Dental Plan

In following with our corporate culture of providing the best to our team, we have selected MetLife as our dental care insurance provider. MetLife nationwide network of dentists provides you and your family members the flexibility to choose any dentist that you wish to use.

You may elect dental coverage for yourself and eligible family members. The plan provides coverage for services from any licensed dentist – however, you can optimize your benefits by accessing care from a contracted provider. Non-network dental services are subject to usual, customary, and reasonable (UCR) fees, which may result in additional costs if the dentist charges more than the carrier-contracted fees. This is referred to as balance billing.

Please reference the MetLife Provider Directory to find dentists that are in-network with MetLife, so you can maximize your coverage. Select the PDP Plus network.

Group Number
Service Number
5386689
800.438.6388

MetLife Provider Directory

MetLife Dental Plan Summary
Dental Transition to Care Guidelines
MetLife Member Resources
MetLife Dental Insurance (Video)
MetLife Registration & Login Page
METLIFE DENTAL
PPO PLAN
Network

In-Network | Out-of-Network

Annual Plan Maximum
$3,000
Annual Deductible
  • Individual
  • Family
(waived for preventive & diagnostic)
$50
$150
Preventive Services
100%
Basic Services
80%
Major Services
50%
Orthodontia
50%
Ortho Lifetime Max
$3,000
(Adult & Child)
Usual, Customary & Reasonable
Negotiated Fee | 90th Percentile

For out-of-network providers, MetLife will only pay dentist up to the 90th percentile of the Usual, Customary and Reasonable (UCR) prevailing billed charges in the dentist's zip code. If your dentist charges a rate higher than this benchmark, you are responsible for the additional charges. Ask your dentist for an estimate if you are concerned.

Contributions

MONTHLY (12)
DENTAL PPO PLAN
EMPLOYEE COST
Employee Only
$7.41
Employee + Spouse
$22.84
Employee + Child(ren)
$34.65
Family
$55.94

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Disclaimer: This presentation provides a summary of the employee benefit programs offered by Fuze Health. Should any discrepancies arise, please refer to the actual plan documents, which supersede this presentation. Once enrolled, you will receive a Combined Evidence of Coverage and Disclosure Form detailing the exclusions, limitations, and the full range of covered services of your plan.