How the MetLife PPO Dental Plan Works

How It Works

Necessary Care

The plan pays a share of your covered expenses for necessary care. Necessary care is a specific dental service or treatment that is necessary for the treatment or management of a dental symptom or condition, and is the most efficient care that can be safely provided. The fact that a dentist may prescribe, order, recommend or approve a service or supply does not, of itself, make the service or supply necessary care. The claims administrator determines whether a service is necessary care.

While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.