Zoe Pediatrics - 2023 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.

Keeping your teeth and gums clean and healthy will prevent most tooth decay and periodontal disease, and is an important part of maintaining your medical health.

Your PPO dental plan is through MetLife and offers “in and out-of-network” benefits.

Insurance Carrier:

MetLife Dental Insurance

Plan Type:

Basic Plan

Buy - Up Plan

Calendar Year Deductible

$50 Individual / $150 Family $50 Individual / $150 Family

Calendar Year Maximum

$1,250

$2,250

Preventive Services

100%

100%

Basic Services

80%

90%

Major Services

50%

60%

Orthodontic (dependent children only)

Up to 50%

Up to 50%

Out-of-Network Reimbursement

$1,000

$2,000

Employee Bi-Weekly Deduction Employee Only

$13.77

$18.20

Employee + Spouse

$25.74

$34.44

Employee + Child(ren)

$31.36

$40.20

Family

$46.59

$60.54

7 Zoe Pediatrics 2023 Enrollment Guide

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