Managed Dental Plans: Dental HMO/Managed Care (available in CA, FL, TX, NY, NJ). However, you are not required to present this card to receive care. Your dental benefits are an important part of managing your health and your budget. Option 2 … MetLife will not pay dental insurance benefits for charges incurred for: Plan Option 1 Only: 1. When you enroll, you will choose one of three dental plan options. “Denture” means a fixed partial denture (bridgework), a removable partial denture or a removable full denture. We offer: - No waiting periods for major procedures (except for Orthodontia in high plan which has a 24‐month waiting period). Learn more about our plans and programs, find a dentist, or sign in to view patient eligibility, plan detail, and claims. Please view the MetLife VADIP Plan Summary to view the covered services, exclusions and limitations. Both plans provide savings 1 for you and your family. Savings from enrolling in a dental plan … A prepaid plan requires you and your eligible dependents to use a dentist from a specific list of dentists who are located in California … Option 1 provides the least coverage. Negotiated fees refer to the fees that participating dentists have agreed to accept as payment in full for services rendered by them, subject to any cost sharing, benefit maximums and terms of the plan. MetLife Dental Insurance Plan Summary . Please contact MetLife or view the VADIP Plan Summary for cost and complete details. If the MetLife dental benefit plan is primary, MetLife will pay the full amount of benefits that would normally be available under the plan… Included in their Dental PPO plan is … Participating dentists charge negotiated fees4 for covered services that are typically 30% to 45% less than average dental charges in the same community based on MetLife data. The out-of-network Maximum Allowable Charge is a scheduled amount determined by MetLife. A non-participating dentist sets his or her standard fee, which is typically higher than the negotiated fee. Please review the plan details below to help you decide on the option that best fits your needs. To obtain a list of participating providers for MetLife Dental options: Call MetLife Dental … MetLife Preferred Dentist Provider (PDP) plan does not provide identification cards. Please consult with your employer regarding your available benefits. With MetLife’s Veterans Affairs Dental Insurance Program, you have a choice of two plan options ‐ Standard and High. The Dental HMO/Managed Care companies are part of the MetLife family of companies. As one of the FEDVIP dental and vision carriers, learn more about one of the Nation's largest networks of dental … You will be responsible for the difference between your dentist's charge and the covered percentage of the Maximum Allowed Charge.5. For most faculty, staff, and retirees, the university pays the full premium. High er $1,750 Annual Maximum with the Comprehensive PPO plan option. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc., a California corporation in CA; SafeGuard Health Plans, Inc., a Florida corporation in FL; SafeGuard Health Plans, Inc., a Texas corporation in TX; and MetLife Health Plans, Inc., a Delaware corporation and Metropolitan Life Insurance Company, a New York corporation in NJ. Dental Managed Care Plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation in NY. This year is an Open Enrollment for the dental plan. If the MetLife dental benefit plan is secondary, most coordination of benefits provisions require MetLife to determine benefits after benefits have been determined under the primary plan. Choosing a dentist within the MetLife network will reduce your costs1. 2. The MetLife dental plans are the traditional indemnity insurance plan whereby you and your family may select the dentist of your choice. This option provides you with additional protection from unforeseen dental costs. In-network providers automatically submit electronic claims on your behalf . MetLife offers you a choice of two different plans. Add Vision coverage – Features coverage for exams, lenses, frames, contacts, and more. (PDP) plan which maintains a network of dental providers across the country . View your benefits on MyBenefits. your own claim forms with MetLife Dental using any American Dental Association claim form. Like most group benefits programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods, and terms for keeping them in force. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc., a California corporation in CA; SafeGuard Health Plans, Inc., a Florida corporation in FL; SafeGuard Health Plans, Inc., a Texas corporation in TX; and MetLife Health Plans… 1 Savings from enrolling in a dental benefits plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered. Negotiated fees apply to in-network services and may apply to services not covered by your plan and those provided after you’ve exceeded your annual plan maximum2. You can also choose an out-of-network dentist, but your out-of-pocket costs may be higher. There are three types of dental plans available, prepaid, indemnity, and PPO: Prepaid Plans: DeltaCare USA, MetLife,* Premier Access, and Western Dental. "DHMO" is used to refer to product designs that may differ by state of residence of the enrollee, including but not limited to: "Specialized Health Care Service Plans" in California; "Prepaid Limited Health Service Organizations" as described in Chapter 636 of the Florida statutes in Florida; "Single Service Health Maintenance Organizations" in Texas; and "Dental Plan Organizations" as described in the Dental Plan Organization Act in New Jersey. The Standard Plan is a low cost plan that is designed for those individuals who primarily would need only diagnostic and preventive dental … (Note: vision may only be purchased in combination with a dental plan.) If the MetLife dental benefit plan is primary, MetLife will pay the full amount of benefits that would normally be available under the plan. TWO PLANS. Visit the Oral Health Library to take a risk assessment, read up on dental topics and more. Please contact MetLife or your plan administrator for complete details. MetLife’s … There are more than 187,000 participating Preferred Dentist Program dentist locations nationwide, including over 45,000 specialist locations. Network:PDP Plus PLAN OPTION 1 Basic Plus Dental Plan PLAN OPTION 2 Enhanced Plan with Ortho Coverage Type In-Network % of Negotiated … 1 Annual deductible applies to Basic, Intermediate and Major Services for out of network only.. 2 Based on MetLife data. MetLife Options The two MetLife