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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 130,000 participating dentist locations nationwide, including over 31,000 specialist locations.
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.
L0210091040[exp0211][All States]
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 21 million Americans who confidently enjoy comprehensive, affordable first-rate dental coverage offered by MetLife.
- 98% of patients in MetLife Preferred Dentist Programs are satisfied with the care they received from their participating dentist.
- Seven of 10 claims are processed within 1 business day, while maintaining 99.9% accuracy.*
*2008 MetLife Plan Participant Satisfaction Survey
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 10–35 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.
*Based on internal analysis by MetLife.
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.
Plan Details and Rates
| |
MetLife Option 1 (Low) |
MetLife Option 2 (High) |
| |
In-Network |
Out-of-Network |
In-Network |
Out-of-Network |
| Basis of Reimbursement |
Negotiated PDP fee |
70th percentile of Reasonable and Customary (R&C) |
Negotiated PDP fee |
70th percentile of Reasonable and Customary (R&C) |
| Type A – Preventive |
70% |
70% |
90% |
90% |
| Type B – Basic |
40% |
40% |
70% |
70% |
| Type C – Major |
30% |
30% |
40% |
40% |
| Type D – Orthodontia (Child) |
50% |
50% |
50% |
50% |
| Individual Deductible (Annual) |
$50.00 |
$50.00 |
$50.00 |
$50.00 |
| Family Deductible (Annual) |
$150.00 |
$150.00 |
$150.00 |
$150.00 |
| Deductible Applies To |
Type A, B & C |
Type A, B & C |
Type A, B & C |
Type A, B & C |
| Waiting Period |
There is no waiting period for Preventive Services (Type A). There is a 6 month waiting period on Basic Services (Type B) and a 12 month waiting period for Major Services (Type C) and Orthodontia Services, if applicable, (Type D). See the Covered Services and Limitations table for more details. |
| Calendar Year Maximum |
$1,200.00 |
$1,200.00 |
$1,500.00 |
$1,500.00 |
| Orthodontia Limit |
$850.00 |
$850.00 |
$1,000.00 |
$1,000.00 |
| Child |
19/21 if full time student |
19/21 if full time student |
| Monthly Rates |
|
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| Member |
$21.05 |
$33.28 |
| Member + 1 Dependent |
$49.90 |
$78.74 |
| Member + Family |
$81.05 |
$127.85 |
- “In-Network Benefits” means benefits under this plan for covered dental services that are provided by a MetLife PDP Dentist. “Out-of-Network Benefits” means benefits under this plan for covered dental services that are not provided by a MetLife PDP Dentist.
- PDP Fee refers to the fees that MetLife PDP dentist have agreed to accept as payment in full.
- Out-of-network benefits are payable for services rendered by a dentist who is not a participating provider.
The Reasonable and Customary charge is based on the lowest of:
- The Dentist’s actual charge (The “Actual Charge”)
- The Dentist’s usual charge for the same or similar services (The “Usual Charge”) or
- The usual charge of most dentists in the same geographic area for the same or similar services as determined by MetLife (the “Customary Charge”). For your plan the Customary charge is based on the 70th percentile. Services must be necessary in terms of generally accepted dental standards.
List of Covered Services and Limitations*
| Type A - Preventative |
How Many/How Often |
| Prophylaxis - Cleaning |
- 1 cleaning in 6 consecutive months.
|
| Oral Examination |
- 1 oral exam in 6 consecutive months.
|
| Topical Fluoride Applications |
- 1 fluoride treatment in 12 consecutive months, for dependent child age 14.
|
| Bitewing X-Rays (Adult/Child) |
- Adult/child–Once per calendar year.
|
| |
| Type B - Basic Restorative |
How Many/How Often |
| Full Mouth X-Rays |
- Full mouth panorex x-rays: Once per 60 months.
|
| Space Maintainers |
- One space maintainer per lifetime per area for premature loss of primary teeth for dependent children to age 19.
|
| Sealants |
- One application of sealant material for each non-restored permanent 1st and 2nd molar tooth of a dependent child age16, once every 60 months.
|
| Periodontal Maintenance |
- Periodontal maintenance where periodontal treatment (including scaling, root planing and periodontal surgery such as gingivectomy, gingivoplasty, gingival curettage and osseous surgery) has been performed. Periodontal maintenance is limited to 2 times in any year less the number of teeth cleanings received during such 12-month period.
|
| Fillings |
- Initial placement, replacement 24 months.
|
| Emergency Palliative Treatment |
|
| |
| Type C - Major Restorative |
How Many/How Often |
| Repairs |
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| Endodontic - Root Canal |
- Root Canal treatment is limited to once per tooth in a 24 month period.
|
| General Anesthesia |
- When dentally necessary in connections with oral surgery, extractions or other covered dental Services.
|
| Oral Surgery (Including Extractions) |
- Covered except as listed in the exclusions.
|
| Periodontal Surgery |
- Once per quadrant every 36 months.
|
| Periodontal Scaling & Root Planning |
- Once per quadrant in 24 month period.
|
| Dentures and Bridges |
- Initial installation, Replacement once per 10 years.
|
| Crowns/Inlays/Onlays |
- Initial installation once each 60 consecutive months; Replacement 10 years.
|
| Consultations |
|
| Harmful Habits Appliances |
|
| |
| Type D - Orthodontia |
How Many/How Often |
| |
- Dependent children are covered up to 19th birthday.
