The Kyndryl Dental Plus option offers an enhanced benefit, covering preventive, diagnostic, basic restorative and major restorative services, up to $2,000 per covered person per year, as well as orthodontia care, limited to a lifetime maximum of $2,500 per covered person.
The chart below shows what you pay for covered services under the Kyndryl Dental Plus option.
Note: Frequency and treatment limits may apply and the most common care procedures are listed in each category, other procedures may be covered. Also, some procedures have varying levels of treatment. Contact MetLife for more details.
|
In-Network |
Out-of-Network |
Annual Deductibles/Benefit Maximums |
Annual deductible |
None |
None |
Annual benefit maximum |
$2,000 per person, in- and out-of-network combined |
Lifetime benefit maximum |
None |
None |
Orthodontia lifetime benefit maximum |
$2,500 per person, in- and out-of-network combined |
Preventive Care |
Routine exams, cleanings, X-rays, fluoride treatment |
Reimbursed at 100% of negotiated fee for all eligible charges. |
You pay 0% of the usual and prevailing (U&P) rate, plus any amount over the U&P rate for all eligible charges. |
Minor Restorative Care |
Amalgam fillings, composite fillings |
You pay 20% of the negotiated fee for all eligible charges. |
You pay 20% of the U&P rate, plus any amount over the U&P rate for all eligible charges. |
Major Restorative Care |
Root canal therapy; gingivectomy; periodontic, scaling and root planing; crowns and bridges; dentures; extractions |
You pay 35% of the negotiated fee for all eligible charges. |
You pay 35% of the U&P rate, plus any amount over the U&P rate for all eligible charges. |
Orthodontia |
Orthodontia treatment |
You pay 50% of the negotiated fee, plus 100% of any amount that exceeds the lifetime maximum. |
You pay 50% of the billed fee, plus 100% of any amount that exceeds the lifetime maximum. |