The MetLife Plan Copay provides a copayment schedule for treatment rendered by a PDP network dentist. The copay schedule is based on the region where you are receiving care. Your out-of-pocket expense will usually be lower if your dentist is a participating network dentist. Out-of-network dentists do not use the copayment schedule.
The Delta Dental DeltaCare plan can be used in Illinois only. When you enroll, you will choose a dentist from the DeltaCare network. If you need to see a specialist, your dentist will provide you with a referral. You may change your selected dentist by calling Delta Dental at 1-800-942-3772.
Delta Dental is not an affiliate of MetLife, and the services they provide are separate and apart from the insurance provided by MetLife.
An annual maximum is the maximum dollar amount a benefit plan will pay toward the cost of care within a specific benefit period.
The portion of the cost of your treatment that you are required to pay. Most plans pay a pre-determined percentage of the cost, and you pay your coinsurance amount even after your deductible is reached.
A specific dollar amount that you must pay before the plan begins to cover your expenses.
This is a document you receive from your insurance carrier after you visit the provider. It is not a bill, but rather an explanation of what procedures were performed and what was covered by your plan. These documents may vary with different insurance providers but should include the provider’s fee, the portion your insurer paid and any amount you may owe (such as deductible, coinsurance or non-covered services). It should also include an update on how much of your annual maximum has been used and the amount you’ve paid toward your deductible.
A qualifying life event includes a change in marital status (marriage or divorce), the birth of a child, adoption of a child, or loss of other coverage. You can enroll under a qualifying life event up to 60 days after such an event. If you miss that window, you will have to wait for the next available open enrollment period. If you have a qualifying life event, please contact the Student Support Team at (877) 247-8817.
View the Member Connection flyer to find out how to register. Visit the Member Connection site where you can access benefits, eligibility, and claims information for your plan.
Once premium has been paid and your policy is in-force, there will be no cancellations, refunds, or early termination of coverage. There is a $25 fee for issues related to payment via check or electronic processing.
Benefit Partners Technology administers the enrollment and payment process. If you have any questions, please contact the Student Support Team toll-free at (877) 247-8817.
For questions about benefits or claims, please visit the Contact Us page of this website for carrier specific contact information.