MetLife Dental Benefits Summary

DN-ONECLK-LG Benefit Summary One Click 2024-10-15_5655036_0001_0001 _Dental_31 Dental Benefits Metropolitan Life Insurance Company Overview of Benefits for: MEYERS NAVE, A PROFESSIONAL CORPORATION Date Prepared: 10-15-2024 The Preferred Dentist Program was designed to help you get the dental care you need and help lower your costs. You get benefits for a wide range of covered services — both in and out of the network. The goal is to deliver affordable protection for a healthier smile and a healthier you. Coverage Type In-Network: % of Negotiated Fee Out-of-Network: % of R&C Fee1 Type A 100% 100% Type B 90% 80% Type C 60% 50% Orthodontia 50% 50% Deductible: Individual/Family* $50 (Type B & C) $50 (Type B & C) Annual Maximum Benefit: Per Individual $2000 $2000 Orthodontia Lifetime Maximum: Per Individual $2000 $2000 Ortho applies to Child Only (up to age 19) Certain plan benefits are based on a percentage of the negotiated fee. This is the amount that participating dentists have agreed to accept as payment in full. If your plan benefits are based on a percentage of the Reasonable and Customary (R&C) charges, your out-of-pocket expenses may be more, since you will be responsible for paying any difference between the dentist's fee and your plan's payment for the approved service. * If you are enrolled for dependent coverage, a maximum family deductible may apply. Savings from enrolling in a dental benefits plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered. Page 1 of 3 200 Park Ave., New York, NY 10166 © 2023 MetLife Services and Solutions, LLC L0522023151[exp0525][All States]