includes the pediatric dental Essential Health Benefit (EHB) as mandated by the Affordable Care Act (ACA), which is a comprehensive set of dental services for children under age 19. MANAGED DENTALGUARD FOR INDIVIDUALS AND FAMILIES. Plan Year 2018. 2017-44835 (12/18)

› Verified 2 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2017/11/NJ_DHMO-Benefit-Summary_2018_mydental.pdf Go Now

› Get more:  HealthGo Now

Forms & Documents

Details: Guardian Members Guardian PPO ADA Claim Form HIPAA Authorization (English) HIPAA Authorization (Spanish) Member Grievance Forms Guardian PPO All States Guardian DHMO New York Florida Managed Dental Care California Managed DentalGuard New Jersey Texas First Commonwealth Illinois Dependent Eligibility Certification Forms Dependent Eligibility Certification Form – CO Dependent …

› Verified 7 days ago

› Url: https://mydental.guardianlife.com/member-forms/ Go Now

› Get more:  HealthGo Now

AUTHORIZATION TO USE & DISCLOSE HEALTH INFORMATION

Details: health plan to disclose information to us: • We cannot condition our provision of services or treatment to you on the receipt of this signed authorization; • You may inspect a copy of the protected health information to be used or disclosed; • You may refuse to sign this Authorization; and

› Verified 8 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2019/11/HIPAA-Authorization-Premier-English_12-2011.pdf Go Now

› Get more:  HealthGo Now

Covered Dental Services and Patient Charges U10TXI03

Details: year for pediatric essential health benefits as determined by Texas. The limit is $350.00 for each such Member. Once this limit is reached the plan waives Patient Charges for such benefits for the rest of the calendar year for such Member. But if two or more such Members meet the limit of $700.00 in a calendar year, the plan waives the

› Verified 8 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/Guardian/TX/U20TXI0116_SOB.pdf Go Now

› Get more:  HealthGo Now

Utah Essential Health Benefit – Premier Choice for

Details: Utah Essential Health Benefit – Premier Choice for Families and Individuals Plan This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit – Premier Choice for Families and Individuals Plan. Please review closely to understand all benefits, exclusions and limitations.

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/UT/UTPE.19_SOB.pdf Go Now

› Get more:  HealthGo Now

First Commonwealth Insurance Company Limited Benefit

Details: (2) The policy provides Limited Benefit Health Coverage for Dental coverage only— policies of this category are designed to provide, to persons insured, limited or supplemental coverage. (3) The services covered by th e policy are named in the list of Covered Dental Services and Patient Charges. If a service, treatment or procedure is not on

› Verified Just Now

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/IL/2015/IP-FCW-DHMO-OOC-IL-14.pdf Go Now

› Get more:  HealthGo Now

J430D Dental Claim Form 2012

Details: and systemic health conditions. Diagnosis codes are linked to procedures using the following fields: Item 29a – Diagnosis Code Pointer (“A” through “D” as applicable from Item 34a) Item 34 – Diagnosis Code List Qualifier (B for ICD-9-CM; AB for ICD-10-CM)

› Verified 2 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2016/09/Guardian_Individual-Dental-Claim-Form.pdf Go Now

› Get more:  HealthGo Now

Texas Essential Health Benefit – Premier Choice for

Details: Texas Essential Health Benefit – Premier Choice for Families and Individuals . 4 | P a g e . TX_OOC_PC_20 . CLASSES OF COVERED SERVICES AND SUPPLIES (Individuals up to Age 19) Coverage is provided for the dental services and supplies described in this section. Please note the age and frequency limitations that apply for certain procedures.

› Verified 6 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/TX/TX_Policy-IP-DENF-Choice-EXCH_20.pdf Go Now

› Get more:  HealthGo Now

Arizona Essential Health Benefit PPO Family with EHB (for

Details: Arizona Essential Health Benefit –PPO Family with EHB (for Children) 2 | P a g e AZ_SOB_PPO 2015 Benefits and Limitations (Individuals up to age 19) Coverage is provided for the dental services and supplies described in this section. Please note the age and frequency limitations that apply for …

› Verified Just Now

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/Copay%20Schedule/AZ/CER6.15_AZ_SOB_PPO.pdf Go Now

› Get more:  HealthGo Now

Arizona Essential Health Benefit PLUS Family with EHB (for

Details: Arizona Essential Health Benefit – PLUS Family with EHB (for Children) 1 | P a g e AZ_SOB_PLUS 2015 This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit – PLUS Family with EHB (for Children). Please review closely to understand all benefits, exclusions and limitations.

› Verified 2 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN_OLD/AZ/2015/CER7.15_AZ_SOB_PLUS.pdf Go Now

› Get more:  HealthGo Now

Arizona Essential Health Benefit – Premier Choice Family

Details: Arizona Essential Health Benefit – Premier Choice Family Plan with EHB (for Children) 1 | Page AZ_SOB_PC_17 This summary of benefits, along with the exclusions and limitations describe the benefits of the Essen tial Health Benefit – Premier Choice Family Plan

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/HBEX/SOB/AZ/AZPE.17_SOB.pdf Go Now

› Get more:  HealthGo Now

SUMMARY OF BENEFITS

Details: •This plan also includes the pediatric dental Essential Health Benefit (EHB) as mandated by the Affordable Care Act (ACA), which is a comprehensive set of dental services for children under age 19. •You can choose to see a dentist outside of the network and you'll be reimbursed based on the lower of your dentist’s fees, or

› Verified 8 days ago

› Url: https://mydental.guardianlife.com/wp-content/uploads/2016/10/OH-PPO-Essentials-Template-2017_FINAL-APPROVED-DTC-v2.pdf Go Now

› Get more:  HealthGo Now

WebsiteHIPAA- Privacy Notice Access Plan &MediCal 071007

Details: We must disclose protected health information about you when required to do so by law. • Public Health Activities. We may disclose your protected health information to public health agencies for reasons such as preventing or controlling disease, injury or disability. • Victims of Abuse, Neglect or Domestic Violence.

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/PrivacyNotice.pdf Go Now

› Get more:  HealthGo Now

Texas Essential Health Benefit – Premier Essentials for

Details: Texas Essential Health Benefit – Premier Essentials for Families and Individuals 1 | P a g e . TX_SOB_PE_20 . This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit – Premier Essentials for Families

› Verified 5 days ago

› Url: https://mydental.guardianlife.com/secure/STATICPAGES/DOCS/GUARDIAN/TX/TXEE.20_SOB.pdf Go Now

› Get more:  HealthGo Now

Related topics