4. The MetLife DHMO plan requires you to select a MetLife DHMO provider. The MetLife dental network includes thousands of providers, so finding the right dentist is easy. Dental benefits are provided by Metropolitan Life Insurance Company (MetLife) or an affiliate of MetLife. Through this portal you can research basic information about your plan, look up a provider, download forms, and find important benefit information. If you are enrolled in any of the following groups or organizations, click the corresponding link and you will be taken to a site with information specific to your dental and/or vision benefits. The definition of what is considered "emergency care" and other specifics can be found in the Evidence of Coverage located in your enrollment materials. Before enrolling in a plan, take some time to learn about your coverage options and the networks of doctors, dentists, and optometrists available to you. Participating dentists are also subject to regular audits, including onsite visits to their offices. Two great programs offering coverage and value. 2022 MetLife Services and Solutions, LLC. At MetLife, protecting your information is a top priority. A broad network of participating general dentists and specialists. PPO Provider Search Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc., a California corporation in CA; SafeGuard Health Plans, Inc., a Florida corporation in FL; SafeGuard Health Plans, Inc., a Texas corporation in TX; and MetLife Health Plans, Inc., a Delaware corporation and Metropolitan Life Insurance Company, a New York corporation in NJ. Pair comprehensive coverage and great savings1 with our HMO/managed care network. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc., a California corporation in CA; SafeGuard Health Plans, Inc., a Florida corporation in FL; SafeGuard Health Plans, Inc., a Texas corporation in TX; and MetLife Health Plans, Inc., a Delaware corporation and Metropolitan Life Insurance Company, a New York corporation in NJ. You must select a Safeguard dentist to provide or coordinate all of your dental care, and you may receive dental services only from dental providers who have contracted with the plan. All selected General Dental Offices provide treatment for Emergency Dental Conditions twenty-four (24) hours a day, seven (7) days a week, and We encourage the Member to seek care from the selected General Dental Office. Your selected participating dentist will contact SafeGuard for pre-approval. 4 You are responsible for the copayment or coinsurance for each covered service that is listed on your Schedule of . 1. Savings from enrolling in the MetLife Federal Dental Plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered. Find in Network Doctors & Providers | CaliforniaChoice . var monthNames = new Array( This site is best viewed using the most current version of the Chrome or Edge browser. This scamming can happen via text, email or websites set up to look like the trusted company. At time of enrollment, you will choose how you want to pay. Orange, CA 92868, Phone: (800) 558-8003 If treatment for an Emergency Dental Condition is required, You or Your Dependent may go to any dental provider, go to the closest emergency room, or call 911 for assistance, as necessary. Scammers impersonate a trusted company to convince their targets into revealing or handing over sensitive information such as insurance, banking or login credentials. Log in to manage your MetLife account or to access claim forms and additional resources. Dental Insurance - MetLife Find information and tools for making better oral health choices. var year = now.getFullYear() Vision benefits are provided by SafeHealth Life Insurance Company for VPPO and SafeGuard Health Plans, Inc. for VHMO, only in California, both of which are MetLife companies. administered in a Dentists office, dental clinic, or other comparable facility, to evaluate and stabilize dental conditions of a recent onset and severity accompanied by excessive bleeding, severe pain, or acute infection that would lead a prudent layperson to believe that immediate care is needed. Dental screening examinations and other evaluations required by state or federal law, which are necessary to determine whether an Emergency Dental Condition exists. Hospital charges and/or other charges for care received at any hospital or outpatient care facility are not Covered Services. Can I buy coverage for myself and my family if I dont have dental insurance at work? MetLife TakeAlong DentalSM offers coverage that you can buy on your own and take from one job to the next. All DHMO plans offer low or no-cost services for the following: Plans also include benefits for Oral Surgery, Endodontics, Crowns, Orthodontics, and Prosthodontics. ZIP code Type in your ZIP code. Please be advised Zelis is the new payment solution for MetLife claim payments. MetLife Find a Dentist Search Results - Southwestern University Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, waiting periods, reductions, limitations and terms for keeping them in force. The Schedule of Benefits includes covered services, information on any limitations and additional charges