Dental

Baldwin County Schools offers two dental PPO plan options: the Standard Plan and the Premium Plan.  Both plan options include preventive care at 100% with no deductible.  The Standard Plan has the lowest premiums and a lower annual maximum benefit and does not include orthodontic care coverage.  The Premium Plan has higher premiums, a higher annual maximum benefit, and includes coverage for orthodontic care.  Dependent children can be covered up to age 26.


 

Premium Information

Important Documents

The MetLife dental plan options provide coverage both in and out-of-network.  However, you will make the most of your dental plan benefits if you visit participating MetLife PDP Plus dentists.  To reduce your out-of-pocket costs and prevent balance billing, you are encouraged to use in-network dentists. Visit www.metlife.com/dental to locate participating dentists. Select “PDP Plus” dental network. You can also download the mobile app to view plan information, find a provider, or view your ID card.

 

Below is a benefit summary of your annual deductible and co-insurance costs.

Summary of Benefits


Important Notes


  • Deductible (waived for preventive); differing annual maximums depending on plan

  • Members utilizing MetLife participating dentists will enjoy discounted dental fees in addition to protection from balance billing for charges above the dentist’s maximum allowable charges. Members utilizing non-participating dentists will have the same benefits, but may be subject to balance billing.

Claims Process


In-Network

  • Participating MetLife dentists file the claim and accept payment from MetLife
  • Employees should not need to pay at the time of service for participating providers

 

Out-of-Network

  • For out-of-network dentists, if the dentist does not agree to file the claim as out-of-network with MetLife, employee pays at the time of service and files a claim for reimbursement
  • Charges by out-of-network providers that exceed Usual & Customary are the member’s financial responsibility. (Member pays the difference between the actual charge and the plan’s U&C reimbursement level.)

Virtual Dental Care


The MetLife Dental Plan offers virtual dental care for times when you're in pain or unable to visit a dentist in person. You can consult with a licensed dentist through a video call. Simply log in to your MyBenefits Account at online.metlife.com, and choose "Start Virtual Visit" to begin.