Dental Benefits

Dental coverage is offered through MetLife’s Preferred Dentist Program (PDP). You have two plan options to choose from: the Low Plan and the High Plan. Both plans cover preventive care at 100% in-network with no deductible, so your routine cleanings and exams are fully covered.

The main differences between plans are the annual maximum benefit and how much you’ll pay if you see an out-of-network dentist. The High Plan offers a higher annual max and pays the same percentage whether you’re in or out of network.

Orthodontia is available for dependent children up to age 19, with a $1,000 lifetime maximum on both plans.

All dental benefits run on a calendar year basis.

Low Plan

In-Network Out-of-Network
Annual Maximum $750 $750
Deductible (Individual/Family) $50 / $150 $50 / $150
Preventive 100% 60%
Basic Restorative 80% 50%
Major Restorative 50% 30%
Orthodontia (Child to 19) 50% 50%
Orthodontia Lifetime Max $1,000 $1,000

Deductible applies to Basic and Major services only.

High Plan

In-Network Out-of-Network
Annual Maximum $1,000 $1,000
Deductible (Individual/Family) $50 / $150 $50 / $150
Preventive 100% 100%
Basic Restorative 80% 80%
Major Restorative 50% 50%
Orthodontia (Child to 19) 50% 50%
Orthodontia Lifetime Max $1,000 $1,000

Deductible applies to Basic and Major services only.

Covered Services & Frequency Limits

Service How Often
Oral Exams 2 per year
Cleanings 2 per year
Bitewing X-rays 1 per 12 months
Full Mouth X-rays 1 per 60 months
Fluoride (children to 14) 1 per 12 months
Sealants (children to 16) 1 per 36 months
Fillings 1 per 24 months per tooth
Root Canal 1 per tooth per lifetime
Crowns/Inlays/Onlays 1 per tooth per 84 months
Bridges 1 per 84 months
Dentures 1 per 84 months
Implants 1 per tooth per 10 years
Periodontal Scaling & Root Planing 1 per 24 months per quadrant

Finding a Dentist

You can see any dentist you choose, but your costs will be lower with an in-network provider. MetLife’s network includes thousands of general dentists and specialists nationwide. Network dentists have agreed to accept negotiated fees that are typically 30-45% below average charges in your area.

To find an in-network dentist, visit metlife.com/dental or call 800-275-4638.

Pretreatment Estimates

If you’re planning dental work expected to cost more than $300, ask your dentist to submit a pretreatment estimate. MetLife will send you and your dentist an estimate of what the plan will pay so you know your out-of-pocket costs upfront. Your dentist can submit requests at metdental.com or call 1-877-MET-DDS9.

Documents

Plan Support

MetLife
800-275-4638
metlife.com/dental

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