Page 9 - 2022 MLB Umpire Benefit Guide Flipbook 1

Dental – MetLife

Good health includes good dental health. That’s why Baseball offers the MetLife Preferred Dentist Program (PDP).
Under this program, like your PPO plan, you may visit dentists in the MetLife network or you may seek care outside
the network. You make the choice each time you need dental services.

Although your deductibles and copays are the same no matter whom you visit, services performed by network
providers typically are 10% to 35% less expensive than the average dentist charges in your area. Therefore, you
should save on out-of-pocket costs by using professionals in the MetLife network of dentists. (Currently, about
135,000 dentists from across the country participate in the MetLife network.) To locate a participating dentist, call 1-
800-942-0854 or visit www.metlife.com and click on My Benefits Dental Center.

REMEMBER!

Orthodontia plan benefits are paid as follows: up to 20% of the total
benefit will be paid for the initial placement of the appliance. The
remaining plan benefits will be paid in equal installments each
quarter, over the remaining course of treatment.

You and your dentist may request a pre-determination estimate of
benefits so you will know just what your dental plan will pay before
you start treatment. As part of the process, MetLife may suggest
alternatives for your care. Pre- determination of benefits is
recommended for procedures that are expected to cost $300 or
more.

Dental Plan Benefits Summary

Plan Provision In-Network Out-of-Network

Dental Services (for all covered family members)
Annual Deductible $50 / $150 $50 / $150
(Single / Family)
Preventive 100%, no deductible 100%, no deductible
Cleanings & Oral Exams
Basic Restorative 80% after deductible 80% after deductible
Fillings & X-Rays
Major Restorative 65% after deductible 65% after deductible
Crowns & Bridges
Annual Maximum Benefit $2,000 per person $2,000 per person
Orthodontic Services (for children only up to age 26)
Orthodontic Care 50% 50%

Lifetime Maximum Benefit $3,000 per person $3,000 per person

Click here for a detailed Dental Plan Summary

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