Dental

Oral health is essential for long-term health. Dental insurance helps reduce costs for restorative and emergency procedures through prevention, early diagnosis and treatment. You will have less out-of-pocket costs if you go to an in-network provider versus an out-of-network provider.

MetLife DPPO

Plan Information

Plan Name: MetLife DPPO

Policy Number: 5398594

Effective Date: 01/01/2025

Provider Network: MetLife

In-Network Benefit Highlights

Deductible (Individual/Family)
$XX/$XX

Out-of-Pocket Max (Individual/Family)
$XX/$XX

Preventive Care
$XX

Primary Care Visit
$XX

Specialist Visit
$XX

Urgent Care
$XX

Emergency Room
$XX

Benefit Highlights

In-Network

Deductible (Individual/Family)
$50/$150

Annual Plan Maximum
$1,500 per person/family

Preventive Care
$0

Basic Services
50% after deductible

Major Procedures
50% after deductible

Orthodontia (Adults and Children)
Not covered

Out-of-Network

Deductible (Individual/Family)
$50/$150

Annual Plan Maximum
$1,500 per person/family

Preventive Care
$0

Basic Services
50% after deductible

Major Procedures
50% after deductible

Orthodontia (Adults and Children)
Not covered

Contact Information

MetLife DHMO

Plan Information

Plan Name: MetLife DHMO

Policy Number: 5398594

Effective Date: 01/01/2025

Provider Network: MetLife

In-Network Benefit Highlights

Deductible (Individual/Family)
$XX/$XX

Out-of-Pocket Max (Individual/Family)
$XX/$XX

Preventive Care
$XX

Primary Care Visit
$XX

Specialist Visit
$XX

Urgent Care
$XX

Emergency Room
$XX

Benefit Highlights

In-Network Only

Deductible (Per Individual)
$0

Annual Plan Maximum
Refer to DHMO Schedule of Benefits

Preventive Care
Refer to DHMO Schedule of Benefits

Basic Services
Refer to DHMO Schedule of Benefits

Major Procedures
Refer to DHMO Schedule of Benefits

Orthodontia (Adults and Children)
Refer to DHMO Schedule of Benefits

Contact Information