Metlife dental missing tooth clause

What does no missing tooth clause mean? Does MetLife cover dental implants? Are dentures considered orthodontics?

MetLife Dental PPO Missing Tooth Clause , Limitations, Exclusions, and Frequencies. MetLife denied my claim due to the missing tooth clause. My partial cost $ 500. I had my dentist office send MetLife a narrative and xrays.

Benefits provided by SafeGuard Health Plans, Inc. This SCHEDULE OF BENEFITS lists the Covered Services available to You and Your Dependents under Your dental plan, as well as Your and Your Dependent’s costs for each Covered Service. Metlife Veterans Affairs Dental Plan. The exclusions in this section apply to all benefits. Although we may list a specific service as a benefit, we will not cover it unless we determine it is necessary for the prevention, diagnosis, care, or treatment of a covered condition.

We may base Our benefit determination upon the partial denture which is the less costly service. If you are missing a tooth and are looking to get a bridge or an implant to replace the missing tooth , your policy may have a ‘ missing tooth clause ’. This means if you had the tooth extracted prior to enrolling with your current policy, they will not pay any benefits towards restoring that tooth. If you need to find a dental provider in your area or need to order new ID cards, please contact Customer Service at 866. I did a search and found only dated threads on federal dental insurance.

We are considering FEP BlueDental, MetLife (standard or high), and United Concordia. Our current dentists are in network for these plans. Initial installation of a denture to replace one or more teeth which were missing before such person was insured for dental insurance, except for congenitally missing natural teeth. Missing Tooth Clause : If a dental insurance policy has a missing tooth clause , tooth replacement will only be covered if a tooth was extracted or lost while the policy was active.

If a tooth was extracted during a period where a patient had no insurance or was covered by a different insurance company, an implant, partial denture, or bridge. Dental The Dental Plan helps you pay for a wide range of dental services, from preventive care and cleanings to more extensive dental work, including crowns and dentures. Just ask anyone who has been told their plan has a “ missing tooth clause. What is a missing tooth clause exactly? When a company has a provision in their contract that states that if a tooth is lost before the contract begins, they don’t bear any responsibility to cover replacing the tooth.

An online, easy to use, interactive program designed to help you understand your risk for oral disease and your current dental health status, with the goal of helping you improve your oral health. Is there a missing tooth clause ? If the plan has a missing tooth clause , this means that the plan will not pay to replace missing teeth. If your Aetna PPO Dental Plan contains a missing tooth clause , any tooth that was lost before insurance coverage began would not be covered.

The denture, implant, or bridge needed to replace the tooth or teeth would have a 1 out of pocket cost to the patient. As such, many dental insurance policies include pre-existing clauses that protect them against paying large sums of money for dental bills if you’ve only been enrolled for a short period of time. One example of a pre-existing condition that may not be covered under traditional dental insurance is called the “ missing tooth clause. Any dental service started and completed prior to Effective Date. Included in their Dental PPO plan is full service coverage for retirees, a big plus when enhancing retirement benefits.

A titanium rod surgically placed in the bone of the upper or lower jaw to provide support for a dental restoration or appliance (such as a crown). An artificial device, such as a bridge, that replaces one or more missing teeth. Dental Implant Insurance plans start as low as $18.

The inner layer of tooth structure, located immediately under the surface. Are composite fillings (white fillings) covered? Yes, but some plans may limit the benefit to certain teeth.

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