3000, 3500, 4000 & 5000 MetLife DHMO MET100, MET185, SmileSaver DHMO 1000, 3000 MetLife DHMO and MetLife DPPO Dental Plans. Can I change my dentist and dentists for my enrolled dependents? Discount Plan Organization and administrator: Careington International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034; phone (800) 441-0380. "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 Plans" in California; "Prepaid Limited Health Service Organizations" as described in Chapter 636 of the Florida statutes in Florida; "Single Service Health Maintenance Organizations" in Texas; and "Dental Plan Organizations" as described in the Dental Plan Organization Act in New Jersey. This program is not available in Washington, Utah and Vermont. To search for a MetLife DHMO provider, choose this plan option: Then select the DHMO plan name MET245 from the drop down box: Rev 04.13 . Easily make the switch from group dental to our portable plan. Dental benefits are provided by Metropolitan Life Insurance Company (MetLife) or an affiliate of MetLife. The member(s) in orthodontia treatment may continue to receive treatment from the current treating orthodontist with no interruption in service and no change in out-of pocket costs. KFF. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc., a California corporation in CA; SafeGuard Health Plans, Inc., a Florida corporation in FL; SafeGuard Health Plans, Inc., a Texas corporation in TX; and MetLife Health Plans, Inc., a Delaware corporation and Metropolitan Life Insurance Company, a New York corporation in NJ. If you are looking for a medical provider, please use our Physician Finder Tool. Explore options for DHMO or PPO dental programs. Find a Dentist Our direct pay network makes processing easy. We have separated part of our U.S. business from MetLife to become its own company, called Brighthouse Financial, Inc.Click here for contact information. As part of our network, youll be included as a preferred direct pay provider on the MetLife Worldwide Benefits member portal, eBenefits. Members present their MetLife Worldwide Benefits ID card and a form of identification when they arrive in your office. If you are a member of a SmileSaver benefits plan. Group dental insurance policies featuring the Preferred Dentist Program are underwritten by Metropolitan Life Insurance Company, New York, NY 10166. 2020 MetLife Services and Solutions, LLC. You will then be prompted to select your plan from the list. To find out additional fee information on common procedures in your area, the process is simple just enter your dental service providers office zip code, then click on . At time of enrollment, you are able to elect coverage for your dependents. Pair comprehensive coverage and great savings1 with our HMO/managed care network. If you do not apply for a new policy within 60 days of the date you request to end this policy, you may not be eligible to apply for a new dental policy from MetLife or there may be time restrictions on when you may apply for a new policy. Delta Dental Select Delta Dental Premier - PPO Platinum. Emergency Dental Care means dental screening, examination, and evaluation by a Dentist, or, to the extent permitted by applicable law, by appropriate personnel under the supervision of a Dentist to determine if an Emergency Dental Condition exists, and, if it does, the care and treatment necessary to relieve or eliminate the Emergency Dental Condition. The plans are simple to use. Careington is not affiliated with MetLife or its affiliates. The Dental HMO/Managed Care companies are part of the MetLife family of companies. Email: Sales@CalChoice.com, MetLife DHMO MET100, MET185, SmileSaver DHMO 1000, 3000, Vision Discount and Voluntary Vision Plan. We are currently offering a Preferred Provider Organization (PPO) program nationwide as an individual dental insurance policy. Continue to receive the same great dental benefits and network access, with the ability to keep your current dentist and the plan you know and trust. This will help ensure you are able to receive the care you need if your first choice is unable to accept new members. The MetLife DHMO plan requires you to select a MetLife DHMO provider. The MetLife Exclusive Provider Organization (EPO) contains features similar to PDP & DHMO. Necessary emergency dental care services, including the treatment and stabilization of an Emergency Dental Condition. contact us Members Find important information about your plan, look up a provider and download forms here. Dental Managed Care plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation, in NY. Please contact MetLife for costs and complete details.Dental Managed Care Plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation in NY. Plus, you'll enjoy: Yes. Plan Web, Phone and