VA DENTAL INSURANCE PROGRAM (VADIP)

MetLife VADIP Dental Plan Benefit Options

Find out what the MetLife VADIP plans cover and decide on an option that's right for you.

Choose MetLife Benefits

With MetLife’s Veterans Affairs Dental Insurance Program, you have a choice of two plan options ‐ Standard and High. Both plans provide savings1 for you and your family. We offer:

  • No waiting periods for major procedures (except for Orthodontia in high plan which has a 24‐month waiting period)
  • Competitive pricing
  • Discounted In‐Network Dentist fees

Please review the plan details below to help you decide on the option that best fits your needs.

Standard Option

$1,300/$1,5002 in‐network annual maximum per person

  • No cost for in‐network cleanings, X‐rays and exams
  • No annual deductible for in‐network benefits

High Option

This option provides you with additional protection from unforeseen dental costs

  • $3,000/$3,5002 annual plan maximum per person
  • Orthodontia coverage for dependent children up to age 193
  • No cost for in‐network cleanings, X‐rays and exams
  • No annual deductible for in‐network benefits

What will your plan cover?

Coverage Option

Basic — Class A

cleanings, X-rays and oral examinations*

Intermediate — Class B

fillings and periodontal maintenance

Major — Class C

crowns, bridges, root canal treatment and dentures

Orthodontia – Class D

comprehensive orthodontic treatment, fixed appliance

Standard Option

In-Network

100%

50%

30%

Not Covered

Out-of-Network

60%

40%

20%

Not Covered

High Option

In-Network

100%

70%

50%

50%

Out-of-Network

90%

60%

40%

50%

*Subject to frequency limitations available in the VADIP Plan Summary.

Maximums and Deductibles

Coverage Option

1st Year Annual Maximum/ Maximum Per Person

Dependent Child Ortho Lifetime Maximum Per Person

Annual Deductible Per Person

(Applies to Basic, Intermediate and Major Services)

Standard Option

In-Network

$1,300/$1,500*

Not Covered

$0.00

Out-of-Network

$1,000/$1,200*

Not Covered

$50.00

High Option

In-Network

$3,000/$3,500*

$3,000

$0.00

Out-of-Network

$3,000/$3,500*

$3,000

$50.00

*Increases on January 1st following completion of 12 months of enrollment in selected option.

Orthodontia and In vs Out-of-Network

Our network of dentists and specialists

Find a dentist near you.

Enrolling is Easy!

Click on 'Enroll Today' or call 1-888-310-1681
TDD: 888-671-4265
Monday - Friday 8am-11pm EST

1 Savings from enrolling in a dental benefits plan will depend on various factors including the cost of the plan, how often participants visit a dentist and the cost of services rendered.

2 The Annual Maximum will increase by $200 in the Standard Option, and by $500 in the High option on January 1st following completion of 12 months of enrollment in the selected option.

3 Adult orthodontia unavailable.

4 IN-NETWORK: Negotiated fees with participating dentists are typically 30% to 45% less than average dental charges in the same community based on MetLife data. Negotiated fees refer to the fees that participating (in-network) dentists have agreed to accept as payment in full for covered services rendered by them , subject to any deductibles, cost sharing and benefits maximums. Negotiated fees are subject to change. For in-network covered services, the percentages shown are the percentage of the negotiated fee that is covered by the plan. Negotiated fees may also apply to services your dental plan does not cover or services received after you’ve reached your annual plan maximum, depending on applicable law.

5 OUT-OF-NETWORK: Reimbursement for out-of-network services is based on the lesser of the dentist’s actual fee or the Maximum Allowable Charge (MAC). The out-of-network Maximum Allowable Charge is a scheduled amount determined by MetLife.

Like most group benefits programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods, and terms for keeping them in force. Please contact MetLife or view the VADIP Plan Summary for cost and complete details.

The service categories and plan limitations shown above represent an overview of your plan benefits. This document presents the majority of services within each category, but is not a complete description of the plan.

Negotiated fees refer to the fees that in-network dentists have agreed to accept as payment in full for covered services, subject to any co-payments, deductibles, cost sharing and benefits maximums. Negotiated fees are subject to change.