How the MetLife Dental Copay Plan Works

MetLife Preferred Dentist Program (PDP)

Example of savings when you visit a participating PDP dentist:

	Out-of-Network Dentist	Metlife Preferred Dentist Program Provider (PDP)
Dentist’s Usual Fee	$750	$750
Schedule or R&C Fee	$500	$350
Dental Plan Pays	$150	$350
Your Cost	$600	$350
In this example, you save $250 ($600 minus $350) by using a PDP Dentist.

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.