The MetLife PDP is a Preferred Provider Organization, wherein you choose a provider at the time of treatment. You do not have to pre-select a primary dentist nor do you need an ID card or referrals for specialty care. What is a participating PDP dentist?
MetLife , a provider of dental plan administration for more than 21 million people, today announced the availability of a new, expanded Dental Preferred Provider Organization ( PPO ) network, PDP Plus.
What is the difference between the PDP and PDP Plus networks? PDP Plus has about 12,000 more providers than the PDP network.
PPOs usually offer Medicare prescription drug coverage, but they’re not required to offer it. If the PPO doesn’t offer Medicare prescription drug coverage, you’re not permitted to get coverage by joining a separate Medicare Prescription Drug Plan ( PDP ).
Are implants covered under the plan? Yes. Implant Services are a covered expense subject to plan guidelines. Please refer to your 2021 MetLife Federal Dental Plan Brochure for a complete listing of covered implant services.
Best Dental Insurance Providers of 2021 Cigna : Best Overall. Renaissance Dental: Runner-Up, Best Overall. Spirit Dental : Best for No Waiting Periods. Humana Dental Insurance: Best Value. UnitedHealthOne Dental Insurance: Best for Families. Physicians Mutual: Best for Seniors. Delta Dental : Best for Orthodontics.
MetLife Dental Copay Plan
|Major Care||You pay 50%; Plan pays 50%**||You pay 70%; Plan pays 30%***|
|Orthodontia (Adult and Child)||You pay 50%; Plan pays 50%** Lifetime maximum per individual: $1,500||You pay 60%; Plan pays 40%*** Lifetime maximum per individual: $500|
Most cleanings and exams are covered 100%. The MetLife dental network includes over 146,000 providers, so finding the right dentist is easy. Our plans give you the flexibility to visit providers in or out-of-network. Most cleanings and exams are covered 100%.
If you don’t have insurance or your policy won’t pay for a particular procedure, ask for a discount. Start by looking at the “fair” prices in your area for your procedure at FAIR Health and Healthcare Bluebook. If your dentist charges more, negotiate . You can also ask about paying over several months.
For information on PDP fees in your area, contact MetLife directly at 1-800-942-0854. *** The co-payment amount for a full course of treatment is $3600 minus your plan’s lifetime orthodontic benefit maximum of $1500 ($3600 – $1500 = $2100).
MetLife offers a wide range of procedures covered under its plans. Options are simple and include nationwide PPO coverage or region limited DHMO cover with low copays. Rates are decent with plenty covered and lots of customers are very happy with the family friendly service that also includes orthodontics.
Does Metlife cover Invisalign ? You can do this by going to www. metlife .com/mybenefits and navigating to “My Plan Coverage .” The more generous plans cover about 40% of the cost, up to the lifetime maximum.
Usually a person cannot be enrolled in a Medicare Advantage plan that does not include drug coverage and then add a separate stand-alone Medicare Part D drug plan ( PDP ) — with two exceptions — you can join a Medicare Advantage PFFS plan that does not have drug coverage or a Medicare Medical Savings Account (MSA) and
A stand-alone Medicare Part D plan is referred to as a Prescription Drug Plan ( PDP ). This form of insurance helps pay for a variety of prescription drugs, including: Outpatient prescription drugs. Vaccines.
Most Medicare Advantage Plans include prescription drug coverage ( Part D ). You can join a separate Medicare Prescription Drug Plan with certain types of plans that: Can ‘t offer drug coverage (like Medicare Medical Savings Account plans ) Choose not to offer drug coverage (like some Private Fee-for-Service plans )