for certain procedures, and services that are not covered by the plan. If you do not apply for a new policy within 60 days of the date you request to end this policy, you may not be eligible to apply for a new dental policy from MetLife or there may be time restrictions on when you may apply for a new policy. MetLife DHMO/Safeguard Dental Plan NO PLAN CHANGES FOR 2021 Choice of Providers . Insurance and Employee Benefits | MetLife New York, NY 10166 - All Rights Reserved. Group Vision Members A PCP is an important part of your HMO medical team, so choose one with care. What is the MetLife Preferred Dentist Program? Prior authorization is not required. Please contact MetLife or view the VADIP Plan Summary for cost and complete details. This plan does not meet the minimum creditable coverage requirements under M.G.L. Once approved, your dentist will contact you with the name of a participating specialist. We have separated part of our U.S. business from MetLife to become its own company, called Brighthouse Financial, Inc.Click here for contact information. This program is not available in Washington, Utah and Vermont. MetLifes Preferred Provider Organization (PPO) plans feature the MetLife Preferred Dentist Program, which is designed to save you money on dental services.1 You can choose from thousands of participating general dentists and specialists nationwide. MetLife helps protect the smiles of Veterans, their families and CHAMPA members with comprehensive. As long as you are registered with theMyBenefitswebsite, you can conveniently change dentists online. You'll receive discounted prices on a wide range of dental procedures including cosmetic dentistry. 1 The plans are simple to use. If you would like to authorize someone, such as a spouse, relative or friend to help you with matters concerning your dental benefits, please click on theDental HIPAA Authorization for Disclosure of Personal Health Information. MetLife Select Find a Dentist then Select PDP Plus Network. Yes. Safeguard View and manage your Safeguard and SmileSaver Dental and Vision benefits here. 5Except for orthodontia in high plan which has a 24-month waiting period. Your transfer will be effective the first of the following month. If You or Your Dependent receive treatment for an Emergency Dental Condition, You will be required to pay the charges to the Dentist and submit a claim to Us for a benefits determination. The MetLife Federal Dental Insurance Plan is responsible for the selection of In-Network providers in your area. Dental HMO/Managed Care Plans | MetLife PDF MetLife DHMO/Safeguard Dental Plan - Human Resources Your Username or Password? Prior authorization is not required. Flexible enrollment options and a suite of resources can guide you through the process. Dont wait until a problem forces you into the dentists chair! All dental offices that participate in the network provide instructions on how to access emergency care 24 hours a day, 7 days a week. If you cannot reach your selected participating dentist, you may receive emergency care from any licensed dental care professional. TakeAlong Dental is there for you through every life stage; and that's something to smile about! 1 Savings from enrolling in a dental benefits plan will depend on various factors, including how often participants visit the dentist and the cost of services covered. Are you an international healthcare provider outside of the United States looking to join our network? Dental Managed Care Plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation in NY. Protect your dental health with a long-term care option that meets your needs. You can call the specialist directly to schedule your visit. Here's a few things you should know before you go to. Expansive network of dental providers More savings when you stay in-network 1 No paperwork; in- or out-of-network dentists submit your claims More savings in your wallet with MetLife's negotiated fees at savings of 35-50% off dentist list prices 3 Preventive care is often covered 100%, in-network 4 Ask your employer about MetLife Dental Insurance. At MetLife, protecting your information is a top priority. Can I enroll my dependents for Dental coverage? Who are the dentists that participate in the network? You may choose one of four dental plans, offered by SafeGuard, a MetLife Company and Metropolitan Life. Prior authorization is not required. You may have seen recent news coverage of customers of financial services companies falling victim to social engineering scams. Members present their MetLife Worldwide Benefits ID card and a form of identification when they arrive in your office. The effective date of insurance for newly added dependent(s) will depend on when we receive notice and required premium. Yes. All reimbursements will be allocated in accordance with the group contract, subject to any exclusions and limitations. Forgot Hospital charges and/or other charges for care received at any hospital or outpatient care facility are not Covered Services. If you choose to receive services from a MetLife contracted specialty care provider (periodontics, oral surgery, endodontics, pedodontics, orthodontics), your