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 |
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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 |