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.

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.