Mobile App 2023 Group Numbers . Plan members must pay for all services but will receive a discount from participating providers. New Jersey MetLife Health Plans, Inc., a Delaware corporation, and Metropolitan Life Insurance Company, a New York corporation, in NJ A Dental Health Maintenance Organization (HMO) or Managed Care, covers in-network providers only, and you must choose a primary care dentist for all services. No matter which program or level of coverage you choose, you'll enjoy competitive prices and robust benefits with thousands of participating locations. Your reimbursement from Us for treatment for an Emergency Dental Condition, if any, is limited to the extent the treatment You or Your Dependent received directly relates to the evaluation and stabilization of the Emergency Dental Condition. Most cleanings and exams are covered 100%.4, As a MetLife member, take advantage of our negotiated fees, typically 35 - 50% less than the average dental costs.3. Sign in to view your personalized benefits. L0823033960[exp0825][All States][DC,GU,MP,PR,VI], If you download a form we recommend that you bring a claim form with you when you visit your dentist. The cut-off for selecting your DHMO provider is on the 25th of each month. All dental offices that participate in the network provide instructions on how to access emergency care 24 hours a day, 7 days a week. PDF State Benefits Provided By Additional Information - MetLife Benefits Through Your Employer (MyBenefits), MetLink - Access your company's benefits data, MyBenefits - Benefits Through Your Employer, MetLife's Online Service - Life, Annuities, Disability, Long-Term Care, Critical Illness, Auto, Home, Total Control Account (eSERVICE), Access the MetLink section of the website, Access the DigitalSolution section of the website, Access the MyBenefits section of the website, Access the Specialized Benefit Resources (SBR) section of the website, Dental Insurance Plans: Healthy Smiles Ahead | MetLife. You have access to hundreds of dental services at costs that may be considerably lower than your cost would be without this program. Complete the Hospital Profile Application form, and a MetLife Global Network Development team will contact you within 2 business days. Learn more Employers If you offer our benefits, access plan, billing, enrollment and eligibility information here. Indicated below is a comparison chart of all the plans. You may reach the department at 1-888-HMO-2219, TDD: 1-877-688-9891, or http://www.hmohelp.ca.gov. // Array of day names You can also contact MetLife Customer Service by calling 800-942-0854. At time of enrollment, you will choose how you want to pay. The range of discounts will vary depending on the type of provider and service. If your medical event doesnt meet your plans requirements, you may not receive coverage. All reimbursements will be allocated in accordance with the group contract, subject to any exclusions and limitations. Please contact MetLife or view the VADIP Plan Summary for cost and complete details. Quality Resource Guides / Continuing Education - As an ADA approved provider under its Continuing Education Recognition Program (CERP), see what educational opportunities MetLife can make available to you. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc., a California corporation in CA; SafeGuard Health Plans, Inc., a Florida corporation in FL; SafeGuard Health Plans, Inc., a Texas corporation in TX; and MetLife Health Plans, Inc., a Delaware corporation and Metropolitan Life Insurance Company, a New York corporation in NJ. How to nd doctors and other health care providers How to le a claim, resolve claim issues and understand your Explana on of Benets (EOB) You may need to provide your group number, which you can nd on your ID card or below. Find a Dentist. HMO Insurance Plans: How Do They Work? | MetLife Our members know that when they visit a preferred provider, they can expect quality care and seamless service. The MetLife Exclusive Provider Organization (EPO) contains features similar to PDP & DHMO. 6Based on MetLife data. 3. 