The City of Dallas offers two dental plans through MetLife – Dental PPO and Dental HMO. Both plans offer valuable features to save you money on dental care. Use the link below to find our more on the dedicated MetLife City of Dallas dental website.
| Dental PPO Plan Features | Dental PPO |
|---|
| | In-Network (% of Negotiated Fee) | Out-of-Network (% of Negotiated Fee) |
|---|
| Calendar Year Deductibles | $50 | $50 |
| Annual Maximum Benefit | $1,750 | $1,750 |
| Orthodontia Lifetime Maximum (Per Person) | $1,750 | $1,750 |
|
Coverage Type |
| Type A - Preventive* (cleanings, exams, fluoride, x-rays) | 100% | 100% |
| Type B - Basic Restoration (fillings, extractions, general anesthesia) | 80% | 80% |
| Type C - Major Restoration (crowns, dentures, bridges) * Implants not covered | 50% | 50% |
| Type D - Orthodontia | 50% | 50% |
* Plan covers two cleanings, exams and fluoride treatments (dependent children up to age 16).
Child(ren)'s eligibility for dental coverage is from birth up to age 26.
| Dental HMO Plan Features |
Dental HMO |
|---|
|
|
Co-payment |
|---|
| Office Visit | $5 per visit |
|
Preventive Services |
| Exams | $5 |
| X-rays | $0 |
| Sealants | $6 per tooth |
| Yearly cleanings (up to 4) | $5 - first two* |
|
Basic & Major Services |
| Crowns | $255 |
| Root canal | $95-$225 |
| Osseous Surgery | $200 |
| Extractions | $15 - $110** |
| General anesthesia & nitrous oxide (when medically necessary) | $0 |
|
Orthodontics |
| Adults | $2,400*** |
| Children | $2,600*** |
| Implants | See fee schedule |
Learn More About 2019 Dental Benefits
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