Page 9 - 2022 MLB Benefit Guide 08.2022
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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
                   Cleanings & Oral Exams          100%, no deductible               100%, no deductible
           Basic Restorative                       90% after deductible              80% after deductible
                          Fillings & X-Rays
           Major Restorative
                         Crowns & Bridges          60% after deductible              50% after deductible
           Annual Maximum Benefit                   $3,000 per person                 $3,000 per person
                                Orthodontic Services (for adults & children up to age 19)
           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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