co-payment will be 75% of that provider s usual fee for those services. Accessed February 1, 2021. to earn CE credits without leaving the office. The reimbursement from Us for treatment for an Emergency Dental Condition, if any, is limited to the extent the treatment the Member received directly relates to the evaluation and stabilization of the Emergency Dental Condition. If you purchased an individual dental or vision benefits plan through MetLife or its affiliates. You can find the names, addresses, languages spoken and telephone numbers of participating dentists by searching our onlineFind a Dentist directory. Please refer to your Schedule of Benefits to locate the plan name to be used in the search. You may also view current In- Network providers via our web website at MetLife.com/FEDVIP-Dental. 2. Find a Dental Provider in the MetLife Dental Network Contract holders outside of Utah and Idaho can visit the MetLife website to find contracted dental providers in their area. You have access to hundreds of dental services at costs that may be considerably lower than your cost would be without this program. If treatment for an Emergency Dental Condition is required, You or Your Dependent may go to any dental provider, go to the closest emergency room, or call 911 for assistance, as necessary. Dental Insurance - MetLife Whether you purchased your policy on your own or obtained it through your employer, log in to your personal account. These healthcare providers called in-network providers are contracted to offer care at reduced rates for enrollees or members. Box 981282El Paso, TX 79998-1282, Customer Service:Monday - Friday8:00 a.m. to 8:00 p.m., EST, Claims:Monday - Friday8:00 a.m. to 11:00 p.m., EST. If you have trouble accessing your benefit plan information or forms online, please contact Customer Service at 1-800-880-1800. Network Type. You may schedule an appointment with your dentist anytime after your plans effective date. Our direct pay network makes processing easy. Like most benefits programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. 1In the event of urgent grievance, which involves an imminent and serious threat to your health, including, but not limited to, severe pain, potential loss of life, limb or major bodily function, you are not required to participate in SafeGuard's grievance process and may directly contact the California Department of Managed Health Care, as referenced above, for review of the urgent grievance. Learn more about the Preferred DentistProgram and MetLife Dental Health Maintenance Organization (DHMO)/Managed Care Network^ and benefits like an increased patient base, continuing education at NO CHARGE, and more. Dental benefits are provided by Metropolitan Life Insurance Company (MetLife) or an affiliate of MetLife. Welcome to MetDental.com. Network (or plan) name Choose the name of your network plan. Find a Dentist Necessary emergency dental care services, including the treatment and stabilization of an Emergency Dental Condition. contact us Members Find important information about your plan, look up a provider and download forms here. Hospital charges and/or other charges for care received at any hospital or outpatient care facility are not Covered Services. Compare Programs | MetLife TakeAlong Dental In comparison, annual premiums for employer-sponsored PPO plans was $1,389 for an individual and $6,428 for families.1, Many HMO plans come with fewer out-of-pocket expenses like deductibles, copayments, and coinsurance as well. You may have seen recent news coverage of customers of financial services companies falling victim to social engineering scams. Plan members must pay for all services but will receive a discount from participating providers. Instead, they offer a different approach to health care. Additionally, there is a discount provided for LASIK procedures and a large provider network to better serve you. Keep your oral health and associated costs in a great place. Scammers impersonate a trusted company to convince their targets into revealing or handing over sensitive information such as insurance, banking or login credentials. Available in CA. Forgot A Dental HMO/Managed Care program is available to residents of California, Florida, New York and Texas. New York, NY 10166 - All Rights Reserved. Please note: any requests made after the 25thof the month will change effective the first of the following month (e.g., a facility change requested on March 28 will go into effect on May 1). If you are a member of a vision benefits plan through an employer or other group. Coverage type Select the type of coverage you have or are considering (E.g., DHMO/dental HMO, PPO, etc.). Group DHMO Members 2 Member out-of-pocket expenses apply for many covered procedures and vary by procedure. If treatment for an Emergency Dental Condition is required, You or Your dependent may go to any dental provider, go to the closest emergency room, or call 911 for assistance, as necessary. 