Dental

Dental

Associates of Nant and its affiliates who are located in California, Texas, New York and New Jersey are eligible to participate in the MetLife Dental HMO Plan highlighted in the following charts for yourself and, if you wish, your eligible dependents. The DHMO plan provides coverage for a wide range of services while you enjoy substantial cost savings. When you enroll in the DHMO Plan, you must choose a Primary Dental Provider (PDP) from the Dental DHMO network to manage your care.

The chart below illustrates how the DHMO plan works and how each type of service is covered by the dental plan. Refer to the dental benefit summary for more details.

Dental DHMO
METLIFE HMOYou Pay
Office Visit $5 copay
Annual MaximumUnlimited
D1110 – Adult Prophylaxis (Cleaning)
2 per calendar year
No charge
D2750 – Crown, Porcelain fused to high noble
metal (Molar)
$185
D3330 – Root Canal, Molar
(excluding final restoration)
$200
D8080 / D8090 Orthodontia$1,695 adult / $1,695 child
D9243 – General Anesthesia, 15 minutes$60

To optimize your dental benefits with MetLife, be sure to visit their online provider finder to look up participating providers within your DHMO network.  Go to www.metlife.com/dental.  Go to the center of the screen and click on “Find a Participating Dentist”. Under the “Select your network” dropdown select “Dental HMO/Managed Care.”  Under “Select a Plan” select “MET185” as your plan. Input your zip code and select your search radius. Press “Search” to begin your search.

Dental HMO Summary

DHMO Schedule of Benefits CA

DHMO Schedule of Benefits TX

DHMO Schedule of Benefits NJ

DHMO Schedule of Benefits NY

Associates of Nant and its affiliates are eligible for the dental PPO plan. The two charts below illustrate how the DPPO plan works and how each type of service is covered by the dental plan. Refer to the dental benefit summaries from MetLife for more details.

To optimize your dental benefits with MetLife, be sure to visit their online provider finder to look up participating providers within your DPPO network.  Go to www.metlife.com/dental. Go to the center of the screen and click on “Find a Participating Dentist”. Under the “Select your network”, select “PDP Plus.” Input your zip code and select your search radius.  Press “Search” and you will be directed to another screen where the providers will be listed.  Modify the search criteria to refine your search

Dental PPO Low and High Summary

Find a Dental PPO Provider

METLIFE DENTALDental PPO – $2,000 Annual Maximum Option
In-NetworkNon-Network
Deductible
(In-and Non-Network Combined)
$25/Individual; $75/Family
(Type B & C)
Annual Maximum Benefit: Per Individual$2,000
Type A – Diagnostic & Preventive Services0%; No deductible0%; No deductible
Type B- Basic Services20%; after deductible20%; after deductible
Type C- Major Services50%; after deductible50%; after deductible
Orthodontia Lifetime Maximum: Per Individual$2,000
Orthodontia Lifetime Maximum: Per Individual
(Adults and Children to age 26)
50%50%

 

METLIFE DENTALDental PPO – $5,000 Annual Maximum Option
In-NetworkNon-Network
Deductible
(In-and Non-Network Combined)
$25/Individual; $75/Family
(Type B & C)
Annual Maximum Benefit: Per Individual$5,000
Type A – Diagnostic & Preventive Services0%; No deductible0%; No deductible
Type B- Basic Services20%; after deductible20%; after deductible
Type C- Major Services50%; after deductible50%; after deductible
Orthodontia Lifetime Maximum: Per Individual$2,000
Orthodontia Lifetime Maximum: Per Individual
(Adults and Children to age 26)
50%50%
* $25 per person up to a max of $75. If there are more than 3 family members in the family, it would max out at $75 once met