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How much is your smile worth?

A brilliant smile is priceless—because it’s a sign of good health. To help maintain your smile, consider the IEEE Member Group Dental Insurance Plan. It’s a valuable advantage of membership … even if you already have dental coverage through your employer, spouse or domestic partner. Here are four reasons why:

1. Greater confidence for you. With the IEEE Member Group Dental Insurance Plan, your family remains covered, even if your or your spouse’s employee plan becomes a casualty of today’s economy.

2. Greater savings for you. You can save hundreds of dollars over what many plans cover.

3. Greater freedom for you. You’ll find nearly thousands of participating dentist locations nationwide, including over specialist locations. Learn more about the MetLife Preferred Dental Program.

4. Greater benefits for you. You can be covered for more than 20 services, including orthodontia.

You and your family are entitled to this coverage as a benefit of your membership in IEEE. There is no medical underwriting for anyone in your family, regardless of your dental history.

© 2012 and 2013 Metropolitan Life Insurance Company, New York, NY 10166
L0912278817[exp1113][All States][DC,GU,MP,PR,VI]

GREATER CONFIDENCE FOR YOU. In today’s economy, how can you feel confident that your employer’s dental coverage, if any, will continue … or that if it does, it won’t become unaffordable or reduce services? The same goes for your spouse or domestic partner’s plan, if any.

  • You can join over 19 million Americans who confidently enjoy comprehensive, affordable first-rate dental coverage offered by MetLife.1
  • 98% of patients in MetLife Preferred Dentist Programs are satisfied with the care they received from their participating dentist.2
  • 94% of plan participants are satisfied with our dental claims service.3

1MetLife data as of December, 2011
22011 MetLife Plan Participant Satisfaction Survey. Results based on participants who visited a MetLife PDP dentist and reported that they were satisfied (52%) or very satisfied (46%).
3MetLife data as of year-end 2011

GREATER SAVINGS* FOR YOU. Depending on your plan, you could save over many dental plans—and almost half of what you would pay without insurance for covered services.

  • In-network fees typically are 15–45 percent less than those charged in a typical community.**
  • Once your plan maximum has been met, you can get discounts on many non-covered services if they are provided by in-network dentists.***
  • Your coverage begins after a calendar-year deductible of $50 per insured person, up to $150 maximum per family unit.

*Savings from enrolling in the MetLife PDP Program will depend on various factors, including how often participants visit the dentist and the costs for services received
**Based on internal analysis by MetLife.
***Negotiated fees for non-covered services may not apply in all states.

To view a Savings Example, click here.

GREATER FREEDOM FOR YOU. Although your savings will be greater if you visit a network dentist, you can continue to see your current general practitioner or specialist, even if that professional doesn’t participate in the plan.

  • Your dependents are not limited to seeing only your dentists. They have the freedom to see their own, even if they are non-network network participants.
  • Personalized directories can be e-mailed right to you. You also can locate a dentist, with directions and mapping capabilities, online.
  • If you are not completely satisfied with the terms of your dental plan, return your certificate of insurance, without claim, within 30 days for a full and prompt refund.

GREATER BENEFITS FOR YOU. You are immediately eligible to save on preventive services such as checkups, cleanings, and bitewing x-rays.

  • Basic and major restorative services are covered, including fillings, root canals and dentures.
  • Your dentist can submit your claim, practically eliminating your paperwork.
  • Receive an e-mail alert when a claim has been processed.

 

   Click here to view Plan Details, Rates, List of Covered Services and Limitations.

 

MetLife will not pay Dental Insurance Benefits for charges incurred for:

