Overview
Healthy teeth and gums are important to your overall wellness. To help you and your covered dependents maintain your dental health and address any issues, the Getty’s dental coverage pays for most preventive and diagnostic care, helps pay for the cost of basic and major restorative treatments, and also provides orthodontia benefits.
Key features at a glance:
- Free in-network preventive and diagnostic care, with no deductible.
- Affordable coverage that helps you manage the cost of dental treatment.
- Wide network of providers that have agreed to negotiated rates, which helps you save money.
Find a network dentist
You’ll generally pay less out-of-pocket when you use an in-network dentist. Visit MetLife for more information.
MetLife Dental Plan
| In-network | Out-of-network* | |
|---|---|---|
| Individual/family deductible | $50/$150 | $50/$150 |
| Plan year maximum benefit | $2,000 | $1,000 |
| Preventive & Diagnostic Services — Office Visits, X-rays and Cleanings (twice a year) | Member pays zero, deductible waived | Member pays 10% |
| Basic services — Fillings, Basic Extractions, Periodontics | Member pays 10% | Member pays 30% |
| Major services — Bridges, Dentures, Crowns | Member pays 50% | Member pays 50% |
| Orthodontia coinsurance | Member pays 50% | Member pays 50% |
| Orthodontia lifetime maximum benefit | $2,000 | $1,000 |
*Plan benefit is based on Reasonable and Customary charge. Member is responsible for the balance.
Coverage information is subject to change. In the event of a conflict between this information and the insurance contract, the terms of the contract will prevail.
| 2023 Costs for Dental Coverage: Per Biweekly Paycheck | |
|---|---|
| Employee | $5.26 |
| Employee + One | $16.16 |
| Employee + Family | $28.09 |
Using your dental benefits
Here’s how to make the most of your dental benefits:
- Choose a provider. Each time you need dental care, you have a choice of providers. Selecting a MetLife participating dentist will ensure you receive the highest benefits from your plan. To find a provider, go to MetLife.
- Present your plan identification information at your provider’s office. The group number is 0074219 and your member number is your Social Security number.
- If your service will exceed $300, submit for a pre-treatment estimate. You should always submit a request for a pre-treatment estimate for procedures and services your dentist believes will exceed $300 (procedures such as crowns, inlays, bridges, and periodontics). For more information about pre-treatment estimates, call MetLife at 1-800-942-0854 or visit MetLife.
- Check your claim status and other information at MetLife. You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more.