- All dental procedures performed in connections with orthodontic treatment are payable as Orthodontia.
- Initial payment due upon installation of the Orthodontic appliance; repetitive payments for the Orthodontic adjustments will be made quarterly at the end of the quarter based on the Orthodontic Lifetime Maximum.
- Orthodontic benefits end at cancellation of coverage.
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*Alternative Benefits: Your dental plan provides that where two or more professional acceptable dental treatments for a dental condition exist, your plan bases reimbursement, and the associated procedure charge, on the least costly treatment alternative. If you and your dentist have agreed on a treatment which is more costly than the treatment upon which the plan benefit is based, your actual out-of-pocket expense will be: the procedure charge for that treatment upon which the plan benefit is based, plus the full difference in cost between the schedule PDP fee or, if non PDP, the actual charge, for the service is actually rendered and the schedule PDP fee or R&C fee (if non PDP) for the service upon which the plan benefit is based. To avoid any misunderstandings, we suggest you discuss treatment options with your dentist before services are rendered, and obtain a pre-treatment estimate of benefits prior to receiving certain high cost services such as crowns, bridges or dentures. You and your dentist will each receive an Explanation of Benefits (EOB) outlining the services provided, your plans reimbursement for those services, and your out-of-pocket expense. Procedure charge schedules are subject to chance each play year. You can obtain an updated procedure charge schedule for your area via fax by calling 1-800-942-0854 and using the MetLife Dental Automated Information Service.
The service categories and plan limitations shown above represent an overview of your Plan of Benefits. This document presents many services within each category, but is not a complete description of the Plan. Please see your Plan description for complete details. In the event of a conflict with this summary, the terms of the certificate will govern.
Like most group dental insurance policies, MetLife group policies contain certain exclusions, limitations and waiting periods and terms for keeping them in force. Please contact MetLife for details.
MetLife will not pay Dental Insurance Benefits for charges incurred for:
- 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;
- Services for which You would not be required to pay in the absence of Dental Insurance;
- Services or supplies received by You or Your Dependent before the Dental Insurance starts for that person;
- Services which are primarily cosmetic (For residents of Texas, see notice page in your certificate);
- Services or appliances which restore or alter occlusion or vertical dimension;
- Restoration of tooth structure damaged by attrition, abrasion or erosion;
- Restoration or appliances used for the purpose of periodontal splinting;
- Counseling or instruction about oral hygiene, plaque control, nutrition and tobacco;
- Personal supplies or devices including, but not limited to: picks, toothbrushes or dental floss;
- Decoration, personalization or inscription of any tooth, device, appliance, crown, or other dental work;
- Missed appointments;
- 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;
- Services covered under other coverage provided by the Policyholder;
- Temporary or provisional restorations;
- Temporary or provisional appliances;
- Prescription drugs;
- Services for which the submitted documentation indicates a poor prognosis;
- 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;
- 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;
- Caries susceptibility tests.
- 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;
- Other fixed Denture prosthetic services not described elsewhere in this certificate;
- Precision attachments, except when the precision attachment is related to implant prosthetics;
- 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;
- 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;
- 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;
- Adjustment of a Denture made within 6 months after installation by the same Dentist who installed it;
- Implants included, but not limited to any related surgery, placement, restorations, maintenance, and removal;
- Repair of Implants;
- 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;
- Appliances or treatment for bruxism (grinding teeth), including but not limited to occlusal guards and night guards1;
- Diagnosis and treatment of temporomandibular joint (TMJ) disorders. This exclusion does not apply to residents of Minnesota1;
- Repair or replacement of an orthodontic device1;
- Duplicate prosthetic devices or appliances;
- Replacement of a lost of stolen appliance, Cast Restoration or Denture;
- 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.
Answers about the program, including eligibility, options, customer service and more.
These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.
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We're here to help! Please contact us in whatever manner is most convenient for you.
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| Program Administrator: |
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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)
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| Insurance Company: |
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MetLife
Metropolitan Life Insurance Company, New York, NY
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Insurance Application and Brochure (PDF Version)

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Adobe Acrobat Reader is required to view PDF files. If you do not have Acrobat Reader, visit the Adobe Web site
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