First Commonwealth Dental HMO
- No annual benefit limit, simply pay the specified co-pay
- Preventive services covered at 100%
- Orthodontia care for both adults and dependent children
- Covered services (copays will vary based on service performed):
- Minor restorative
- Oral surgery
- Prosthodontic service
- Implant services
The plan covers eligible services at 100% minus a specified copayment. A complete listing of eligible services and copayments amounts is available in the schedule of member payment responsibilities.
|You||You + Spouse||You + Child(ren)||You + Spouse + Child(ren)|
Find a dentist
First Commonwealth only covers dental care services which are authorized in advance by an individual's primary care dentist. Enrollment in First Commonwealth requires the designation of a primary care dentist.
The dentist provider network is accessible online or you can call customer service at 866-494-4542. To change your primary care dentist after initial enrollment, contact First Commonwealth directly.
File a claim
This plan does not require the completion of claim forms. If you receive a bill, you should contact First Commonwealth directly.
Guardian First Commonwealth has a mobile application called "Guardian Anytime" that allows you to access their provider network and other plan related information from your mobile device. Find out more about the mobile app.