CITY SCHOOLS OF
DECATUR
DENTAL
What is Dental Insurance?
A health and wellness plan designed to pay a portion of dental costs associated with preventive, basic, some major dental care, as well as orthodontia.
Plan Rules:
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Eligibility: All full-time employees working 50% of full-time hours based on job category (minimum of 15 hours/week), spouse and children (up to age 26)
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Coverage through MetLife
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Employee must be actively at work on the effective date
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No Waiting Periods
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In-network Provider Directory: CLICK HERE Network: PDP Plus
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Orthodontia is for children up to age 19
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Exams and cleanings are allowed 2 times each calendar year. They do not have to be separated by 6 months.
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The chart below is a sample of covered services. Please see the Plan Certificate for a detailed listing of services in their entirety.
Contact Campus Benefits for assistance with claims.
Email: mybenefits@campusbenefits.com
Call 1-866-433-7661, option 5
Please note:
You do not need to present an ID card to confirm that you are eligible. You should notify your dentist that you participate in MetLife’s PDP. Your dentist can easily verify information about your coverage through a toll-free automated Computer Voice Response system.
Common Dental Questions
Who is a participating (In-Network) dentist and how do I find one?
A participating dentist is a general dentist or specialist who has agreed to accept MetLife’s negotiated fees as payment in full for services provided to plan participants. You can access a list of participating dentists with directions and mapping capabilities online at www.metlife.com/dental or call 1.800.ASK.4.MET (800.275.4638). Please Note: Be sure to verify provider participation when you make your appointment.
May I choose a non-participating (Out of Network) dentist?
Yes. You are always free to select the dentist of your choice. However, if you choose a dentist who does not participate in the MetLife program, your out-of-pocket expenses may be greater, since you will be responsible to pay for any difference between the dentist’s fee and your plan’s payment for the approved service.
Can my dentist apply for participation in network?
Yes. If your current dentist does not participate in the MetLife network and you would like to encourage him or her to apply, tell your dentist to visit www.metdental.com, or call 1.877.MET.DDS9 for an application.
Can I find out what my out-of-pocket expenses will be before receiving a service?
Yes. With pre-treatment estimates, you never have to wonder what your out-of-pocket expense will be. MetLife recommends that you request a pre-treatment estimate for services in excess of $300. To receive a benefit estimate, simply have your dentist submit a request for a pre-treatment estimate online at www.metdental.com or call 1.877.MET.DDS9 (638.3379).