Dental Insurance
Service
Dentist’s usual fee
Negotiated fee
Percent covered
MetLife pays
Your cost
You save 2, 3
Exam
$104.02
$55
100% $55
$0
$104.02
X-rays
$142.76
$74
100% $74
$0
$142.76
Filling
$175.52
$82
80% $65.60
$16.40
$159.12
Root Canal
$850.69
$401
80% $320.80 $80.20
$770.49
Crown
$1,364.52 $694
50% $347
$347
$1,017.52
How can having MetLife Dental Insurance benefit you?
By making it easier to get the care you need and lower your out-of-pocket costs.
For added convenience, MetLife’s Mobile App 7 is now available on the iTunes ® App Store and Google Play.
Freedom of choice MetLife’s Preferred Dentist Program is a dental PPO plan. You can visit any licensed dentist, in or out of the network, and receive benefits. • If you go to a participating dentist, you can count on the PDP Plus network. All participating dentists must meet rigorous selection standards. 4
After downloading this app, 7 you can:
• Find a participating dentist today at www.metlife.com
• Find a dentist and view their ratings where available
Lower costs • Take advantage of negotiated fees that are typically 30 – 45% less than the average charges in the same area. 5 • Participating dentists accept these fees as payment in full for covered services. Less worry, less paperwork and more service • Easy access to pre-treatment estimates, 6 real-time claims processing and 24-hour customer service by phone, fax or online.
• Access your plan
summary, with quick links to important information on deductibles, plan maximums, and covered services
• Educational tools and resources help you and your dentist make more informed decisions
.
• Access the Dental Cost Estimator
1. Dentists: Doctors of Oral Health , American Dental Association, Chicago, IL. http://www.ada.org/en/about-the-ada/dentists- doctors-of-oral-health. Accessed February 1, 2021. 2. These hypothetical in-network savings examples are based on average charges in the Philadelphia area (three-digit ZIP 191), for procedure codes D1110, D0210, D2391, D3310 and D2740. 3. Savings from enrolling in a dental benefits plan will depend on various factors, including plan design and premiums, how often participants visit the dentist and the cost of services rendered. 4. Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife’s. 5. Based on internal analysis by MetLife. Negotiated fees refers to the fees that in-network dentists have agreed to accept as payment in full for covered services, subject to any co-payments, deductibles, cost sharing and benefits maximums. Negotiated fees are subject to change. 6. A pre-treatment estimate is only an estimate. The actual amount that MetLife will pay is determined when a claim is submitted, and is subject to any co-payments, deductibles, cost sharing and benefits maximums.
• View your claims
• View, download, and save your ID card
• Online appointment booking
7. The features of the MetLife Dental Mobile App are not available for all MetLife dental plans.
Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, limitations, reductions, waiting periods and terms for keeping them in force. Please contact MetLife or your plan administrator for costs and complete details. 8. To use the MetLife mobile app, employees can choose to register at metlife.com/mybenefits from a computer or directly through the app.
Group dental insurance policies featuring the Preferred Dentist Program are underwritten by Metropolitan Life Insurance Company, New York, NY 10166.
Metropolitan Life Insurance Company | 200 Park Avenue | New York, NY 10166 1705 856493Q L0421013351[exp0422][All States][DC,GU,MP,PR,VI] © 2021 MetLife Services and Solutions, LLC
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