Dental Benefits

Why is having a good dental plan so important?

 
 

Because a healthier smile can be important to maintaining overall health. 

Maintaining good oral health matters. Studies show that those with dental coverage are more likely to visit the dentist. And of course staying on top of your care is the key to preventing costly problems that can add up. Plus, going to the dentist regularly can help prevent problems that have been linked to stroke or heart disease.

That’s where a good dental plan comes in. The right coverage makes it easier to visit the dentist and helps lower your costs. You get support to keep up with dental cleanings and other preventive care that helps you avoid costly problems and live healthier. Now that’s something to smile about.

You’re more likely to visit the dentist when you have dental coverage.
Because keeping your teeth healthy, without a dental plan, can be expensive.
While costs will vary based on where you live, the average family of four spends $1,824 a year on dental services.³ With a dental plan, you get protection against costs for unexpected dental care with low to no costs for preventive care.
See how much you could save in a single year when visiting a participating dentist.
Keep in mind this is only an illustration. Your costs and savings could vary based on your plan design, where you live, and whether your plan requires a copayment or coinsurance. Please see your Plan Summary for details about your specific coverage.
ServiceDentist’s usual feeNegotiated feePercent CoveredMetlife paysYear costYou Save
Exam$122$55100%$55$0$122
X-rays$167$74100%$74$0$167
Filling$179$8280%$65.60$16.40$162.60
Root Canal$1,446$66280%$529.60$132.40$1,313.60
Crown$1,540$69450%$347$347$1,193

MetLife Dental Insurance Plan Summary

(Network: PDP Plus)

Coverage TypeIn-Network
% Of Negotiated Fee*
Out-of-Network
% Of Negotiated Fee*
Type A: Diagnostic & Preventive
(cleanings, exams, X-rays)
100%80%
Type B: Basic Restorative
(oral surgery, endodontics)
80%60%
Type C: Major Restorative
(crowns, bridges, dentures)
50%40%
Deductible †
Individual$50$100
Family$150$300
Annual Maximum Benefit
Per Person$1,500$750
Orthodontia Lifetime Maximum
Per Person$1,000$750
Child(ren)’s eligibility for dental coverage is from birth up to age 26.
*Negotiated Fee refers to the fees that participating 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.
† Applies only to Types B, C .

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.
 
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.6
  • Find a participating dentist today at metlife.com
Lower costs
  • Take advantage of negotiated fees that are typically 30–45% less than the average charges in the the same area.7
  • 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,8 real-time claims processing and 24 hour customer service by phone, fax or online.
  • Educational tools and resources help you and your dentist make more informed decisions
  1. 2013 US Survey of Dental Care Affordability and Accessibility; Empirica Research; July 2017.
  2. American Dental Association; Dentists: Doctors of Oral Health. Accessed July 2017.
  3. 2016 Statistic Brain Research Institute, Consumer Spending Statistics, accessed June 2016.
  4. These hypothetical in-network savings examples are based on average charges in the Philadelphia area, for procedure codes D1110, D0210, D2150, D3330 and D2740.
  5. 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.
  6. 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.
  7. 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 benefit maximums. Negotiated fees are subject to change.
  8. 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.
  9. The features of the MetLife Dental Mobile App are not available for all MetLife dental plans.
  10. Before using the MetLife Dental Mobile App, you must register at Metlife Benefits from a computer. Registration cannot be done from your mobile device.
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.
 

Dental PPO: Facts and Stats

Dental insurance pays a portion of the costs associated with dental care. 
 
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