1?Savings from enrolling in a dental benefits plan will depend on various factors including the cost of the plan, how often participants visit a dentist and the cost of services rendered.
2?The Annual Maximum will increase by $200 in the Standard Option, and by $500 in the High option on January 1st following completion of 12 months of enrollment in the selected option.
3?Adult orthodontia unavailable.
4?Negotiated fees refer to the fees that participating dentists have agreed to accept as payment in full, for covered services, subject to any deductibles, coinsurance and benefit maximums. Negotiated fees are subject to change.
5?Maximum Allowable Charge (MAC):? Reimbursement for out-of-network services is based on the lesser of the dentist’s actual fee or the Maximum Allowable Charge (MAC).? The out-of-network Maximum Allowable Charge is a scheduled amount determined by MetLife.