DENTAL

What is Dental Insurance?

A health and wellness plan designed to pay a portion of dental costs associated with preventive, basic, some major dental care, as well as orthodontia.

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Plan Rules:

• Eligibility: Eligible employees, as described on page 1, spouse, dependent and unmarried children (up to age 26)

• Coverage through MetLife

• Provider directory: www.metlife.com/ Network: PDP Plus

• Claims must be submitted within 90 days of date of service

• Middle Plan & Low Plan provides In-Network Coverage Only

• Orthodontics available only for Children up to age 19 (subject to takeover provision/lifetime max)

• The chart below is a sample of covered services. Please see the Plan Certificate for a detailed listing of services in their entirety.