  1. Services which are not Dentally Necessary, those which do not meet generally accepted standards of care for treating the particular dental condition, or which we have deem experimental in nature;
  2. Services for which You would not be required to pay in the absence of Dental Insurance;
  3. Services or supplies received by You or Your Dependent before the Dental Insurance starts for that person;
  4. Services which are primarily cosmetic (For residents of Texas, see notice page in your certificate);
  5. Services or appliances which restore or alter occlusion or vertical dimension;
  6. Restoration of tooth structure damaged by attrition, abrasion or erosion;
  7. Restoration or appliances used for the purpose of periodontal splinting;
  8. Counseling or instruction about oral hygiene, plaque control, nutrition and tobacco;
  9. Personal supplies or devices including, but not limited to: picks, toothbrushes or dental floss;
  10. Decoration, personalization or inscription of any tooth, device, appliance, crown, or other dental work;
  11. Missed appointments;
  12. Services covered under any workers’ compensation or occupational disease law; covered under any employer liability law; of which the employer of the person receiving such services is not required to pay; or received at a facility maintained by the Policyholder, labor union, mutual benefit association or VA hospital;
  13. Services covered under other coverage provided by the Policyholder;
  14. Temporary or provisional restorations;
  15. Temporary or provisional appliances;
  16. Prescription drugs;
  17. Services for which the submitted documentation indicates a poor prognosis;
  18. Services, to the extent such services, or benefits for such services, are available under a Government Plan. The exclusion will apply whether or not the person receiving the services is enrolled for the Government Plan. We will not exclude payment of benefits for such services if the Government Play requires that Dental Insurance under the Group Policy be paid first. Government Plan means any plan, program, or coverage which is established under the laws or regulations of any government. The term does not include: any plan, program or coverage provided by a government as an employer; or Medicare;
  19. The following when charged by the Dentist on a separate basis: claim form completion; infection control such as gloves, masks, and sterilization of supplies; or local anesthesia, non-intravenous conscious sedation or analgesia such as nitrous oxide;
  20. Caries susceptibility tests.
  21. Initial installation of a fixed and permanent Denture to replace one or more natural teeth which were missing before such person was insured for Dental Insurance, except for congenitally missing natural teeth;
  22. Other fixed Denture prosthetic services not described elsewhere in this certificate;
  23. Precision attachments, except when the precision attachment is related to implant prosthetics;
  24. Initial installation or replacement of a full or removable Denture to replace one or more natural teeth which were missing before such person was insured for Dental Insurance, except for congenitally missing natural teeth;
  25. Addition of teeth to a partial removable Denture to replace one or more natural teeth which were missing before such person was insured for Dental insurance, except for congenitally missing natural teeth;
  26. Addition of teeth to fixed and permanent Denture to replace teeth which were missing before such person was insured for Dental Insurance, except for congenitally missing natural teeth;
  27. Adjustment of a Denture made within 6 months after installation by the same Dentist who installed it;
  28. Implants included, but not limited to any related surgery, placement, restorations, maintenance, and removal;
  29. Repair of Implants;
  30. Implants supported prosthetics to replace one or more natural teeth which were missing before such person was insured for Dental Insurance, except for congenitally missing natural teeth;
  31. Appliances or treatment for bruxism (grinding teeth), including but not limited to occlusal guards and night guards1;
  32. Diagnosis and treatment of temporomandibular joint (TMJ) disorders. This exclusion does not apply to residents of Minnesota1;
  33. Repair or replacement of an orthodontic device1;
  34. Duplicate prosthetic devices or appliances;
  35. Replacement of a lost of stolen appliance, Cast Restoration or Denture;
  36. Intra and extraoral photographic images.

1 Some of these exclusions may not apply. Please see your plan design and certificate for details

Like most group dental insurance policies, MetLife group insurance policies contain exclusions, waiting periods, reductions and terms for keeping them in force. Please contact the Plan Administrator for details.

Cancellation/Termination of Benefits:

Coverage is provided under a group insurance policy (Policy Form GPN99) issued by Metropolitan Life Insurance Company. Subject to the terms of the group policy, rates are effective for one year from you plan’s effective date. Once coverage is issued, the terms of the group policy permit Metropolitan Life Insurance Company to change rates during the year in certain circumstances. Coverage terminates when your Membership in IEEE ceases, when your dental contributions cease or upon termination of the group policy by the Policyholder. The group policy may also terminate if participation requirements are not met, a dependent ceases to be a dependent or on the date of the members death, if the Policyholder fails to perform any obligations under the policy, or at MetLife’s option. There is a 30-day limit for the following services that are in progress: Completion of a prosthetic device, crown or root canal therapy after individual termination of coverage.

