Name: TakeAlong Dental HMO-Managed Care 245 (High)
Brand: MetLife

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$11.02 /mo.

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TakeAlong Dental HMO-Managed Care 245 (High)

Plan Type DHMO

Dentist Search

$11.02 /mo.

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Plan Highlights

Keeping your teeth healthy without a dental program can be expensive. Having the right dental coverage makes it easier to visit the dentist and helps lower your costs. That’s where MetLife TakeAlong Dental comes in! It offers competitive pricing and great benefits today and in the future, providing you with continuous coverage.

Introducing MetLife TakeAlong Dental DHMO/Managed Care Program.

Two plans/benefit coverage levels to choose from: LOW or HIGH.

This is a brief description of services covered under the MetLife TakeAlong Dental, DHMO-HIGH/Managed Care Program. For details please see Full Schedule of Benefits:

Pre-select a dentist at time of enrollment, who participates in the network
Broad network of carefully screened general dentists and specialists who provide dental care at a reduced cost
No waiting periods, claim forms, deductibles or annual maximums

For more details and program information, please see the Additional Network Information section towards the bottom of this page.

Please read the Schedule of Benefits including the exclusions and limitations before beginning your enrollment.

Common Procedures

Details

Full Schedule of Benefits | Dentist Search

Exams: $5 – Office visit – per visit
$0 – Oral Exams – two per calendar year
$5 – Limited oral evaluation-problem focused

Cleanings: $0 – Prophylaxis – cleanings – two per calendar year

X-Rays: $0 – Bitewing X-rays – adult & child
$0 – Full-mouth X-rays

Fillings: $0 – Amalgam fillings – one surface, primary or permanent
$25 – Resin-based composite fillings (white fillings) – one surface, anterior

Extractions: $5 – Simple extractions

Crowns: $245 per unit – Crown – Porcelain fused to high noble metal

Root Canals: $110 – Root canal (anterior tooth)

Dentures: $325 per unit – Complete denture – maxillary or mandibular
$350 per unit – Immediate denture – maxillary or mandibular

Deep Cleanings: $40 – Periodontal maintenance
$50 – Periodontal scaling and root planing – four or more teeth per quadrant

Implants: Not Covered Service

Braces / Orthodontia: 75% of usual and customary fees (UCR) – Orthodontic treatment – child
75% of usual and customary fees (UCR) – Orthodontic treatment – adult

Teeth Whitening: $125 – External bleaching, per arch

Additional Network Information:

Under MetLife TakeAlong Dental DHMO/Managed Care Program you must pre-select a dentist, at time of enrollment, 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.

Exclusions and Limitations
Privacy Policy
Plan Brochure
Summary of Dental Benefits and Coverage Disclosure Matrix

Notes:

Certain exclusions and limitations may apply to these programs. Please view the covered services/limitations and exclusions which can be found in the schedule of benefits for each program.

FAQ

Can I change my dentist once I am in the plan?

Yes. You and your enrolled dependents may each select different participating dentists and once you enrolled in the plan, you may change dentists as often as once per month by calling TakeAlong Dental Customer Service or online from your TakeAlong Dental account. Your transfer will be effective the first of the following month. Please note: any requests made after the 25th of the month will take effect the first of the second following month (e.g., a facility request change made on March 28th will go into effect on May 1st). You should ensure any dental work-in-progress is completed prior to transferring to a new dentist. Refer to your Evidence of Coverage included with your enrollment materials for more information.

What is a pre-existing condition versus work-in-progress? Is it covered?

What provider options do I have?

When can I start using my Plan?

When will I receive my new member kit and what will it include?

Who can enroll in this plan?

MetLife Service & Solutions LLC
New York, NY 10166

SafeGuard Health Plans Inc.
Irvine, CA 92614

Disclaimers & Disclosures

Dental managed care program benefits are provided by Metropolitan Life Insurance Company (MetLife), a New York corporation in NY. Dental HMO program benefits are provided by: SafeGuard Health Plans, Inc. a California corporation, in CA; SafeGuard Health Plans, Inc. a Florida corporation, in FL; and SafeGuard Health Plans, Inc., a Texas corporation, in TX. The Dental HMO/Managed Care companies are part of the MetLife family of companies.

"DHMO" is used to refer to product designs that may differ by state of residence of the enrollee, including but not limited to: "Specialized Health Care Service Programs" in California; "Prepaid Limited Health Service Organizations" as described in Chapter 636 of the Florida statutes in Florida; and "Single Service Health Maintenance Organizations" in Texas.

Certain administrative services are provided by Careington BenefitSolutions (Careington), Frisco, TX. Careington is not affiliated with MetLife or its affiliates. In certain states, availability of the individual dental product is subject to regulatory approval. Like most 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 for costs and complete details.

This website provides a very brief description of some of the important features of this plan. It is not the insurance contract, nor does it represent the insurance contract. A full description of benefits, exclusions and limitations is contained in the Schedule of Benefits and your policy.

Rates shown are based upon the information you provided, and are subject to change based on the dental and/or vision plan's underwriting practices and your selection of available optional benefits, if any. Final rates and effective dates are subject to underwriting and are always determined by the dental insurance and/or vision insurance company. To be considered for reimbursement, expenses must qualify as covered expenses.

This site was designed to provide you with a general description of the plans you requested. Keep in mind that it does not include all the benefits and limitations outlined in the policies -- it is the insurance contract, not the general descriptions on this website, which forms the contract between you and the insurance company.

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