options are Preferred Dental Program (PDP) organizations. You pay for any services that are not covered under Option 1. Metlife Dental specializes in providing dental insurance for groups and is currently one of the top providers of dental insurance in the country. Group dental insurance policies featuring the MetLife Preferred Dentist Program are underwritten by Metropolitan Life Insurance Company, New York, NY. *Increases on January 1st following completion of 12 months of enrollment in selected option. Monday - Friday 8am-11pm EST. Like most insurance policies/benefit programs, insurance policies/benefit programs offered by Metropolitan Life Insurance Company (MetLife) and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. Links to additional MetLife VADIP information, Or Call 1-888-310-1681 1 Savings from enrolling in a dental benefits plan featuring the MetLife Preferred Dentist Program will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered. Negotiated fees are subject to change. Find out what the MetLife VADIP plans cover and decide on an option that's right for you. Negotiated fees refer to the fees that participating dentists have agreed to accept as payment in full for covered services, subject to any deductibles, copayments, coinsurance and benefit maximums. 2 Certain providers may participate with MetLife through an agreement that MetLife … more than one dental benefits plan. 1 Your out-of-network costs may be greater when you visit a dentist who does not participate in the MetLife network. Dental Plan Benefit Option 2 * MetLife’s negotiated or PDP fees refer to the fees that dentists participating in MetLife’s Preferred Dentist Program (PDP) have agreed to accept as payment in full, for services rendered by them. 2 The Annual Maximum will increase by $200 in the Standard Option, and by $500 in the High option on January 1st following completion of 12 months of enrollment in the selected option. The negotiated fee 2 with participating dentists, which are typically 30% to 45% less than average dental charges in the same community. Negotiated fees 2 apply to services covered by the plan, as well as those your dental plan does not cover or those received after you've reached your annual plan … MetLife Dental offers several options from PPO plans with full-service dental … 1 Savings from enrolling in a dental benefits plan will depend on various factors including the cost of the plan, how often participants visit a dentist and the cost of services rendered. Major restorative services such as inlays, onlays, veneers, crowns and Dentures. What will your dentist charge you? *Subject to frequency limitations available in the VADIP Plan Summary. Welcome to MetDental.com. MetLife Federal Dental and Vision Health Plans for Federal Employees in 2021. This year is an Open Enrollment for the dental plan. Negotiated fees refer to the fees that participating (in-network) dentists have agreed to accept as payment in full for covered services rendered by them , subject to any deductibles, cost sharing and benefits maximums. 2 Based on internal MetLife analysis. The MetLife (PDP) plan provides two options … If the MetLife dental benefit plan is primary, MetLife will pay the full amount of benefits that would normally be available under the plan… MetLife Dental. MetLife Dental enrollees will receive an identification card. © 2020 MetLife Services and Solutions, LLC. 1. That's why MetLife and its affiliates are committed to delivering coverage that helps you lower your costs and get the care you need. Options Program The MetLife Dental Plan Important! Negotiated fees may even apply to services your plan doesn’t cover, including any you’ve received after you reach your plans annual maximum as permitted by applicable law.4, What will your dentist charge you? These rules determine the order in which the plans will pay benefits. Contact Delta Dental; Three Plan Options. Metropolitan Life Insurance Company | 200 Park Avenue | New York, NY 10166. Already Enrolled? The Dependent must be covered under the High option for 24 consecutive months before orthodontia benefits will be covered. TDD: 888-671-4265 Negotiated fees are subject to change. Plan Option 2 … Negotiated fees may also apply to services your dental plan does not cover or services received after you’ve reached your annual plan maximum, depending on applicable law. 4 IN-NETWORK: Negotiated fees with participating dentists are typically 30% to 45% less than average dental charges in the same community based on MetLife data. If you do not enroll this year, or … View d… The following dental plans are available as group benefits: Your employer may not offer all benefits. For in-network covered services, the percentages shown are the percentage of the negotiated fee that is covered by the plan. Orthodontia for children when you choose the Comprehensive PPO plan option. 1 Savings from enrolling in a dental benefits plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered. Orthodontia coverage is available for Dependents up to age 193 who are enrolled in the High Option. With MetLife’s Veterans Affairs Dental Insurance Program, you have a choice of two plan options ‐ Standard and High. 2 American Dental Association; Dentists: "Doctors of Oral Health", American Dental … If the MetLife dental benefit plan is primary, MetLife will pay the full amount of benefits that would normally be available under the plan… 5 OUT-OF-NETWORK: Reimbursement for out-of-network services is based on the lesser of the dentist’s actual fee or the Maximum Allowable Charge (MAC). Whether you’re in need of routine cleanings, braces or a filling, a solid dental plan makes it easier for you to protect your smile and your budget. 2 Based on internal analysis by MetLife. As with the health plans, you may visit any provider you choose, but the plan will pay a greater … Keep your smile and your bank account healthy. L1220009644[exp1221][All States][DC,GU,MP,PR,VI], crowns, bridges, root canal treatment and dentures, comprehensive orthodontic treatment, fixed appliance, 1st Year Annual Maximum/ Maximum Per Person —, Dependent Child Ortho Lifetime Maximum Per Person —, (Applies to Basic, Intermediate and Major Services), Orthodontia coverage for dependent children up to age 19, No cost for in‐network cleanings, X‐rays and exams, No annual deductible for in‐network benefits. Both plans provide savings1 for you and your family. Contacts, and more 45,000 specialist locations indemnity insurance plan whereby you and your family benefits be... 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