Dental benefits are provided through MetLife, so you can seek treatment from the dentist of your choice. Two options are available — a Low Plan and a High Plan. To keep your out-of-pocket costs down, use an in-network MetLife PPO dentist; choosing a PPO dentist also removes the risk of balance billing.
Dental
What you pay per paycheck.
Premium rates are specific to your group, so they live behind a secure member login rather than on this public page. The plan design, deductibles, and coverage shown here are the same for every group.
- Active and retiree per-paycheck premiums for the Low and High plans
- Rates specific to your group
Not a member yet? A prospective municipality can request a custom quote from the Contact page.
Compare the Low and High plans.
In-network amounts apply when you use a MetLife PPO dentist. Out-of-network care is still covered, but you may be balance-billed.
| Benefit | Low — In Network | Low — Out of Network | High — In Network | High — Out of Network |
|---|---|---|---|---|
| Annual Deductible — Individual | $0 | $25 | $0 | $25 |
| Annual Deductible — Family | $0 | $75 | $0 | $75 |
| Annual Benefit Maximum | $1,000 | $1,000 | $1,500 | $1,500 |
| Preventive / Diagnostic | 100% | 100% | 100% | 80% |
| Basic Services Palliative treatment, brush biopsy, space maintainers, sealants, fillings, crown repair, relines/repairs to prosthetic appliances | 80% | 80% | 80% | 80% |
| Endodontic / Periodontic / Oral Surgery Root canals, extractions, dental surgery, TMD treatment | 80% | 80% | 80% | 80% |
| Major Services Crowns, bridges, implants, dentures | 50% | 50% | 50% | 50% |
| Orthodontia — Braces | Not covered | Not covered | 50% | 50% |
| Lifetime Orthodontia Maximum | — | — | $1,900 | $1,900 |
| Orthodontic Age Limit | None | None | None | None |