The Copay Plan is a PPO dental plan that offers the convenience of a fixed copayment schedule for utilizing the plan’s contracted providers and facilities. Dental on a budget? Copays are fixed so you’ll always know what you’re going to pay prior to your appointment. Short Waiting Periods. Take advantage of your full benefits within one year of your coverage start date.
- Choose a Florida dental plan for individuals or families. Our plans work with Florida Blue health insurance plans to complete your health coverage. Access member, provider, and agent resources.
- This means you have a fixed copay cost for covered dental services and procedures. You can know exactly how much a service or procedure will cost before you visit the dentist with the copay schedule. The Advantage network gives you the opportunity to save with lower premiums and lower provider fees as a result of a more narrow network.
Group Copay Dental Plans
With no waiting periods, no annual maximums, no deductibles (for groups of 6 or more enrolled employees), and fixed copayments for covered services, Dental Select’s unique Copay dental plans are the perfect combination of affordability and simplicity. Copay plans are currently available in Texas and Utah only.
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No Maximums
Enjoy the predictability of our fixed copay plan and the freedom to use your benefits the way you want, when you want. The copay plan includes an unlimited maximum that applies to Preventive, Basic, and Major services.
No Deductible
Groups with 6 or more enrolled employees can receive a $0 deductible. For groups with fewer employees, the deductible is $25 per member and $75 per family and applies to Basic and Major services. Download lagu maher zain terbaru 2018.
No Waiting Periods
Yep, no waiting periods. This simplified plan is ideal with Preventive care covered at 100% and Basic and Major service co-pays set as fixed amounts, so you can best plan for your dental care at a pace that works for you.
In-Network
Dental Copay Calculator
Dental Copayment
FAQ
Available on our Gold or Platinum networks (Utah and Texas only).
Most plans begin on the first of a calendar month. However, if you need a mid-month start we can accommodate that. Simply let us know your preferred effective date when you request a quote.
Eligible employees and any legal dependents. Dependents can include a spouse or domestic partner and each unmarried child, from birth to age 26, who is living with you in a regular parent-child relationship and for whom you can claim an exception on your federal taxes.
Yes. EyeMed Discount Vision is included with every dental plan. This is based on applicable laws, and reduced costs may vary by doctor location.
Not applicable for Employer plans.
The Copay plan is only available in Texas and Utah. Click here to download a plan brochure.
Groups with 6 or more enrolled employees can enjoy the added value of a $0 deductible. For groups with fewer employees, the services to which a deductible would apply can be customized as part of the quote.
Plan Highlights
- In-network preventive care is covered at 100%
- No annual maximum
- No deductible (for groups of 6+)
- No waiting periods
- Gold and Platinum network options
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MetLife Dental Copay Plan
The MetLife Dental Copay Plan is a dental plan in which you make a copay based on a fee schedule, called the Procedure Charge Schedule. The Procedure Charge Schedule is based on the ZIP code where your dentist’s office is located. Each time you need care, you can visit any licensed dentist you choose. However, if you visit a preferred network provider, you save money since providers in the network charge lower negotiated rates. If you visit an out-of-network provider you must meet an annual deductible, you pay a higher copay and your annual maximum benefit is reduced. You can can compare Metlife Dental Copay Plan benefits to the other dental plan to determine if it will meet your dental needs.
Your cost for the plan depends on the coverage you select. Enrolling in the plan is limited to certain times or events during your employment.
Select benefit design features are provided below, including the copay percentage you may be asked to pay at the time dental services are rendered. MetLife may be contacted at 800.942.0854.
In-network | Out-of-network | |
Choice of Dentist | Limited to MetLife Network | Any licensed provider |
Deductible | None | Per individual: $75* Per family: Up to $225* |
Annual Maximum The most coverage that the Plan will provide you in one year. | Per individual: $5,000 | Per individual: $1,000 |
Preventive Care One visit in a six month period. | You pay 10%; Plan pays 90%** | You pay 30%; Plan pays 70%*** |
Basic Care | You pay 30%; Plan pays 70%** | You pay 60%; Plan pays 40%*** |
Major Care | You pay 50%; Plan pays 50%** | You pay 70%; Young thug im up free download. Plan pays 30%*** |
Orthodontia (Adult and Child) | You pay 50%; Plan pays 50%** Lifetime maximum per individual: $1,500 | You pay 60%; Plan pays 40%*** Lifetime maximum per individual: $500 |
Dental Copay Costs
* Waived for orthodontia
Dental Copays
** Payment for percentage of negotiated fees as determined by MetLife, subject to cost sharing, deductible and benefit maximums.
Delta Dental Crown Copay
***Payment for percentage of reasonable and customary charges as determined by MetLife. You are also responsible for 100% of any charges in excess of the reasonable and customary charge.