Transcription of Dental - MetLife
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Dental - MetLife
Metropolitan Life Insurance Company Network: PDP Plus PLAN OPTION 1 Dental Plus PLAN OPTION 2 Dental Coverage Type In-Network % of Negotiated Fee* Out-of-Network% of R&C Fee** In-Network % of Negotiated Fee* Out-of-Network % of Scheduled Amount** Type A: Preventive (cleanings, exams, X-rays) 100% 100% 100% 100% Type B: Basic Restorative (fillings, extractions) 80% 80% 45% 45% Type C: Major Restorative (bridges, dentures) 50% 50% 30% 30% Type D: Orthodontia 50% 50% 50% 50% Deductible Individual $50 $50 $50 $50 Family $150 $150 $150 $150 Annual Maximum Benefit Per Person $1,500 $1,500 $1,500 $1,500 Orthodontia Lifetime Maximum Per Person $1,500 $1,500 $1,500 $1,500 Child(ren) s eligibility for Dental coverage is from birth up to age 26.
Dental National Instruments . List of Primary Covered Services & Limitations Plan Option 1: Dental Plus Plan Plan Option 2: Dental Plan ... Implants • Replacement: once every 5 years. Implants ... licensed dental hygienist which are supervised and billed by a …
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