Metlife- Dental Insurance- Group or Direct Billed.
Metlife- 3 Dental Plan Options- High, Medium, Low Network Metlife PDP Plus
We have three great plan options available to you, both plans are identical with one very important variation- How Out of Network Dentists are Paid. The High Plan provides full access to any provider you choose, regardless of the Network, and will provide full benefits provided your dentist charges within what 90% of dentists in your area charge (90% UCR). The Low plan is best if you can use a network provider, if you do go out of network, you can expect to pay overage fees. When using a Network Provider the Plans are Identical.
PPO: Metlife PDP Plus Network
|
High Plan |
Medium Plan |
Low Plan |
Info |
|
|
Out of Network |
90% UCR |
90% UCR |
MAC |
90% UCR plans can use any dentist and be covered as indicated- MAC plan if you go out of network will have overage fees. |
|
Annual Max |
$1,500 |
$1,000 |
$1,000 |
Max Benefit Provided, each enrollee gets this amount |
|
Preventative |
100% |
100% |
100% |
Example:Cleanings |
|
Basic |
80% |
80% |
50% |
Example:Fillings, Root Canals |
|
Major |
50% |
50% |
50% |
Example:Implants, Crowns |
|
Orthodontia |
$1,500 |
$1,000 |
$1,000 |
50% coverage, Lifetime Benefit, for kids under 19 |
|
Monthly Rates |
||||
|
Single |
$44.33 |
$ 35.77 |
$25.33 |
|
|
EE+SP |
$88.50 |
$70.74 |
$49.73 |
|
|
EE+CH |
$96.76 |
$85.59 |
$58.37 |
|
|
Family |
150.63 |
$131.66 |
$89.71 |
Optima R&C 1000 Benefit Summary
Optima R&C 1500 Benefit Summary
Optima MAC 1000 Benefit Summary
MetLife-$1,000-Certificate-Book