1Savings from enrolling in a dental benefits plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered. Dental screening examinations and other evaluations required by state or federal law, which are necessary to determine whether an Emergency Dental Condition exists. Negotiated fees typically range from 35 - 50% less than the average charges in a dentists community for similar services.3. Every dentist who participates in the network has been thoroughly screened prior to acceptance. VADIP: Like most group 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. Procedure Fees. To search for a MetLife DHMO provider, choose this plan option: Then select the DHMO plan name SG 220D-TX from the drop down box: Plan Type' Select your Plan Type Preferred Provider Organization (OPPO) Plan Type' Select your Plan Type Managed Dental Plan" Plan Name. Your Username or Password? For more . Contact Us - MetLife Are you an international healthcare provider outside of the United States looking to join our network? You must see an in-network EPO provider to utilize dental benefits. Scammers impersonate a trusted company to convince their targets into revealing or handing over sensitive information such as insurance, banking or login . Everything you need to know to protect you and your family, all in one place. You must see an in-network EPO provider to utilize dental benefits . Box 981282El Paso, TX 79998-1282, Customer Service:Monday - Friday8:00 a.m. to 8:00 p.m., EST, Claims:Monday - Friday8:00 a.m. to 11:00 p.m., EST. Simply choose one of the plans you are considering. Learn how to get one now. PPO Provider Search A range of Dental HMO/Managed Care programs are available to groups in California, Florida, Texas, New York and New Jersey. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc. a California corporation, in CA; SafeGuard Health Plans, Inc. a Florida corporation, in FL; SafeGuard Health Plans, Inc., a Texas corporation, in TX; and MetLife Health Plans, Inc., a Delaware corporation, and Metropolitan Life Insurance Company, a New York corporation, in NJ. Get the latest news and information about the Dental HMO/Managed Care Network^ and Products. If your selected participating dentist determines that you need specialty care, you have access to a network of specialty care providers. Most plans are direct referral plans, which means your selected participating dentist will provide you with the name of a network specialist. Orange, CA 92868, Phone: (800) 558-8003 November 10, 2021. 2023 MetLife Services and Solutions, LLC. If you need interpretation services and are enrolled in the Preferred Dentist Program (Dental PPO) or Dental HMO/Managed Care Plan, please call 1-844-2METDEN (1-844-263-8336). Vision providers can check the status of a claim, submit a claim, view facility reference guides and more. MetLife will provide 60 days advance written notice if discontinuing an individual dental policy. What is the MetLife Preferred Dentist Program? If You or Your Dependent's physical condition does not allow for such notification, You must make the notification as soon as it is reasonably possible to do so. Select one of the SafeGuard DHMO Plans or one of the MetLife IndemnityDental Plans. It does not describe any Metropolitan Life Insurance company product or feature. All participating dental offices provide information regarding emergency access 24 hours a day, 7 days a week. The plan does not pay providers directly. PDF Find a participating Dentist in the Dental HMO/ Managed Care plan You're about to leave CalChoice.com. The range of discounts will vary depending on the type of provider and service. Careington is not affiliated with MetLife or its affiliates. 2023 MetLife Services and Solutions, LLC. var year = now.getFullYear() Help / Frequently Asked Questions - MetDental.com If treatment for an Emergency Dental Condition is required, You or Your Dependent may go to any dental provider, go to the closest emergency room, or call 911 for assistance, as necessary. No matter what you select, your coverage is built to last (unlike with short-term options like COBRA). Safeguard View and manage your Safeguard and SmileSaver Dental and Vision benefits here. The Fusion Vision Reimbursement benefit is an added feature of PPO 4000 and 5000; it offers a $100 annual maximum per calendar year to spend at any eye care provider. Find out how to apply for the Preferred Dentist Program You may choose one of four dental plans, offered by SafeGuard, a MetLife Company and Metropolitan Life. New York, NY 10166 - All Rights Reserved. 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 Plans in California; Prepaid Limited Health Service Organizations as described in Chapter 636 of the Florida statutes in Florida; Single Service Health Maintenance Organizations in Texas; and Dental Plan Organizations as described in the Dental Plan Organization Act in New Jersey. You may also view current In- Network providers via our web website at MetLife.com/FEDVIP-Dental. Once approved, your dentist will contact you with the name of a participating specialist. Yes. Just click on the link that applies to you. Certain administrative services are provided by Careington BenefitSolutions (Careington), Frisco, TX. KFF. Accessed February 1, 2021. This scamming can happen via text, email or websites set up to look like the trusted company. PDF Dental HMO Bene ts - Miami-Dade County Dont wait until a problem forces you into the dentists chair! Dental Rewards by Ameritas