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-NETWORKOUT-OF-NETWORK
CALENDAR YEAR DEDUCTIBLE
Individual$50$50
Family$150$150
CALENDAR YEAR PLAN MAXIMIUM
Per Individual$1,600$1,600
YOU PAYYOU 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, Repairs50%50%
ORTHODONTIA
Children Only (up to 19th birthday)50% The plan will pay up to $1,60050% up to $1,600
* Out-of-network claims subject to Reasonable and Customary (R&C) limits