Dental Benefits
Administered by MetLife
The dental PPO plan allows you the freedom to have the dentist of your choice and allows for two preventive care visits per calendar year. The Quanta plan is administered through MetLife Preferred Dental Program. It also includes comprehensive restorative care and orthodontia benefits.
Find a network dentist at https://www.metlife.com/, or call MetLife at 800-942-0854.
Choose from thousands of participating general dentists and specialists nationwide. Eligible benefits are paid subject to reasonable and customary charges for out- of-network dentists. Advantages of using a network dental provider are:
- Lower out-of-pocket costs as much as 15% to 45%
- Choices from one of the largest provider networks
- Less paperwork
DENTAL BENEFITS | AT A GLANCE
|
Service Type |
|
Benefits |
|
Patient Responsibility |
|
Annual Maximum |
|
$2,000 |
|
|
|
Deductible |
|
$50 Individual / $150 Family |
|
|
|
Type A Diagnostic & Preventive |
|
Exams, X-rays, cleanings, fluoride treatments,* sealants* |
|
0% deductible waived |
|
Type B Basic Restorative |
|
Fillings, endodontics (root canals), repairs, simple extractions, non-surgical periodontics, palliative care |
|
20% after deductible |
|
Type C Major Restorative |
|
Inlays, onlays, crowns, prosthetics, oral surgery, surgical periodontics, implants, general anesthesia |
|
50% after deductible |
|
Type D Orthodontia |
|
Adults and children are eligible; $1,700 lifetime limit |
|
50% after deductible |
• Age limitations apply