1. PDF MetLife.com/FEDVIP-Dental (888) 865-6854 2023 (You'll find the name of your network on your member ID card.) Scammers impersonate a trusted company to convince their targets into revealing or handing over sensitive information such as insurance, banking or login . Your offices staff uses the ID card to verify the patients coverage and benefits. Being a provider in the MetLife Worldwide Benefits network means joining 335,000 direct pay providers in over 180 countries. Ready to join the MetLife Worldwide Benefits network? The participating dentist you select at enrollment will provide your routine dental care. The plan does not pay providers directly. 2American Dental Association; Dentists: Doctors of Oral Health, American Dental Association, Chicago, IL, http://www.ada.org/en/about-the-ada/dentists-doctors-of-oral-health. 6Based on MetLife data. If you have children, consider more comprehensive coverage for less out-of-pocket costs, as well as an option for braces. Choose from a variety of dental options, including PPO, DHMO, and Discount Plans. To find your DHMO provider, go to www.metlife.com/dental, and select "Find a Dentist." The MetLife Exclusive Provider Organization (EPO) contains features similar to PDP & DHMO. Find out how to apply for the Preferred Dentist Program . New York, NY 10166 - All Rights Reserved.SafeGuard Health Plans Inc., Irvine, CA 92614L0822024665[exp0824][All States], MetLife Dental ClaimsP.O. If the Members physical condition does not permit such notification, the Member must make the notification as soon as it is reasonably possible to do so. Yes. Dental Coverage Comparison: SmileSaver HMO and Ameritas - My Calchoice Our members know that when they visit a preferred provider, they can expect quality care and seamless service. 3000, 3500, 4000 & 5000 MetLife DHMO MET100, MET185, SmileSaver DHMO 1000, 3000 HMO plans arent necessarily better than PPO plans. L0823033960[exp0825][All States][DC,GU,MP,PR,VI], If you download a form we recommend that you bring a claim form with you when you visit your dentist. SafeGuard will provide coverage for the following emergency dental services without regard to whether the Dentist or provider furnishing the services has a contractual or other arrangement to provide services to covered individuals: Examples of dental emergency treatment include procedures. MetLife TakeAlong Dental HMO-Managed Care 245 | DentalInsurance.com Complete the form, and a MetLife Global Network Development team will contact you within 2 business days. Log in to MyBenefits and well fill it in automatically when you search for a dentist. Medical Campus Prescrip on Drugs Providers - MetLife Fee Lookup Members | Safeguard - MetLife Delta Dental Select Delta Dental Premier - PPO Platinum. Step 3: Enter the Plan Name The plan name is located in your Schedule of Benefits. 3. Group dental insurance policies featuring the Preferred Dentist Program are underwritten by Metropolitan Life Insurance Company, New York, NY 10166. Our team of expert examiners has extensive experience processing claims, ensuring accurate, timely payments. Negotiated fees typically range from 35 - 50% less than the average charges in a dentists community for similar services.3. You and your enrolled dependents can each select different participating dentists and may change dentists as often as once per month. A range of Dental HMO/Managed Care programs are available to groups in California, Florida, Texas, New York and New Jersey. The cut-off for selecting your DHMO provider is on the 25th of each month. Conveniently make payments with a credit card. 2. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc., a California corporation in CA; SafeGuard Health Plans, Inc., a Florida corporation in FL; SafeGuard Health Plans, Inc., a Texas corporation in TX; and MetLife Health Plans, Inc., a Delaware corporation and Metropolitan Life Insurance Company, a New York corporation in NJ. Need a dental program that stays with you? Dental Managed Care plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation, in NY. . Dental Managed Care Plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation in NY. DHMO covers orthodontia, which is the treatment of irregularities in the teeth caused by alignment or occlusion. PDF Dental HMO/Managed Care - AustinTexas.gov After we receive your written notice to add dependents, your premium rates will be adjusted as of the date insurance takes effect for the newly added dependent(s). Dental Provider and Vision Care Provider Search Tool from HumanaOne Select one of the SafeGuard DHMO Plans or one of the MetLife IndemnityDental Plans. Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. Other payment frequencies are also available. Dental issues are painful and expensive. Dental benefits are provided by Metropolitan Life Insurance Company (MetLife) or an affiliate of MetLife. PDF Dental HMO Bene ts - Miami-Dade County Please include your name, family ID number, address and telephone number on all requests for reimbursement. Provider Directory For Anthem Out-of-State PPO For Cigna+Oscar LocalPlus Out-of-State EPO For Cigna+Oscar Open Access Plus EPO Network Providers Dental Explore options for DHMO or PPO dental programs. Step 1: Go to metlife.com Step 2: Select "I want to find a MetLife:" Click "Dentist" and enter your ZIP Code, and select the Dental HMO/Managed Care network. METLIFE DHMO CARRIER TRANSITION INFORMATION - MGM Benefits Group PDF Caltech Benefit Plan Contacts 8When using a network attorney for a covered matter. Routine visits to the dentist help prevent costly dental bills later on, as well as problems linked to medical conditions like diabetes or heart disease. Dental Managed Care Plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation in NY. To be reimbursed for treatment of an Emergency Dental Condition, You must notify Us after receiving such treatment. Learn more Dentists "DHMO" is used to refer to product designs that may differ by state of residence of the enrollee, including but not limited to: "Specialized Health Care Service Plans" in California; "Prepaid Limited Health Service Organizations" as described in Chapter 636 of the Florida statutes in Florida; "Single Service Health Maintenance Organizations" in Texas; and "Dental Plan Organizations" as described in the Dental Plan Organization Act in New Jersey. MetLife Services and Solutions, LLC Careington is not affiliated with MetLife or its affiliates. Group Vision Members The plans are simple to use. This example is used for informational purposes only. (1-844-263-8336). Our procedure fee tool provides participants of dental plans insured or administered by MetLife guidance in understanding your dental service providers fees. MetLife DHMO and MetLife DPPO Dental Plans. Dental HIPAA Authorization for Disclosure of Personal Health Information. If You or Your Dependent's physical condition does not allow for such notification, You must make the notification as soon as it is reasonably possible to do so. Emergency Dental Care means procedures administered in a dentists office, dental clinic, or other comparable facility, to evaluate and stabilize dental conditions of a recent onset and severity accompanied by excessive bleeding, severe pain, or acute infection that would lead a reasonably prudent lay person possessing average knowledge of dentistry to believe that immediate care is needed. To search for a MetLife DHMO provider, choose this plan option: Then select the DHMO plan name MET245 from the drop down box: Rev 04.13 . Find out how to apply for the Preferred Dentist Program, Find out how to apply for Dental HMO/Managed Care Plan^, MetLife Dental Health Maintenance Organization (DHMO)/Managed Care Network^. Prior authorization is not required. Regardless of the type of care, HMO insurance is typically characterized by three main features: lower coverage costs, referral requirements, and stricter coverage guidelines. REPRESENTATIVES, Sorry, we couldn't find any results matching. A Health Maintenance Organization (HMO) is a type of insurance plan that works with a contracted network of healthcare providers, clinics, and hospitals. You can find the names, addresses, specialties, languages spoken, and telephone numbers of participating dentists in a given area by searching our online directory Find A Dentist. document.write(intYear); Youll also be responsible for paying for your medical expenses out-of-pocket. How would I pay for coverage? HMO insurance coverage may be available as part of a health, dental (typically referred to as a DHMO), or vision benefits plan. For more information please view the Federal Dental Plan Brochure, which will govern these plan options and can be viewed by visiting MetLife.com/FEDVIP-Dental. The plan also provides for an additional frame allowance. Your Dental HMO/Managed Care plan provides you with access to essential dental care. You may have seen recent news coverage of customers of financial services companies falling victim to social engineering scams. You may have seen recent news coverage of customers of financial services companies falling victim to social engineering scams. Landmark Healthplan Select "ChoiceBuilder". To be reimbursed for treatment of an Emergency Dental Condition, the Member must notify Us after receiving such treatment. Note that the completion and return of this authorization is completely voluntary. To find out additional fee information on common procedures in your area, the process is simple just enter your dental service providers office zip code, then click on . Or you may click below to view the information specific to your state. Find a MetLife Dental Provider - DMBA.com DHMO insurance plans typically cover dental services at a low cost and minimal or no copayments with a pre-selected primary care dentist or a dentist facility with multiple dentists. Continue to receive the same great dental benefits and network access, with the ability to keep your current dentist and the plan you know and trust. Extractions: $5 - Simple extractions. This could be the last dental program you ever need to enroll for! SmileSaver Members The Annual Maximum is a Dental/Vision combined benefit; a maximum of which $100 can be applied toward eye care expenses. Dental Rewards by Ameritas are available to members . Through this portal you can research basic information about your plan, look up a provider, download forms, and find important benefit information.
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