MetLife Premium Dental
MetLife Premium Dental Plan
The MetLife Premium dental plan features a higher Benefit Annual Maximum. For dental treatments greater than $250, you should request a Pre-Determination of Benefits Statement from your dentist so you know the out-of-pocket costs prior to beginning dental treatment.
| Premium Plan |
||
|---|---|---|
| IN-NETWORK | OUT-OF-NETWORK | |
| CALENDAR YEAR DEDUCTIBLE | ||
| Individual | $50 | $50 |
| Family | $150 | $150 |
| CALENDAR YEAR PLAN MAXIMIUM | ||
| Per Individual | $1,600 | $1,600 |
| YOU PAY | YOU PAY | |
| PREVENTIVE CARE | ||
| Exams, Cleanings, X-rays, Fluoride Treatments | $0 | $0 |
| BASIC SERVICES | ||
| Fillings, Space Maintainers, Sealants, Extractions, Oral Surgery, Endodontics, Periodontics, Emergency Exams | 20% | 20% |
| MAJOR PROCEDURES | ||
| Crowns, Inlays/Onlays, Dentures and Bridgework, Repairs | 50% | 50% |
| ORTHODONTIA | ||
| Children Only (up to 19th birthday) | 50% The plan will pay up to $1,600 | 50% up to $1,600 |