If you choose to use an Out-of-Network dentist, you may be responsible for charges above what the plan considers usual and customary fees. You may find a listing of MetLife participating providers at www.metlife.com/mybenefits.
|Dental Plan Benefits|
|Annual Benefit Maximum||$1,200|
|Preventive and Diagnostic Services – Plan Pays
Preventive and diagnostic services are subject to the annual benefit maximum.
|100% deductible waived|
|Basic Dental Services –
|80% after the deductible|
|Major Restorative Services –
|50% after the deductible|
|Orthodontia (children and adults) – Plan Pays||50% after the deductible|
|Lifetime Orthodontia Benefit Maximum||$1,300|