US - Jagged Peak Benefit Guide 2018

DENTAL INSURANCE

Jagged Peak offers dental coverage through MetLife. The PPO Dental Plans allow you to use in- network or out-of-network benefits. If out-of-network dentists are used, you will be responsible for paying the difference between MetLife’s allowed amount and what the dentist may charge, also known as “balance billing”. The chart below provides a brief overview of the plans.

DHMO

Low PPO

High PPO

FLORIDA EMPLOYEES ONLY

In-Network Only

In-Network

Out-of Network*

In-Network

Out-of Network*

Calendar Year Deductible

N/A

$50 / $150

$100 / $300

$25 / $75

$25 / $75

Individual / Family Annual Maximum

Unlimited

$1,250

$2,250

Diagnostic & Preventive

Covered in full after deductible

Exams, Cleanings, Fluoride, X-Rays, Sealants Regular Restorative Services

See Fee Schedule

Covered in full

Covered in full

Covered in full

Amalgam Fillings, Extractions – Single Tooth, Endodontics (Root Canal), Periodontics (Gum Disease)

Covered 80% after deductible

Covered 50% after deductible

Covered 90% after deductible

Covered 80% after deductible

See Fee Schedule

Major Services

Covered 50% after deductible

Covered 25% after deductible

Covered 60% after deductible

Covered 50% after deductible

See Fee Schedule

Crowns, Bridges, Dentures Orthodontia Services

50% $500 Lifetime Maximum

50% $2,000 Lifetime Maximum

See Fee Schedule

Children only under the age of 19

DHMO

Low PPO

High PPO

Employee Cost Per Pay Period

Employee Only

$ 5.53 $ 9.72 $ 11.58 $ 16.31

$ 10.73 $ 21.77 $ 28.41 $ 42.17

$ 6.54 $ 13.25 $ 17.41 $ 26.34

Employee + Spouse Employee + Child(ren)

Family

• Subject to balance billing. Please refer to your plan document for specific details .

Low PPO

High PPO

OHIO EMPLOYEES ONLY

In-Network

Out-of Network*

In-Network

Out-of Network*

Calendar Year Deductible

$50 / $150

$100 / $300

$25 / $75

$25 / $75

Individual / Family Annual Maximum

$1,250

$2,250

Diagnostic & Preventive

Covered in full after deductible

Covered in full

Covered in full

Covered in full

Exams, Cleanings, Fluoride, X-Rays, Sealants Regular Restorative Services

Covered 80% after deductible

Covered 50% after deductible

Covered 90% after deductible

Covered 80% after deductible

Amalgam Fillings, Extractions – Single Tooth, Endodontics (Root Canal), Periodontics (Gum Disease) Major Services

Covered 50% after deductible

Covered 25% after deductible

Covered 60% after deductible

Covered 50% after deductible

Crowns, Bridges, Dentures

Orthodontia Services

50% $500 Lifetime Maximum

50% $2,000 Lifetime Maximum

Children only under the age of 19

Employee Cost Per Pay Period

Low PPO

High PPO

Employee Only

$ 6.54 $ 13.25 $ 17.41 $ 26.34

$ 10.73 $ 21.77 $ 28.41 $ 42.17

Employee + Spouse

Employee + Child(ren)

Family

• Subject to balance billing. Please refer to your plan document for specific details .

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