are available to members . Quick and easy access to MetLife customer support services and resources. The definition of what is considered emergency care and other specifics can be found in your policy, Certificate of Insurance, Evidence of Coverage or Summary Plan Description. Learn more about our plans and programs, find a dentist, or sign in to view patient eligibility, plan detail, and claims. If youre still not sure which option is right for you, talk to your HR representative or employer to find a plan that aligns with your priorities. As long as you are registered with theMyBenefitswebsite, you can conveniently change dentists online. Through this portal you can research basic information about your plan, look up a provider, download forms, and find important benefit information. MetLife Vision & Dental Plans - SEIU2015 With our lifelong, portable dental plan, you can retire with nationwide network access and the same great dental benefits you know and trust. A Dental Health Maintenance Organization (HMO) or Managed Care, covers in-network providers only, and you must choose a primary care dentist for all services. However, you must apply for a new policy in order to become insured for another coverage option. Find an In-Network Dentist - Humana For the latest updates from MetLife , click here. MetLife and its affiliates contracts with dentists who work in private practices and clinics. 1 The plans are simple to use. A range of Dental HMO/Managed Care programs are available to groups in California, Florida, Texas, New York and New Jersey. HMO insurance coverage may be available as part of a health, dental (typically referred to as a DHMO), or vision benefits plan. PDF Dental HMO/Managed Care - AustinTexas.gov No matter which program or level of coverage you choose, you'll enjoy competitive prices and robust benefits with thousands of participating locations. All SafeGuard Selected General Dental Offices and Specialty Care Dentists provide emergency dental services twenty-four (24) hours a day, seven (7) days a week. If you have children, consider more comprehensive coverage for less out-of-pocket costs, as well as an option for braces. Please be advised MetLife has contracted VPoint to provide credentialing and recredentialing services on MetLife's behalf. Did you know that a crown can cost up to $1,535?7. You may cancel within the first 30 days after effective date or receipt of membership materials (whichever is later) and receive a full refund. // patched for y2k bug! Please be advised Zelis is the new payment solution for MetLife claim payments. No paperwork; in- or out-of-network dentists submit your claims, More savings in your wallet with MetLifes negotiated fees at savings of 35-50% off dentist list prices, Preventive care is often covered 100%, in-network, Large network of participating dental providers to choose from, Hundreds of services offered at costs that may be lower than typical dental fees, No deductibles to meet and no claims to submit, More savings in your wallet because MetLife has negotiated network fees at 35%-50%lower than typical service costs, Freedom to choose your dentist, both in- and out-of-network, but higher costs may apply for out-of-network, 100% coverage for hundreds of services and procedures, Program options that fit your budget and oral health needs, 100% coverage for in-network cleaning and exams, No waiting periods for most major procedures, Orthodontia coverage for children up until age 19 (High plan), 100% coverage for in-network cleanings and exams, No waiting periods for in-network services, Discounts up to 50% when you use an in-network dentist, Yearly cost less than attorney fee for a one-hour consultation, A nationwide network of over 18,000 experienced attorneys, Flexible support options online, by phone, or in person. REPRESENTATIVES, Sorry, we couldn't find any results matching. SmileSaver Members Crowns: $245 per unit - Crown - Porcelain fused to high noble metal. Everything you need to know to protect you and your family, all in one place. Log in to MyBenefits and well fill it in automatically when you search for a dentist. Learn about the vision benefits available through our two programs. c.111M and 956 CMR 5.00. It is important that you respond to VPoint to ensure your continued relationship with MetLife. Please include your name, family ID number, address and telephone number on all requests for reimbursement. The plan also provides for an additional frame allowance. Any copayment amount for specialty services is listed in your Schedule of Benefits. You may have seen recent news coverage of customers of financial services companies falling victim to social engineering scams. Our coverage provides for you and your family, now and through all your stages of life.