MetLife PDP Plus Network
View 2015 - 2016 plan details and pricetags here.
Your dental benefits are provided through MetLife Preferred Dentist Provider
(PDP) plan which maintains a network of dental providers across the country.
MetLife Preferred Dentist Provider (PDP) plan does not provide
identification cards. In-network providers automatically submit electronic claims
on your behalf.
TWO PLANS. The MetLife (PDP) plan provides two options for coverage - Basic
and Enhanced. Both plans offer the freedom to choose any provider, however, use of
an in-network provider offers additional benefits. Review the benefit grid to determine
the plan that best suits your needs.
OBTAINING SERVICES OUT-OF-NETWORK. If you choose a nonparticipating
dentist, your out-of-pocket costs may be higher. A non-participating
dentist has not agreed to accept negotiated fees. So you may be responsible for
any difference in cost between the dentist's fee and your plan's benefit payment.
The dental provider may require payment in full at the time services are rendered.
Submit claims to MetLife with itemized receipts, along with full patient and member
information to MetLife Dental Claims, P.O. Box 981282, El Paso, TX 79998-1282
or fax to 859.389.6505.
PRE-TREATMENT ESTIMATE. If your dental care will be extensive, you may
ask your dentist to complete and submit a request for cost estimate, sometimes
called a pre-treatment or pre-determination of benefits. This will allow you to know in
advance what procedures are covered, the amount the benefit plan will pay toward
treatment and your financial responsibility.
FLEXIBLE SPENDING ACCOUNTS. MetLife dental has an established
relationship with Discovery Benefits, our Flexible Spending Account provider. MetLife
dental automatically sends a monthly report to Discovery Benefits to establish documentation
CONTROL DENTAL COSTS. You can help control your dental expenses by:
• Using only MetLife Preferred Dental Provider plan participating dentists. You can
receive a list of participating dentists online at www.metlife.com/mybenefits
or by calling 1.800.942.0854.
• Visiting your dentist regularly for checkups
• Following your dentist's advice about regular brushing and flossing
• Seeking treatment before you have a major problem