Dental
Dental coverage helps you maintain a healthy smile with preventive care, basic services, and major procedures. You can visit any licensed dentist, but you’ll save the most when you use an in-network provider who has agreed to discounted rates. Out-of-network dentists may charge more than the plan’s allowed amount, and you may be responsible for the difference. Most plans cover preventive services—such as exams, cleanings, and X-rays—at 100% when you stay in-network, making regular checkups an easy way to protect your oral health and avoid costly issues.
MetLife PPO Dental Base Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Per Individual)
$1,500
Preventive Care
No Charge
Basic Services
10% after deductible
Major Procedures
40% after deductible
Orthodontia (Adults and Children)
Not Covered
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Per Individual)
$1,500
Preventive Care
No Charge to UCR%
Basic Services
20% after deductible to UCR%
Major Procedures
50% after deductible to UCR%
Orthodontia (Adults and Children)
Not Covered
Plan Cost
Employee Only: $7.11
Employee and Spouse: $14.15
Employee and Child(ren): $14.66
Employee and Family: $23.09
MetLife PPO Dental Buy-Up Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Per Individual)
$2,500
Preventive Care
No Charge
Basic Services
10% after deductible
Major Procedures
40% after deductible
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,500 per individual after deductible
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Per Individual)
$2,500
Preventive Care
No Charge to UCR%
Basic Services
20% after deductible to UCR%
Major Procedures
50% after deductible to UCR%
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,500 per individual after deductible
Plan Cost
Employee Only: $8.39
Employee and Spouse: $16.69
Employee and Child(ren): $18.60
Employee and Family: $28.80