Metlife dental pdp plus plan summary

Enroll in Part D plans in your area now. Get advice from our licensed insurance agents at no cost or obligation to enroll. District School Board of Pasco County PPO Dental Plan Benefits For the savings you nee the flexibility you want and service you can trust.

MetLife Dental Insurance Plan Summary. In-network providers automatically submit electronic claims on your behalf.

The estimate helps you prepare for the cost of dental services. You can ask for a pre-treatment estimate. We recommend that you request a pre-treatment estimate for services in excess of $300. Refer to your dental benefits plan summary for your out-of-network dental coverage. These rules determine the order in which the plans will pay benefits.

Coordination of benefits provisions in dental benefits plans are a set of rules that are followed when a patient is covered by more than one dental benefits plan. This plan provides a reimbursement of either 1percent, percent or percent of the plans Preferred Dental Program fees, depending on the service provide after you have satisfied the plan deductible.

Dental services are billed differently than medical services. Each dental procedure has a separate code and payment, unlike medical where one copayment is typically due per visit. You are responsible for the portion of the negotiated fee that the plan does not pay. A non-participating dentist sets his or her standard fee, which is typically higher than the negotiated fee.

Percentages shown are the percentage of the Usual and Customary Fee paid by the plan. Metlife Dental specializes in providing dental insurance for groups and is currently one of the top providers of dental insurance in the country. Included in their Dental PPO plan is full service coverage for retirees, a big plus when enhancing retirement benefits.

As a regular full-time or part-time management employee, you’re generally eligible for coverage on your date of hire. Review the Dental Expense Plan Summary Plan Description (SPD) for details. The Standard Plan is a low cost plan that is designed for those individuals who primarily would need only diagnostic and preventive dental services. This often applies to services such as: crowns, bridges, inlays, and periodontics. However, the Premium Access Plus Plan pays out-of-network claims based on reasonable and customary charges.

So you can visit any licensed dentist, in or out of the network, and receive benefits. This reduces your out-of-pocket cost. Find a Dentist - providers.

PPO Dental – Freedom to visit any licensed dentist or save more by visiting one of the thousands of participating dental locations nationwide, including specialists. Under this plan, your out-of-pocket expenses are lower for out-of-network providers. With the Standard and Premium MAC plans, it’s important to make sure your dental provider is in-network to keep. The Standard and Premium maximum allowable charge (MAC) plans offer pre-determined fees for dental services with specific in-network providers to help you get quality care at better prices. Use the link below to find a dental provider in your area.

However, you should understand that our claim payment system automatically recognizes both the dentist’s and the member’s participation in the program and determines applicable plan allowances when the claim is processed. A comprehensive dental insurance plan can be an important part of good oral health. Per Person for a plan year $000.