11/23/2023 0 Comments Met life dentalMetlife will not pay Dental Insurance benefits for charges incurred for: Orthodontic benefits end at cancellation of coverage.20% of the Orthodontia Lifetime Maximum will be considered at initial placement of the appliance and paid based on the plan benefit’s coinsurance level for Orthodontia as defined in the Plan Summary.All dental procedures performed in connection with orthodontic treatment are payable as Orthodontia.Your Children, up to age 19, are covered while Dental Insurance is in effect.Periodontal surgery once per quadrant, every 36 months.Periodontal scaling and root planning once per quadrant, every 24 months.Except as mentioned elsewhere in certificate.When dentally necessary in connection with oral surgery, extractions or other covered dental services.Root canal treatment limited to once per tooth per lifetime.Replacement of an existing temporary full denture if the temporary denture cannot be repaired and the permanent denture is installed within 12 months after the temporary denture was installed.Dentures and bridgework replacement one every 10 years.Initial placement to replace one or more natural teeth, which are lost while covered by the plan.Re-cementing of Cast Restorations or Dentures (once in a 12 month period).One application of sealant material every 60 months for each non-restored, non-decayed 1st and 2nd molar of a dependent child up to their 16th birthdayĬrown, Denture, and Bridge Repair / Recementations.For dependent children up to 14th birthday, once per lifetime per tooth area.Total number of periodontal maintenance treatments and prophylaxis cannot exceed two treatments in a calendar year.Replacement of existing amalgam if at least 24 months have passed since existing filling was placed, or a new surface of decay is identified on that tooth. One fluoride treatment per 12-month period for dependent children up to their 14th birthday.(cleanings, oral exams and bitewing x-rays)
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