Dental Insurance

Dental (MetLife)

The District offers three dental plans through MetLife Dental and they are High Preferred Provider Organization (PPO) (D2000), Mid PPO (D1500) and Low PPO (D1000). All regular employees working at least 20 or more hours per week are eligible for this voluntary benefit.

Employees and qualified dependents can be covered. Eligible dependent children can be covered until the end of the calendar year in which they turn 26 years of age with NO Criteria, such as dependent marital status, student status, financial dependency on the Covered Employee, etc.

Dependent Eligibility

Spouse: Legally Married

Children: Employee's natural, newborn, adopted, foster, step child(ren), or a child for whom the Covered Employee has been court-appointed as legal guardian or legal custodian. 

To help you make a decision on what plan would best meet your needs, MetLife has created the following video for your review.

MetLife Dental Insurance Video

High Preferred Provider Organization (PPO) (D2000) Plan Highlights

Benefits

  • Plan Year Deductible ($25 Individual / $75 Family)
  • Annual Maximum is $2000 (excludes Preventative/Diagnostic Procedures and Orthodontia Services)
  • Missing tooth exclusion is WAIVED
  • 2 Prophylaxis OR 2 Periodontal cleanings at the Preventative Benefit Level
  • Implant Coverage
  • Orthodontia coverage for Adults and Children (up to age 26) - $2000 Lifetime Maximum

In-Network Benefits:

  • Preventative: 100% no deductible
  • Basic Services: 80% after deductible
  • Major Services: 50% after deductible

Out-of-Network Benefits:

  • Preventative: 100% of allowed amount
  • Basic Services: 80% after deductible of allowed amount
  • Major Services: 50% after deductible of allowed amount

Mid Preferred Provider Organization (PPO) (D1500) Plan Highlights

Benefits

  • Plan Year Deductible ($50 Individual / $150 Family)
  • Annual Maximum is $1500 (excludes Preventative/Diagnostic Procedures and Orthodontia Services)
  • Missing tooth exclusion is WAIVED
  • Two (2) cleanings: 2 Prophylaxis 
  • No Implant Coverage
  • Orthodontia Coverage for Children (up to age 26) ONLY - $1500 Lifetime Maximum

In-Network Benefits:

  • Preventative: 100% no deductible
  • Basic Services: 80% after deductible
  • Major Services: 50% after deductible

Out-of-Network Benefits:

  • Preventative: 100% of allowed amount
  • Basic Services: 80% after deductible of allowed amount
  • Major Services: 50% after deductible of allowed amount

Low Preferred Provider Organization (PPO)(D1000) Plan Highlights

Benefits

  • Plan Year Deductible (In- Network $100 / Out of Network $300 Individual; In-Network $250 / Out of Network $750 Family)
  • Annual Maximum - In-Network $1000; Out of Network $250 (excludes Preventative/Diagnostic Procedures)
  • Missing tooth exclusion is WAIVED
  • Two (2) cleanings: 2 Prophylaxis 
  • No Implant Coverage
  • No Orthodontia Coverage

In-Network Benefits:

  • Preventative: 100% no deductible
  • Basic Services: 80% after deductible
  • Major Services: 50% after deductible

Out-of-Network Benefits:

  • Preventative: 50% of allowed amount; no deductible
  • Basic Services: 30% of allowed amount; after deductible
  • Major Services: 0%

MetLife Dental Insurance Premiums per paycheck (4/1/2020 through 3/31/2021) 

High PPO (D2000) Tiers and Premiums per paycheck

Employee Only $23.75
Employee/ Spouse $48.50
Employee/ Child(ren) $48.65
Employee/ Family $76.95

Mid PPO (D1500) Tiers and Premiums per paycheck

Employee Only $18.00
Employee/ Spouse $36.85
Employee/ Child(ren) $37.00
Employee/ Family $58.80

Low PPO (D1000) Tiers and Premiums per paycheck

Employee Only $13.85
Employee/ Spouse $28.30
Employee/ Child(ren) $28.45
Employee/ Family $45.25

ATTENTION 20 PAY EMPLOYEES

PLEASE NOTE: The premiums listed above are based on 24 pay periods. Employee who receive 20 paychecks, 186-day work schedule, will pay the rates listed above with an additional 20% Employee Pre-Pay which will be applied toward summer coverage.

Need find a dental Provider?

Follow Link In selecting a network, use PDP Plus.

Need an ID card?

Follow link to register and download an ID Card from MetLife's website. When it asks for company name, enter THE SCHOOL DISTRICT OF LEE COUNTY.