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Dental Health Maintenance Organization (HMO) / Managed Care

Dental insurance makes it easy to go to the dentist by minimizing out-of-pocket costs1 for routine dental check-ups, expensive procedures and most things in between.

Maximize your oral health while minimizing costs1

The MetLife Dental HMO/Managed Care Plan offers comprehensive coverage that protects your oral health and your wallet. Now that’s something to smile about!

An alternative coverage option with the Dental HMO/managed care network. Only available in CA, FL, and TX.

  • Large network of participating dental providers to choose from2
  • You will need to pre-select a dentist who participates in the network in order to receive benefits
  • Each enrolled family member may select a different participating dentist and has the ability to change dentists up to one time each month
  • Hundreds of services offered at costs that may be lower than typical dental fees1
  • No deductibles to meet and no claim forms to submit.

Find a Dental HMO (DHMO) Dentist

Our large network has many dental providers to choose from. Who’s the best fit for you?

 

  1. 1. Select “Search” to go to the Find a Dentist tool
  2. 2. Choose “Dental HMO/Managed Care” from the provider drop down
  3. 3. Enter your Zip code, click find
  4. 4. Select your plan from the plan options and select Go
Search

MetLife Oral Health Library3

Find information and tools for making better oral health choices

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Dental HMO FAQs

MetLife’s Dental HMO/Managed Care option is as dental benefit plan that provides benefits when dental care is received by a provider or facility participating in the network. DHMO coverage is available if you live in parts of NY, NJ, CA, FL, or TX. Coverage is for in-network dentists only. Each family member must pre-select an in-network dentist in order to receive benefits. You can change dentists up to once a month. You pay a copay for the services you receive. In some locations, the name of MetLife’s wholly owned DHMO company, SafeGuard, will appear.1

In order to access care, you will need to pre-select a Dental HMO provider for yourself and any other covered person in your family. The participating dentist you select will provide your routine dental care. You may schedule an appointment with your dentist after you have pre-selected them and any time after your plan’s effective date. You need to confirm the selected dentist is accepting new patients.

Yes. You and your enrolled dependents can each select different participating dentists and may change dentists as often as once a month. Your transfer will be effective the first day of the next month. Change requests made after the 25th of the month will be effective the first day of the second following month (e.g., a dentist change requested on March 28th will go into effect on May 1st). You should ensure any dental work-in-progress is completed prior to transitioning to a new dentist. Refer to your Schedule of Benefits and Evidence of Coverage for more details. These documents are state specific and can be found by logging onto www.metlife.com/mybenefits.

MetLife and its affiliates contract with both private practice dentists and those who are in a clinic environment. Every dentist who participates in the network has been thoroughly screened2 prior to acceptance. Participating dentists are also subject to regular audits, including onsite visits to the dental offices.

All dental offices that participate in the network provide information on how to obtain emergency care 24-hours a day, 7-days a week. If you cannot reach your selected participating dentist, you may receive emergency care from any licensed dental care professional. The definition of what is considered “emergency care” and other specifics can be found in the Schedule of Benefits and Evidence of Coverage documents.

While these facilities cannot accept new patients, you may not have to change dentists if you are currently a patient in one of those offices. It is important that you contact MetLife Customer Service in order to ensure that you can continue using your current facility under the plan. You can reach MetLife’s DHMO Customer Service by dialing 1-800-880-1800 from 8:00 am – 11:00 pm EST.

This is a “direct referral” plan which means your selected participating dentist will refer you to a participating specialist in your area – there is no need to wait for approval. Any copayment amount for services is listed on your Schedule of Benefits. This copayment applies whether the services are provided by your selected participating general dentist or by a participating specialist.

In California, orthodontic and pedodontics specialty services require pre-approval. Your selected participating dentist will contact SafeGuard for pre-approval. Once approved, your dentist will contact you with the name of a participating specialist.

Yes. If your current dentist does not participate in the DHMO/Manage Care network and you would like to encourage him or her to apply, ask your dentist to visit metdental.com, or call 1-866-PDP-NTWK for an application. The website and phone number are for use by dental professionals only. Due to contractual requirements, MetLife is prevented from soliciting certain providers.

You do not need an ID card to receive dental services. However, all members will receive an ID card as part of the transition to MetLife. ID cards will have the member name on them only. If you have a covered spouse and/or dependent(s) enrolled their name will not appear on the dental ID card. This ID card will remain good for as long as you are enrolled in the DHMO plan administered by MetLife. New cards will not be sent each year. If your card is lost or damaged, you can obtain a replacement card by logging onto www.metlife.com/mybenefits and printing one.

Dentists will submit your claims for you which means you will have no paperwork. You can track your claims online and even receive e-mail alerts when a claim has been processed.

You can reach MetLife’s Customer Service by dialing 1-800-880-1800 from 8:00 am – 11:00 pm EST.