Published on April 14, 2023, Updated on April 19, 2023
Metlife Dental has the following Pediatric dental coverage plans available: MetLife TakeAlong Dental PPO-Low, MetLife TakeAlong Dental PPO-Medium, and MetLife TakeAlong Dental PPO-High.
MetLife dental coverage plans for Pediatric Dentistry
Your child or dependent has the option to select any board-certified pediatric dentist, in- or out-of-network, with MetLife PPO plans since they offer benefits for a wide range of covered oral care and dental procedures. Preventive care is typically fully covered in-network by MetLife PPO plans, which also offer an extensive network of pediatric dental providers, greater savings when you and your dependent stay in-network, no paperwork; in- or out-of-network pediatric dentists who submit your claims, and convenient service via MetLife’s secure member website.
MetLife TakeAlong Dental PPO-Low
With the MetLife TakeAlong dental PPO-low plan, members and their dependents can have an estimated 100% or full coverage on diagnostic services and preventive dental care including oral exams, bitewing x-rays for children, fluoride treatment, and dental cleanings with no waiting period. Coverage for basic restorative services, such as full mouth x-rays, dental sealants, teeth fillings, and tooth extractions, are estimated to be 50% with a 6 month waiting period.
MetLife TakeAlong Dental PPO-Medium
You and your dependent can have an estimated 100% coverage on preventive dental care and diagnostic services, such as dental exams, teeth cleanings, fluoride, and bitewing x-rays for children with no waiting period under MetLife TakeAlong dental PPO-medium plan. With MetLife TakeAlong dental PPO-medium plan, an estimate of 70% are covered for basic restorative services like sealants, full-mouth x-rays, tooth fillings, as well as tooth extractions and there’s a 6 month waiting period. Major restorative services including inlays, porcelain onlays, and root canals have an estimated 50% coverage with a 12 month waiting period.
MetLife TakeAlong Dental PPO-High
MetLife TakeAlong dental PPO-high plan covers an estimated 100% of your and your dependent’s preventive dental care and diagnostic services with no waiting period. These include professional cleanings, oral exams, fluoride treatment, and bitewing x-rays for children. The coverage for basic restorative services like dental sealants, full-mouth x-rays, tooth fillings, and simple extractions is an estimate of 80% with a 6 month waiting period. With MetLife TakeAlong dental PPO-high plan, major restorative services namely porcelain onlays, dental inlays, root canals, and crowns have an estimated 50% coverage with a 12 month waiting period. The program pays an estimate of 50% up to $1,000 for orthodontic services for children.
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Does MetLife dental cover Retainers after Braces for kids?
MetLife Dental may cover part of your kid’s retainers depending on the specific PPO plan and coverage you and your dependent have. It’s possible that negotiated fees may extend to services not covered by your and your dependent’s plan and services your dependent received after the plan maximum was met. You may only be responsible for the negotiated fee if permitted by law in your state. Please give us a call to find out what might be covered for your child’s specific situation. Source
MetLife Dental covers X-Rays for Children?
With MetLife Dental, bitewing x-rays for children are estimated to be 100% or fully covered with no waiting period. Bitewing dental x-rays for children are covered once every 6 months. Full mouth x-rays for children are estimated to be 50%-80% covered with a 6 month waiting period. One set of full-mouth x-rays is covered in 60 consecutive months. Source
Does MetLife Dental cover Cleaning and Tooth Fillings for Children?
MetLife dental TakeAlong PPO offers an estimated 100% coverage of dental prophylaxis or teeth cleaning for children once every 6 months with no waiting period. MetLife Dental TakeAlong PPO plans also provide coverage of about an estimated 50%-80% of amalgam and resin composite fillings for kids. The waiting period is 6 months and is limited to one per tooth surface every 24 consecutive months.
Are Frenectomy, Tongue Tie and Lip Tie covered by MetLife Dental?
MetLife Dental may cover part of your child’s frenectomy, lip tie surgery, or tongue tie procedure depending on the specific PPO plan and coverage you and your dependent have. It’s possible that negotiated fees may extend to services not covered by your and your dependent’s plan and services your dependent received after the plan maximum was met. You may only be responsible for the negotiated fee if permitted by law in your state. Please give us a call to find out what might be covered for your child’s specific situation.
For residents of Colorado: As required by the Affordable Care Act, MetLife Dental TakeAlong PPO DOES NOT cover pediatric dental services. In the state of Colorado, it is possible to purchase coverage for children’s pediatric dental services as a stand-alone Program. To acquire either a Program that includes pediatric dental coverage or an Exchange-qualified stand-alone dental Program that includes dental coverage for your children, please get in touch with your insurance provider, agent, or Connect for Health Colorado.
For latest information, please visit: https://www.metlifetakealongdental.com/ and https://oralfitnesslibrary.com/Home/Insurance-Items/Insurance-FAQs-Items/FAQs-about-MetLife-PPO-dental-plan for more details.
DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 3/27/2023. The above logo & trademarks are property of MetLife Dental.