Network Waivers and Service Area Maps 
Dental Network Maps and Waivers 2022

Please note: Waivers are not required for networks meeting all geographic access requirements.

Delta Dental of Minnesota

• PPO Plus Premier Maps – MNN001 (PDF)
  PPO Plus Premier Waivers – MNN001 (PDF)

Dentegra Insurance Company

• Dentegra PPO Maps – MNN001 (PDF)
  Dentegra PPO Waivers – MNN001 (PDF)

The Guardian Life Insurance Company of America

• DentalGuard Preferred Maps – MNN001 (PDF)

The Minnesota Department of Health reviews provider network waiver requests as part of annual provider network reviews of individual and small employer health plans. Waiver requests are considered approved with the approval of the health plan’s provider network.

For more information, email networkadequacy@state.mn.us.