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TIS EPISD
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Safe Guard

2010 Dental Plans

Through MetLife, EPISD offers you the opportunity to select from three Dental Plans to meet your needs.

Dental HMO Plan TX-300

  • No waiting periods, claim forms, deductibles or calendar year maximums. 
  • It is your responsibility to manage your dental care. 
  • Prior to receiving services, you should review the benefits summary for covered services and co-payments. (Co-payments apply only when services are performed by your selected Metlife general dentist. 
  • Orthodontics and specialty care will have a 70% co-payment of dentist’s usual fee for those services.  
  • No Out-of-Network benefits are available under this plan. 
  • Benefits available only through the network of participating providers. Click here to find a DHMO provider.

 

 

  Monthly Semi-monthly
Employee Only $ 8.34 $4.17
Employee & One $13.90 $6.95
E & Children $16.14 $8.07
E & Family $19.48 $9.74

MetLife Low Plan

  • Calendar year Maximum - $1,000
  • Implants are a covered benefit
  • Orthodontia Lifetime Maximum - $1,000 per person
  • Reimburses for covered procedures based on the plan’s schedule of benefits after a $50 annual deductible per person or $150 annual deductible per family is met. 
  • Review the Plan Summary of Benefits prior to enrolling, to obtain a list of procedures that are covered and the reimbursement amount.
  • After claim has been filed Metlife will reimburse the employee for covered procedures (based on the Schedule of Reimbursements)
  • Plan allows for you to receive care from any licensed dental care provider.
  • Lower your out of pocket cost by 10 to 35% by using a provider under the "Preferred Provider Program"

 

  Monthly Semi-Monthly
Employee Only $14.10 $ 7.05
Employee & One $28.22 $14.11
E & Children $28.78 $14.39
E & Family $42.90 $21.45

MetLife High Plan  

  • Using a Metlife PPO contracted dentist lowers your out-of-pocket expenses.
  • Treatment procedures are categorized into 4 different classes and the plan pays a specific percentage of the treatment cost for class.
  • Calendar year Maximum - $1,000
  • $50 annual deductible per person or $150 annual deductible per family
  • Plan allows for you to receive care from any licensed dental care provider.
  • Lower your out of pocket cost by 10 to 35% by using a provider under the "Preferred Provider Program"
  Monthly Semi-monthly
Employee Only $20.72 $10.36
Employee & One $41.44 $20.72
E & Children $42.28 $21.14
E & Family $63.00 $31.50

www.metlife.com