Page 9 - WJ Bradley 2015 Annual Enrollment

W.J. Bradley

Dental Dental

W.J. Bradley partners with MetLife to offer you a comprehensive dental
program. Since the MetLife Plan is a PPO, you have the option to

receive care from an in-network dentist or an out-of-network dentist.
The beneit is the same regardless of network status. You will, however,
receive larger discounts when you use an in-network dentist.

Preventive services are covered 100% and are not subject to the
deductible. After the deductible, you will pay a portion of the cost
as outlined in the chart below. The plan will pay up to the annual per
person maximum shown for a calendar year.

You can look to see if your dentist is in the PDP Plus Network or
locate a MetLife dentist at www.metlife.com/dental. Be sure to search
for dentists in the PDP Plus Network.

Plan Summary

Dental Insurance
Calendar Year Deductible Applies to Type II and Type III Services
Individual $50
Family $150
Calendar Year Maximum
$1,500
Type I Preventative Services
100%
Type II Basic Services
80% after deductible
Type III Major Services
50% after deductible
Type IV Orthodontia (Children and Adults)
50%; $1,000 lifetime maximum

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