Postdoc Dental

The Postdoc dental plan features:
 

  • 100% coverage for preventative care, like exams and cleanings

  • 80% coverage for procedures like fillings

  • 65% coverage for more involved procedures, like crowns

  • TMJ coverage for mouth guards

  • Orthodontic for adults and coverage for children to age 26

  • $2250 calendar year maximum

  • Reimbursement for out-of-network benefits will be based on the 99th percentile of “reasonable and customary” charges (see description for details).

 

There is no deductible when you see an in-network dentist (a once per year deductible applies for out-of-network providers: $75 for individuals and an aggregate $225 for families.)

 

Please review the full description before utilizing the coverage.

Click for

Dental Plan

Description

Overview of the Plan

Please note: The dental plan operates on a calendar plan year. This means that your available benefit renews each January 1, as does your requirement to pay any relevant deductible.

Who can be covered?
Relevant Plan Documents

Eligible postdocs who are employed at least half-time, their dependent spouses, same and opposite sex domestic partners, and children up to age 26.  No other family members are eligible for coverage under the plan.

Click here for the Metlife Claim Form.

Click here to register on MetLife's MyBenefits site where you can access your claims information and estimations of benefits. If asked for your employer group, it is UMass Postdoc Unit.

Click here for the MetLife Coordination of Benefits Policy.

Important to Note
Cost

It's important to ask your dentist for a pre-treatment estimate prior to having procedures beyond basic cleanings.  That way, you'll know in advance exacty what portion of the costs your benefits will cover and what you wil be required to pay out of pocket.

 

Your MetLife plan renews on the calendar year, each January 1st. This means your calendar year maximum is available to you again in full at the first of each year. This also means your once per year deductible must be paid again once the calendar year begins anew.

The dental plan is free for eligible individuals. Family plans are available with a premium contribution.  The Trust Fund subsidizes the cost of the single+1 and family plan to ensure the employee premiums are affordable. 

 

single plan: FREE

single + 1 plan: (you + a spouse/partner or 1 child): $15.00/month

family plan: (you + multiple dependents): $30.00/month

Finding a Dentist
Using Benefits Out-of-Network

There are more than 158,000 participating PDP dentist access points nationwide, including 37,000 specialist. 

 

You can search for a PDP Plus dentist in any zip code.  When prompted, our network is PDP Plus.

 

Or visit www.metlife.com/mybenefits if you are registered on MyBenefits. You can also call 1-800-ASK-4MET (800-275-4638).

 

Click here for a sample list of local in-network dentists.

You should always confirm that your dentist or facility is participating in our network at the time you make your appointment.

While you maximize your benefits when seeing a MetLife dentist, you can still choose to go out-of-network. Reimbursement for your out-of-network benefits are based on the 99th percentile of “reasonable and customary” charges (see description for details).

413-345-2156

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Connect With Us:

6 University Dr

Suite 206-229

Amherst, MA 01002

Skype:
Mail:
Fax:

866-795-2684

413-345-2156

Call:

healthwelfaretrustfund

copyright 2017 UAW/UMass HWTF