 

Dental Insurance
BenefitSmart Help to understand the most common employee benefits and the steps to take to help fill in any gaps you may find.
MetLIfe Oral Health Library An extensive library full of oral health educational articles and tools.
Answers about the plan, including eligibility, options, enrollment, customer service and more.
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Click here to expand contentClick here to collapse content  How much does this plan cost me?

Monthly premiums for this comprehensive dental insurance start at $23.26 for members-only coverage. Premiums depend on the level of coverage (two tiers) and whether you choose to cover one or more dependents.

Click here to expand contentClick here to collapse content  How do I know whether my dentist participates in the network?

With 158,000 dentists enrolled—including over 39,000 specialists—there’s a good chance yours is a network dentist. You can call toll-free to have an up-to-date directory of participating dentists in your area mailed to you the next business day. To receive your personalized directory, call 1-800-474-7371 Monday–Friday, 6 a.m. to 11 p.m. ET, or Saturday 7 a.m. to 4 p.m. ET. You can also conduct online provider searches, with directions and mapping capabilities, on www.metlife.com/dental.

Click here to expand contentClick here to collapse content  How much do I have to pay out of pocket for services?

Your out-of-pocket expenses will be determined by which plan you choose and if you see an in-network or out-of-network dentist. There is a deductible of $50 per insureds person ($150 maximum for your family). Please see the TELL ME MORE tab for more plan details.

Click here to expand contentClick here to collapse content  Are pre-existing conditions covered?

Yes. Everyone in your family can be covered despite their dental history. Coverage is effective the first day of the month your request for insurance is received, provided you pay the required premium.

Click here to expand contentClick here to collapse content  Can I get services paid for right away?

IEEE Member Group Dental Coverage works with you to help ensure good dental health for every member of your family. Preventive services, including checkups, cleaning and bitewing X-rays, are covered immediately. New enrollees may be entitled to waive waiting periods for certain services, including fillings and extractions, if they can show evidence of other coverage.

Click here to expand contentClick here to collapse content  Can I get discounts on non-covered services?

Yes. MetLife’s negotiated fess with PDP (in-network) dentists extend to services not covered under your plan* and services received after your plan maximum has been met and you may only be responsible for the negotiated fee. If you receive services from a PDP dentist that are not covered under you plan, you are only responsible for PDP (in-network) fee.

*Negotiated fees for non-covered services are not available in all states.

Click here to expand contentClick here to collapse content  Can I take this coverage with me if I change jobs?

Yes. Your dental coverage continues as long as you remain an IEEE member and pay the appropriate premium when due, and the group policy remains in force. Similarly, your family is covered as long as you remain insured and the person continues to remain your dependent.

Click here to expand contentClick here to collapse content  How long does it take to pay a claim?

Seven of 10 claims are paid within 1 business day … nine out of 10 within five days … virtually all are paid within 10 days all while maintaining 99% accuracy*.

*MetLife data as of year end 2011.

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

Insurance Application & Brochure

Domestic Partner Declaration Form

California Healthcare Language Assistance Program

Dental Card and FAQs for Group Dental Participants



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We're here to help! Please contact us in whatever manner is most convenient for you.

 
Program Administrator:
 

IEEE-Sponsored Insurance Program Administrator
12421 Meredith Drive
Urbandale, IA 50398
1-800-493-IEEE (4333)
ieee@marshpm.com
7:30 a.m. to 6:00 p.m. M-F (Central)

 
Insurance Company:
 

MetLife
Metropolitan Life Insurance Company, New York, NY

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Choose the IEEE Member Group Dental Insurance Plan for your family's dental care.

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Insurance Application and Brochure (PDF Version)

Dental Card and FAQs for Group Dental Plan Participants (PDF Version)

Application

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

MetLife Oral Health Library

The Preferred Dental Program from the Preferred Dental Provider

Equipping Parents with Important Information About Children's Oral Health

Avoid Surprises With Your Dental Claims

Frequently Asked Questions About Common Dental Terms

Claim Processing…How Long Does It Take

IEEE Members--Find Out How You Can Save More on Your Dental Costs

BenefitSmart



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