Dental Plans

Word to the Wise: Healthy teeth can mean a healthier body. Studies show that routine dental care can help prevent serious health conditions such as heart disease, stroke, respiratory disease, premature births and complications of diabetes.

Your Dental Plan Options

Your First Data dental benefits help with the cost of preventive and routine care as well as restorative care and orthodontia. You share in the cost of your coverage with before-tax dollars deducted from your paycheck. You can choose from up to three plans to tailor your coverage to your dental care needs, family situation and budget.

Aetna Dental Maintenance Organization (DMO) plan:

You select a primary care dentist (PCD) who provides routine and basic care, and referrals to dental specialists within the Aetna network. Benefits are paid only when your PCD provides or coordinates your care. There is no deductible to meet and no annual benefit maximums.

MetLife Preferred Dentist Program (PDP): Plan A and Plan B

You may visit any licensed dentist for care, but you'll save when you choose dentists within MetLife's network. You meet a deductible each year, then pay a percentage of covered expenses. The plan has annual and lifetime benefit maximums.

 

Dental Plan Comparison At A Glance for in-network coverage:

Plan Features	MetLife PDP (Preferred Dental Program) Plan A	MetLife PDP (Preferred Dental Program) Plan B	Aetna DMO
Annual Deductible	$50/Individual $150/Family	$50/Individual $150/Family	$0/Individual $0/Family
Preventive/Diagnostic	100%	100%	100%
Basic Restorative Services	80% after deductible	90% after deductible	90%
Major Restorative Services	60% after deductible	70% after deductible	60%
Annual Maximum Benefit (per person)	$1,500  (in network) $1,250 (out of network 2012)	$3,000 (in network) $2,500 (out of network 2012)	Unlimited
Orthodontia (for children up to age 19)	50% up to $1,500 per covered child (lifetime)	50% up to $1,500 per covered child (lifetime)	50% (no lifetime maximum)

MetLife dental claim form.
When completing the form, please include:

• Report Number (box #6):
  85862 for MetLife Preferred Dentist Program Plan A
  308129 for MetLife Preferred Dentist Plan B
• Name of Group Dental Program (box #10)
  First Data Corporation

Aetna DMO

• Group Number 876518