How the MetLife PPO Dental Plan Works

Alternate Benefit Program

Dental expense benefits will be based on the materials and method of treatment which cost the least and which in the Plan’s view meet generally accepted dental standards.

Pre-determination of Benefits

If your dentist recommends a course of treatment that costs more than $300, your dentist can prepare a special report describing the planned treatment. The report should include copies of necessary X-rays, photographs, models and a cost estimate. The administrator will review the report and notify you and your dentist what benefits will be paid.

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.