MetLife & Delta Dental

  • Dental Program Overview
  • MetLife & Delta Dental
  • Cigna DHMO
  • ID Cards
  • Claim Forms – Dental
  • Plan Summary: MetLife PDP & Delta Dental PPO

    The plan design described below is offered by two dental plan administrators. In order to receive network benefits, you must utilize providers within the network of the plan administrator you choose.

     

    MetLife PDP/Delta Dental PPO Networks Delta Dental Premier Network All Networks
    In-Network In-Network Out-of-Network

    Individual/Family Deductible (excludes preventive and diagnostic)

    $50/$150 $50/$150 $50/$150

    Annual Plan Maximum РPer Person (excludes Ortho)

    $2,000 $2,000 $2,000

    Preventive and Diagnostic

    100% 100% 100%

    Basic

    80% after deductible 80% after deductible 80% after deductible

    Major

    50% after deductible 50% after deductible 50% after deductible

    Orthodontia:

    Annual Deductible

    None None None

    Coinsurance

    50% 50% 50%

    Lifetime Maximum

    $2,000 $2,000 $2,000

    Eligibility

    All members All members All members