MetLife
TakeAlong Dental HMO-Managed Care 350 (Low)
Keeping your teeth healthy without a dental program can be expensive. Having the right dental coverage makes it easier to visit the dentist and helps lower your costs. That’s where MetLife TakeAlong Dental comes in! It offers competitive pricing and great benefits today and in the future, providing you with continuous coverage.
Introducing MetLife TakeAlong Dental DHMO/Managed Care Program.
Two plans/benefit coverage levels to choose from: LOW or HIGH.
This is a brief description of services covered under the MetLife TakeAlong Dental, DHMO-LOW/Managed Care Program. For details please see Full Schedule of Benefits:
- Pre-select a dentist at time of enrollment, who participates in the network
- Broad network of carefully screened general dentists and specialists who provide dental care at a reduced cost
- No waiting periods, claim forms, deductibles or annual maximums
For more details and program information, please see the Additional Network Information section towards the bottom of this page.
Please read the Schedule of Benefits including the exclusions and limitations before beginning your enrollment.
| Common procedures: | |
|---|---|
| Cleaning: | $20 |
| White Filling: | $25 |
| Crown: | $350 |
| Root Canals: | $225 |
| Simple Extractions: | $20 |
| Plan Maximum: | None |
| Waiting Periods: | None |
| Deductible: | None |
May be subject to certain limitations and exclusions, please review the full Schedule of Benefits | |
| Details: |
|---|
| Full Schedule of Benefits | Dentist Search | Exams: |
| $10 – Office visit – per visit $0 – Oral Exams – two per calendar year $5 – Limited oral evaluation-problem focused | Cleanings: |
| $20 – Prophylaxis – cleanings – two per calendar year | X-Rays: |
| $0 – Bitewing X-rays – adult & child $0 – Full-mouth X-rays | Fillings: |
| $15 – Amalgam fillings – one surface, primary or permanent $25 – Resin-based composite fillings (white fillings) – one surface, anterior | Extractions: |
| $5 – Simple extractions | Crowns: |
| $350 per unit – Crown – Porcelain fused to high noble metal | Root Canals: |
| $225 – Root canal (anterior tooth) | Dentures: |
| $525 per unit – Complete denture – maxillary or mandibular $525 per unit – Immediate denture – maxillary or mandibular | Deep Cleanings: |
| $70 – Periodontal maintenance $70 – Periodontal scaling and root planing – four or more teeth per quadrant | Implants: |
| Not Covered Service | Braces/Orthodontia: |
| 75% of usual and customary fees (UCR) – Orthodontic treatment – child 75% of usual and customary fees (UCR) – Orthodontic treatment – adult | Teeth Whitening: |
| $125 – External bleaching, per arch | Additional Network Information: |
Under MetLife TakeAlong Dental DHMO/Managed Care Program you must pre-select a dentist, at time of enrollment, who participates in the network in order to receive benefits. Each enrolled family member may select a different participating dentist and has the ability to change dentists up to one time each month. Exclusions and LimitationsPrivacy Policy Plan Brochure | Notes: |
Certain exclusions and limitations may apply to these programs. Please view the covered services/limitations and exclusions which can be found in the schedule of benefits for each program. |
FAQ:
Can I change my dentist once I am in the plan?
Yes. You and your enrolled dependents may each select different participating dentists and once you enrolled in the plan, you may change dentists as often as once per month by calling TakeAlong Dental Customer Service or online from your TakeAlong Dental account. Your transfer will be effective the first of the following month. Please note: any requests made after the 25th of the month will take effect the first of the second following month (e.g., a facility request change made on March 28th will go into effect on May 1st). You should ensure any dental work-in-progress is completed prior to transferring to a new dentist. Refer to your Evidence of Coverage included with your enrollment materials for more information.
What is a pre-existing condition versus work-in-progress? Is it covered?
A pre-existing condition is an oral health condition, which existed before your enrollment in a dental program. The plan does not include an exclusion for pre-existing conditions. However, expenses for the replacement of teeth that were lost or extracted prior to the policy effective date will not be covered.
Work in progress is any oral health procedure that is started and not completed prior to your enrollment in a dental program. The plan does not cover any expenses prior to the date you are covered under the Policy.
What provider options do I have?
Under MetLife TakeAlong Dental DHMO/Managed Care Program you must pre-select a dentist, at time of enrollment, who participates in the network in order to receive benefits.
When can I start using my Plan?
You can start using your plan once it goes into effect - usually the 1st of the month following your enrollment (as long as the enrollment and payment is received within the enrollment deadline). Incomplete enrollment forms or failure to submit the required initial premium amount may cause an initial delay in issuance of insurance. Do not cancel any other insurance or assume you are insured under the Plan until you receive your certificate of insurance.
When will I receive my new member kit and what will it include?
You will receive a Welcome kit via e-mail within 48 hours. The package includes a welcome letter (with ID card at the bottom of the letter), the state specific policy, regulatory documents and any endorsements for value adds that may apply.
Who can enroll in this plan?
This plan is available to individuals and their family members residing in CA, FL, NY and TX.
New York, NY 10166
SafeGuard Health Plans Inc.
Irvine, CA 92614
Disclaimers and Disclosures:
Dental managed care program benefits are provided by Metropolitan Life Insurance Company (MetLife), a New York corporation in NY. Dental HMO program benefits are provided by: SafeGuard Health Plans, Inc. a California corporation, in CA; SafeGuard Health Plans, Inc. a Florida corporation, in FL; and SafeGuard Health Plans, Inc., a Texas corporation, in TX. The Dental HMO/Managed Care companies are part of the MetLife family of companies.
"DHMO" is used to refer to product designs that may differ by state of residence of the enrollee, including but not limited to: "Specialized Health Care Service Programs" in California; "Prepaid Limited Health Service Organizations" as described in Chapter 636 of the Florida statutes in Florida; and "Single Service Health Maintenance Organizations" in Texas.
Certain administrative services are provided by Careington BenefitSolutions (Careington), Frisco, TX. Careington is not affiliated with MetLife or its affiliates. In certain states, availability of the individual dental product is subject to regulatory approval. Like most benefits programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. Please contact MetLife for costs and complete details.
This website provides a very brief description of some of the important features of this plan. It is not the insurance contract, nor does it represent the insurance contract. A full description of benefits, exclusions and limitations is contained in the Schedule of Benefits and your policy.
Rates shown are based upon the information you provided, and are subject to change based on the dental and/or vision plan's underwriting practices and your selection of available optional benefits, if any. Final rates and effective dates are subject to underwriting and are always determined by the dental insurance and/or vision insurance company. To be considered for reimbursement, expenses must qualify as covered expenses.
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