MetLife PDP Plus Network

Group Dental Insurance

Choose the plan that fits your needs. Both options provide comprehensive dental coverage with the flexibility you deserve.

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Two Great Plan Options

Both plans are identical with one important variation: how Out-of-Network dentists are paid. When using a Network Provider, the plans are identical.

HIGH PLAN

Option 1: HIGH PPO

Full Provider Freedom

Full access to any provider you choose, regardless of the network. Benefits paid at 90% UCR (Usual, Customary & Reasonable) — very unlikely to have overage fees.

Employee Only $53.57/mo
Employee + 1 Dependent $89.18/mo
Employee + 2+ Dependents $143.98/mo
LOW PLAN

Option 2: LOW MAC

Best Value In-Network

Best if you can use a network provider. If you go out-of-network, expect to pay overage fees based on the Negotiated Fee Schedule.

Employee Only $36.99/mo
Employee + 1 Dependent $61.64/mo
Employee + 2+ Dependents $102.30/mo

Plan Details at a Glance

Key features that apply to both plan options

$50 Deductible

Per person, calendar year. Waived for preventive services.

$5,000 Annual Max

Generous annual maximum for comprehensive care.

Dependents to Age 26

Coverage for your children through age 26.

No Waiting Period

Coverage begins immediately upon enrollment.

Coverage Categories

Comprehensive coverage across all types of dental services

Preventive Care

Deductible Waived

100%

Coverage

Cleanings

Once every 6 months

X-Rays (Bitewings)

As needed

Oral Exams

Once every 6 months

Fluoride Treatment

To age 19, every 6 months

Sealants

To age 16, once per 36 months

Oral Cancer Screening

Age 40+, once per 24 months

Space Maintainers

As needed

Habit Appliances

As needed

Basic Services

After Deductible

80%

Coverage

Full X-Ray Series

Once per 36 months

Fillings

As needed

Simple Extractions

As needed

Space Maintainers

As needed

Major Services

After Deductible

50%

Coverage

Crowns

Single & complex

Bridges & Dentures

Full & partial

Implants

As needed

Root Canals

Endodontic services

Periodontal Surgery

As needed

Scaling & Root Planing

Periodontal services

Repairs

Crowns, bridges, dentures

Veneers & Inlays

Cosmetic restorations

Orthodontia

For Children

50%

Coverage

Braces & Orthodontic Treatment

Orthodontia in progress is covered

$1,000 Lifetime Maximum

Per covered dependent

Key Plan Differences

Understanding how out-of-network coverage differs between plans

Feature High Plan (PPO) Low Plan (MAC)
In-Network Coverage Identical to Low Plan Identical to High Plan
Out-of-Network Payment 90% UCR Negotiated Fee Schedule
Out-of-Network Overage Fees Very unlikely Expect overage fees
Best For Full provider freedom Network provider users
Network MetLife PDP Plus

Get Complete Plan Details

Download the full benefit summary for complete coverage information, limitations, and exclusions.

Download Benefit Summary (PDF)

Simplify Employee Benefits with CCA

CCA Benefits by Optima Benefits & Payroll is transforming the way businesses offer employee benefits. With flexible contribution options, a seamless enrollment platform, and a full suite of voluntary and employer-paid plans, we make benefits easy to manage for both employers and employees. Whether you want to take a hands-off approach or customize a package to fit your workforce, our solutions adapt to your needs.

Contact our team to learn how we can help you streamline enrollment, reduce administrative tasks, and provide competitive benefits that attract and retain top talent.

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