Dental
Overview
Healthy teeth and gums are important to your overall wellness. To help you maintain your dental health, your dental coverage from Informatica pays for most preventive and diagnostic care and helps pay for the cost of basic and major restorative treatments. The enhanced plan also provides orthodontia benefits for you and your covered dependents.
2020 dental plans:
- MetLife Core Dental Plan
- MetLife Enhanced Dental Plan
Key features at a glance:
- Free in-network preventive and diagnostic care, with no deductible.
- Affordable coverage that helps you manage the cost of dental treatment.
- Wide network of providers that have agreed to negotiated rates, which helps you save money.
Find a network dentist
You'll generally pay less out-of-pocket when you use an in-network dentist. Visit MetLife for more information.
Coverage Details
In-network
| MetLife Core Dental Plan | MetLife Enhanced Dental Plan | |
|---|---|---|
| Individual/family deductible | $50/$100 | $50/$150 |
| Annual maximum benefit | $1,000 | $2,000 |
| Services | ||
| Preventive | You pay $0, no deductible | You pay $0, no deductible |
| Basic | You pay 20%, after deductible | You pay 0%, after deductible |
| Major services | You pay 50%, after deductible | You pay 40%, after deductible |
| Orthodontia coinsurance/lifetime maximum | Not covered | 50%/$1,500 |
| Orthodontia eligibility | Not covered | Employee, Spouse, and Child to age 26 |
Out-of-network
| MetLife Core Dental Plan | MetLife Enhanced Dental Plan | |
|---|---|---|
| Individual/family deductible | $50/$150 | $50/$150 |
| Annual maximum benefit | $1,000 | $2,000 |
| Services | ||
| Preventive | You pay $0 of R&C*, no deductible | You pay $0 of R&C*, no deductible |
| Basic | You pay 20% of R&C*, after deductible | You pay 20% of R&C*, after deductible |
| Major services | You pay 50% of R&C*, after deductible | You pay 50% of R&C*, after deductible |
| Orthodontia coinsurance/lifetime maximum | Not covered | 50%/$1,500 |
| Orthodontia eligibility | Not covered | Employee, Spouse, and Child to age 26 |
* Reasonable and Customary (R&C) — For Out-of-Network services, this plan will pay a Reasonable and Customary amount based on an average of charges of physicians within the network. If services are higher than this amount, you may have to pay the difference.
Using your dental benefits
Here’s how to make the most of your dental benefits:
- Choose a provider. Each time you need dental care, you have a choice of providers. Selecting a MetLife participating dentist will ensure you receive the highest benefits from your plan. To find a provider, go to MetLife.
- Present your plan identification information at your provider’s office. The group number is 315674 and your member number is your Social Security number.
- If your service will exceed $500, submit for a pre-treatment estimate. You should always submit a request for a pre-treatment estimate for procedures and services your dentist believes will exceed $500 (procedures such as crowns, inlays, bridges, and periodontics). For more information about pre-treatment estimates, call MetLife at (800) 942-0854 or visit MetLife.
- Check your claim status and other information at MetLife. You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more.
No ID Cards for the Dental Plans
No ID card is provided for the dental plans. When you visit your provider’s office, simply provide the dental plan group number, 315674, if your provider needs to check your benefits coverage. Your member number is your Social Security Number.