Deductible
Base Plan
Individual | Family
$50 | $100
Buy-Up Plan
Individual | Family
$50 | $100
Annual Maximum
Per Person Per Year
The annual maximum does not apply to preventive care!
Base Plan
$1,500
Buy-Up Plan
$1,500
Lifetime Maximum for Orthodontia
Per Child Per Lifetime Coverage for children up to age 19
Base Plan
Not covered
Buy-Up Plan
$1,500
Preventive Services
Your deductible is waived for preventive services, and the care is no cost to you!
Examples: Cleanings, exams, X-rays
Basic Services
Examples: Fillings, extractions, root canals
Base Plan
25% after deductible
Buy-Up Plan
25% after deductible
Major Services*
Examples: Crowns, bridgework, implants
Base Plan
50% after deductible
Buy-Up Plan
50% after deductible
Orthodontia*
Coverage for children up to age 19
Base Plan
Not covered
Buy-Up Plan
You pay 50%
*After open enrollment, new enrollees must wait 12 months after enrolling in dental coverage before major services and orthodontia are covered.
Only For Open Enrollment
When you enroll in a Hope College dental plan during open enrollment, the 12-month waiting period for major services and orthodontia will not apply!
Your Cost Per Pay
Two deductions per month
Base Plan
Employee Only | $18.62
Double | $37.24
Family | $65.16
Buy-Up Plan
Employee Only | N/A
Double | $39.06
Family | $68.35
What You Pay for Care
Eye Exam
Once every 12 months
$10 copay
Lenses
Once every 12 months
Covers single, bifocal and trifocal lenses
$10 copay
Frames
Once every 12 months
No copay; $200 allowance
20% discount on any amount over $200
Contacts—instead of glasses
Once every 12 months
$200 allowance
Your Cost Per Pay
Two deductions per month
Employee Only
$4.98
Double
$9.45
Family
$13.88
Guardian is Paperless!
Guardian does not issue physical ID cards. Find your digital ID card in the Guardian Dental & Vision app!
Plus, find in-network providers, track your claims and even estimate your costs for common services with an easy tool.
If you enroll in both dental and vision, you’ll only have one ID card.
PO Box 9000, Holland, Michigan 49422-9000