All about Metlife Dental

Metlife also provides insurance for teeth. It has a Preferred Dentist Program (PDP) which is a preferred provider organization (PPO) with a nationwide network of around 90,000 participating dentist locations consisting of carefully credentialed general and specialty dentists. All participating dentists show their assurance in providing services to people in Metlife dental benefit plans at fees that are typically 10 - 35% below average charges in their communities.

The advantages of Metlife for Dental insurance are given as below :

Lower costs: When you receive care from a participating dentist, your out-of-pocket expenses will typically be lower than those you would incur if you received services from a non-participating PDP dentist.

Flexibility: Unlike many other managed dental benefit programs, the insuree is free to choose any dentist in- or out-of-network of Metlife at the time of treatment and still receive benefits. Thus the insuree typically saves money when he uses an in-network dentist. There are no required lock-ins or the need to receive a referral to see a specialist.

Qualified dentists: Participating dentists undergo an extensive credentialing processing that reviews practice patterns, sanctions, emergency care arrangements, and mal-practice coverage and their history. Copies of licenses and specialty training certificates are also required for the dentists who are participating in the group. Participating dentists must agree to strict utilization management and claim review, which helps in ensuring the benefits which are paid for appropriate services. Participating dentists are regularly monitored and are subject to recredentialing for every three years.

Participants in dentist forum agree to accept the scheduled fee for all services listed in the reimbursement schedule which they perform on covered individuals. They even extend these fees for services which are not covered under the insuree plan like cosmetic dentistry or orthodontia.

 

Back to main page -> Metlife