Page 15 - Eden Housing 2022 Benefit Guide
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Dental Coverage – Something to Smile About


               Good dental care is an important part of your overall health. Our
               dental plans through MetLife help you keep your smile healthy
               through regular preventive dental care and offers coverage to fix
                                                                             Find a Dentist
               problems as soon as they occur. Review your dental plan options
               to determine which plan is best for you and your family.      To find an in-network provider,

                                                                                 •  visit www.metlife.com
               PPO Dental Plan
                                                                                 •  Select “PDP Plus” network
                                                                                 •  Enter the Zip, City or State
               With the PPO dental plan, you may visit any dentist of your choice.
                                                                                 •  Use the Advanced Search
               Keep in mind; you’ll receive the highest coverage when you use an
                                                                                     option to locate a dentist
               in-network provider. If you visit an out-of-network provider, you
               will not benefit from discounted rates and will pay more out-of-
               pocket for services.
                                                         MetLife Low Plan                 MetLife High Plan
                 Plan Features                     In-Network    Out-of-Network*    In-Network     Out-of-Network*
                                                             You pay:                         You pay:
                 Calendar Year Deductible        $50 Individual /   $75 Individual /   $50 Individual /   $50 Individual /
                 (waived for Preventive Services)   $150 Family     $225 Family     $150 Family      $150 Family
                 Calendar Year Benefit Maximum               $1,000                            $2,000
                 Diagnostic and Preventive Services
                                                  Covered in Full      10%         Covered in Full   Covered in Full
                 (e.g., x-rays, cleanings, exams)
                 Basic and Restorative Services
                 (e.g., fillings, extractions, root   10%              30%             10%              20%
                 canals)
                 Major Services                       40%              50%             40%              50%
                 (e.g., dentures, crowns, bridges)
                 Orthodontia
                                                      50%              50%             50%              50%
                 Children to age 19
                 Orthodontia Lifetime Maximum                $1,500                            $1,500
               *For Out-of-Network services, members pay applicable coinsurance plus any amount that exceeds the usual, customary, and
               reasonable charge.
               Frequently Asked Questions
               How do I find a participating dentist?
               There are thousands of general dentists and specialists to choose from nationwide.  You can receive a list of
               participating dentists online at www.metlife.com/dental or call 1-800-275-4638 to have a list faxed or mailed
               to you.  A dentist can also be found through MetLife’s Mobile App.

               May I choose a non-participating dentist?
               Yes.  You may select the dentist of your choice.  However, if you choose a non-participating (out-of-network)
               dentist, your out-of-pocket costs may be higher


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