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Receiving Your Benefits

Filing a Claim

MetLife Dental Plans

You do not have to file a claim if you seek dental care from a network provider. If you use an out-of-network provider, file your claims within 24 months of the date you receive a covered service or supply. Otherwise your claim will not be paid. To file a claim:

  1. Obtain a dental claim form from the Benefits Office or from the website at http://hr.uchicago.edu.
  2. Complete Part I of the form according to the instructions.
  3. After you receive treatment, ask your dentist to complete and sign Part II and Part III.
  4. Mail the completed form to MetLife.

Be sure to keep copies of your claim forms and all supporting documentation. After your claim is processed, payment will be sent to your dentist. You will receive a statement, called an Explanation of Benefits, informing you what was paid. If you have already paid the dentist, the administrator will send you the payment. File separate claims for each covered individual.

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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.

 

 



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