Yates LLC - Class 1 - 2022 Benefit Guide

Dental Coverage

Regular dental exams can help you and your dentist detect problems in the early stages when treatment is simpler and costs are lower. Your PPO dental plan is through MetLife and offers “in and out-of-network” benefits.

Insurance Carrier:

MetLife Dental Insurance

Plan Type:

High Plan

Low Plan

Calendar Year Deductible

$50 Individual / $150 Family

$50 Individual / $150 Family

Calendar Year Maximum

$5,000

$1,000

Preventive Services

100%

100%

Basic Services

80%

50%

Major Services

50%

50%

Endo/Perio

80%

50%

Out-of-Network Reimbursement

90th Usual & Customary

Maximum Allowable Charge

Semi-Monthly Deduction Employee Only

$24.20

$9.69

$49.78

$22.10

Employee + One

$58.76

$42.27

Employee + Two or more

6

YATES LLC 2022 BENEFIT GUIDE

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