Dental Benefits
Comprehensive dental coverage and preventive care benefits through MetLife.
Dental Benefits
Premiums (Bi-weekly)
| Coverage Tier | Core Dental Plan | Enhanced Dental Plan |
|---|---|---|
| Employee Only | $4.67 | $6.99 |
| Employee + Spouse | $13.80 | $19.87 |
| Employee + Children | $12.11 | $17.81 |
| Family | $20.96 | $30.68 |
Employee Only
Core Dental Plan$4.67
Enhanced Dental Plan$6.99
Employee + Spouse
Core Dental Plan$13.80
Enhanced Dental Plan$19.87
Employee + Children
Core Dental Plan$12.11
Enhanced Dental Plan$17.81
Family
Core Dental Plan$20.96
Enhanced Dental Plan$30.68
Covered Services (In-Network)
| Feature | Core Dental Plan | Enhanced Dental Plan |
|---|---|---|
| Deductible (Individual) | $50 | $50 |
| Deductible (Family) | $150 | $150 |
| Calendar Year Maximum | $1,750 | $2,500 |
| Preventive Services | 100% | 100% |
| Basic Services | 100% | 20% |
| Major Services | 40% | 50% |
| Orthodontia | 50% | 50% |
| Orthodontia Lifetime Max | $1,500 | $1,500 |
Deductible (Individual)
Core Dental Plan$50
Enhanced Dental Plan$50
Deductible (Family)
Core Dental Plan$150
Enhanced Dental Plan$150
Calendar Year Maximum
Core Dental Plan$1,750
Enhanced Dental Plan$2,500
Preventive Services
Core Dental Plan100%
Enhanced Dental Plan100%
Basic Services
Core Dental Plan100%
Enhanced Dental Plan20%
Major Services
Core Dental Plan40%
Enhanced Dental Plan50%
Orthodontia
Core Dental Plan50%
Enhanced Dental Plan50%
Orthodontia Lifetime Max
Core Dental Plan$1,500
Enhanced Dental Plan$1,500
Covered Services (Out-of-Network)
| Feature | Core Dental Plan | Enhanced Dental Plan |
|---|---|---|
| Deductible (Individual) | $100 | $50 |
| Deductible (Family) | $300 | $150 |
| Calendar Year Maximum | $1,750 | $2,500 |
| Preventive Services | 100% | 100% |
| Basic Services | 20% + balance billing | 20% + balance billing |
| Major Services | 50% | 50% + balance billing |
| Orthodontia | 50% | 50% |
| Orthodontia Lifetime Max | $1,500 | $1,500 |
Deductible (Individual)
Core Dental Plan$100
Enhanced Dental Plan$50
Deductible (Family)
Core Dental Plan$300
Enhanced Dental Plan$150
Calendar Year Maximum
Core Dental Plan$1,750
Enhanced Dental Plan$2,500
Preventive Services
Core Dental Plan100%
Enhanced Dental Plan100%
Basic Services
Core Dental Plan20% + balance billing
Enhanced Dental Plan20% + balance billing
Major Services
Core Dental Plan50%
Enhanced Dental Plan50% + balance billing
Orthodontia
Core Dental Plan50%
Enhanced Dental Plan50%
Orthodontia Lifetime Max
Core Dental Plan$1,500
Enhanced Dental Plan$1,500
Plan Notes
| Detail | Core Dental Plan information | Enhanced Dental Plan information |
|---|---|---|
| Formerly known as | Preferred Plan | Choice Plan |
| Adult Orthodontia | Not Available | Coverage included |
Formerly known as
Core Dental Plan informationPreferred Plan
Enhanced Dental Plan informationChoice Plan
Adult Orthodontia
Core Dental Plan informationNot Available
Enhanced Dental Plan informationCoverage included
MetLife Dental
Group: 5986085
