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PPO dental insurance plans

Enjoy the freedom to see any provider and save more when you visit a network dentist.

Last updated October 16, 2025

Guardian Life Insurance of America
Written by

Reviewed by

ppo dental insurance

PPO stands for Preferred Provider Organization. A PPO dental plan allows you to see any licensed provider, but offers a vast network of "preferred" dentists where you'll pay less for care. Here's why so many individuals and families choose dental PPO coverage from Guardian:

  • Visit any dentist

    You can visit almost any dentist and still receive coverage, but you'll save the most money if you see a dentist in Guardian’s nationwide network.

  • No referrals

    Guardian PPO plans do not require you to choose a primary dentist or get a referral before seeing the dentist of your choice.

  • Network discounts

    You’ll get significant discounts — up to 42% — when you see a Guardian network dentist1, even if you haven’t met your deductible yet.

  • No hassles

    With over 138,000 providers in Guardian’s national network1 it’s easy to find a nearby dentist. And for added convenience, they file claims for you.

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Guardian dental PPO plans for individuals & families

All plans allow you to see any qualified dentist and cover preventive care — such as exams and cleanings — from day one with no deductible.

Plans

Premier

Diamond

Achiever

Core

Starter

Price per month¹

Starting at $57

Starting at $37

Starting at $29

Starting at $19

Starting at $15

Preventive care coverage

100%
Available day 1 of coverage

100%
Available day 1 of coverage

100%
Available day 1 of coverage

100%
Available day 1 of coverage

100%
Available day 1 of coverage

Basic care coverage

80%
Available day 1 of coverage

80%
Available day 1 of coverage

70%
Available day 1 of coverage

50%
Available day 1 of coverage

50%
6-month waiting period

Major care coverage

60%
12-month waiting period*

50%
12-month waiting period*

50%
12-month waiting period*

50%
12-month waiting period*

Not covered*

Orthodontia (applies to dependents under age 19 only)

60%
12-month waiting period*

50%
12-month waiting period*

50%
12-month waiting period*

Not covered*

Not covered*

Teeth whitening

50%
6-month waiting period

50%
6-month waiting period

Not covered

Not covered

Not covered

Table reflects in- and out-of-network benefits as of Q3 2025; Out-of-network benefits subject to change Q1 2026.

* Except where state mandated

Deductibles and max benefit details

In-Network Preventive Care

$0 Deductible

$0 Deductible

$0 Deductible

$0 Deductible

$0 Deductible

Out-of-Network

$50 Deductible

$50 Deductible

$50 Deductible

$50 Deductible

$50 Deductible

All Other Dental Services

(Except teeth whitening)

$50 Deductible

$50 Deductible

$50 Deductible

$50 Deductible

$50 Deductible

Teeth Whitening

Additional $50 Deductible

Additional $50 Deductible

Additional $50 Deductible

Additional $50 Deductible

Additional $50 Deductible

Maximum Yearly Benefit**

$3,000

$3,000

Year 1: $1,000

Year 2: $1,250

Year 3+: $1,500

Year 1: $500

Year 2: $750

Year 3+: $1,000

Year 1: $500

Year 2: $750

Year 3+: $1,000

**Yearly maximum benefit exceptions: Orthodontia has a separate annual maximum that does not count against the regular plan maximum; implants and teeth whitening also have separate annual maximums which do count toward the plan’s yearly maximum benefit.

Plan member claim costs in year five

Can’t decide between a dental PPO and HMO? Here’s how they compare

PPO

HMO

Premium Cost

Typically higher monthly premiums

Typically lower monthly premiums

Deductibles

Usually has a deductible

Usually none

Annual Maximum Benefit

Annual maximum cap on benefits

Usually no annual maximum

Provider Choice

Can use any dentist (lower costs in-network)

Must use network dentists (assigned or selected)

Specialist Visits

Can usually see specialists directly

Need referral from primary dentist

Out-of-Network Coverage

Partial coverage out-of-network

Typically no out-of-network coverage

Copays

Coinsurance and/or copays after deductible; costs vary

Fixed copays, more predictable costs

Paperwork & Claims

May need to submit claims for out-of-network providers

Minimal paperwork, handled by provider

Is PPO dental insurance right for you?

If you’re looking at different dental plans, PPOs and HMOs can both be great options that help keep your mouth and gums in top shape while contributing to your overall health. If you want the freedom to choose your own dentist, or see specialists without getting referrals, then a PPO plan is probably the way to go — and a basic plan for preventive services can be especially affordable. Additionally, if you live in a rural area with limited providers or have family members who prefer to see different dentists, a PPO plan may be your only realistic option for coverage. On the other hand, if you want a full coverage dental plan with more predictable costs, consider a dental HMO. Your choice of providers will be more limited, and you may have to go a bit farther to get oral health care, but your overall costs will likely be lower, especially if you need basic and major services. 

Frequently asked questions about PPO dental insurance

  • Look at PPO plan options and get a quote

    Go

  • Need eye care? Take a look at our vision benefits plans.

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Links to external sites are provided for your convenience in locating related information and services. Guardian, its subsidiaries, agents and employees expressly disclaim any responsibility for and do not maintain, control, recommend, or endorse third-party sites, organizations, products, or services and make no representation as to the completeness, suitability, or quality thereof.

DentalGuard Insurance is underwritten and issued by The Guardian Life Insurance Company of America, New York, NY. Products are not available in all states. Policy limitations and exclusions apply. Optional riders and/or features may incur additional costs. Generic Policy Form # GP-1 DG2000, et al; GP-1-DEN-16; DG7-P. The state approved form is the governing document.

1 Guardian internal reporting, Guardian June 2024,

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A PPO (Preferred Provider Organization) dental insurance plan is a type of dental coverage that gives you access to a network of dentists who have agreed to provide services at pre-negotiated, discounted rates. Members can visit any dentist, but they save the most by choosing participating providers in-network. And while PPO dental plans are a popular choice, plan benefits, network size, and costs vary greatly, so consider looking for a provider that offers a large network, deep discounts, and a choice of plans in order to match covered services to your specific needs.

With a PPO dental plan, you can receive care from any licensed dentist, but likely you'll have lower out-of-pocket costs when seeing a dentist within the plan’s network. Plans emphasize preventive care and typically cover most or 100% of the cost of checkups, x-rays, and standard cleanings. Basic services (like a simple tooth extraction) and major procedures (like a root canal) are usually covered at set percentages (e.g., 80% and 50%, respectively) after you meet an annual deductible, and there’s typically an annual maximum benefit limit. Signing up is easy, because insurance companies typically don't require prior coverage, and you do not need a referral to see a specialist with these plans, and claims are usually filed directly by the provider.

Generally speaking, dental PPO dental plans offer four advantages:

  • Wide choice of providers: You’re free to see any dentist, with extra savings when you go to an in-network dentist.

  • No referrals needed: You get direct access to specialists as needed, without approval from a primary dentist.

  • Cost transparency: Plans negotiate a set of discounted rates with each provider, making costs more predictable.

  • Flexibility: You can switch dentists or even see out-of-network providers and still get coverage, although your cost-sharing will be higher, and you may need to file your own claims.

PPO dental insurance offers greater flexibility and provider choice, but plans with comprehensive dental benefits typically have higher premiums, cost-shares, and potentially deductibles. Dental HMO plans are generally more affordable — especially if you need major care as opposed to basic and preventive care services — but they restrict you to a smaller network, and require referrals for specialist care.