Retiree Group Dental Plan

The City of Savannah’s Dental Plan is available through MetLife. Your dental benefits are an important part of managing your health and your budget. We offer two plan options through MetLife, Basic and Plus. The MetLife Dental network is PDP Plus, which is a Preferred Provider Organization, wherein you choose a provider at the time of treatment. You do not have to pre-select a primary dentist nor do you need an ID card or referrals for specialty care. You can visit any licensed dentist, in or out of network. Keep in mind that you’ll pay less if you use an in-network dentist.

Contact Information

Dental Plan Coordinated by:	MetLife
Customer Service:	1-800-942-0854
Member Portal:	http://www.metlife.com/mybenefits
Find a Dental Provider:	http://www.metlife.com/mybenefits
MetLife Dental Claims Address:	P.O. Box 981282 El Paso, TX 79998

Dental Plan Benefits at a Glance

Basic Option Summary	Plus Option Summary
TYPE A Services covered at 100% (Deductible Waived)	TYPE A Services covered at 100% (Deductible Waived)
Exams Fluoride Treatments Sealants	Exams Fluoride Treatments Sealants
X-Rays Palliative Treatments	X-Rays Palliative Treatments
Cleanings Space Maintainers	Cleanings Space Maintainers
Labs and Other Tests	Labs and Other Tests
TYPE B Service covered at 60%	TYPE B Services covered at 80%
Amalgam and Resin Composite Fillings	Amalgam and Resin Composite Fillings
Pulpotomy	Pulpotomy, Pulp Capping and Pulp Therapy
Pulp Capping	Root Canal
Pulp Therapy	Simple Extractions; Surgical Extractions; Other Oral Surgery
Oral Surgery - Simple Extractions	General Services
Repairs of Crowns, Inlays, On lays, Bridges and Dentures	Periodontal Surgery – including soft and connective tissue grafts
General Services	Scaling and Root Planing
	Periodontics – non surgical
	General Anesthesia
	Consultations
	Repairs of Crowns, Inlays, On lays, Bridges, and Dentures
	Apexification and Recalcification
	Periodontal Maintenance
TYPE C Services covered at 25%	TYPE C Services covered at 50%
Inlays, On lays; Crowns; Dentures	Inlays, On lays; Crowns; Dentures
Denture – Rebases/Relines; Adjustments; Fixed Bridges	Denture – Rebases/Relines
Prefabricated Crowns; Crown Buildups and Post Core	Denture Adjustments
Oral Surgery – Surgical Extractions	Fixed Bridges
Consultations	Tissue Conditioning
Root Canal	Prefabricated Crowns
Periodontal Surgery; Periodontics – Non-Surgical	Crown Buildups and Post Core
Scaling and Root Planing	Recementations
Tissue Conditioning
General Anesthesia
Occlusal Adjustments
Orthodontic To age 19 or 23 if full-time student covered at 50%	Orthodontics Not Covered
Diagnostic, Active Retention Treatment	N/A
Deductibles and Maximums	Deductibles and Maximums
Annual Deductibles: $50 per person	Annual Deductibles: $50 per person
$150 per family aggregate	$150 per family aggregate
Annual Maximum (per person) $1,000	Annual Maximum (per person) $1,000
Orthodontia Lifetime Maximum (per person) $1,000
Out of Network services – negotiated fee schedule – Maximum Allowable Charge	Out of Network services are paid at Reasonable and Customary at the 90th percentile

For detailed Dental plan information, please view the 2021 MetLife Dental Plan Summary and the MetLife Plan Document

Retiree City Group Dental Plan – 2021 Monthly Rates

Group# 0212548

Basic Plan Plus Plan
Coverage Level	Monthly	Coverage Level	Monthly
Retiree	$17.37	Retiree	$29.64
Retiree and Spouse	$32.06	Retiree and Spouse	$50.79
Family	$58.50	Family	$74.44

Visit Your Dentist Regularly

Regular preventive care visits to your dentist can help protect your overall health. Studies have linked gum disease to problems in other areas of the body. In fact, studies by the Centers for Disease Control and Prevention show there may be a link between oral infections and diabetes, heart disease, stroke, and preterm, low-weight births. Visit the Oral Health Library to get helpful tips for a healthy mouth and fewer trips to the dentist.

MetLife App : Manage your MetLife policy all in one place

Securely access your account at your convenience to find a vision provider, review your plan and claim summary, view ID cards and much more. Download now: MetLife US App

FAQs:

I Lost My ID Card, How Can I Get a Replacement Card?

Call 1-800-942-0854 or access the member portal http://www.metlife.com/mybenefits and view/print your ID cards at your convenience.

How do I find a participating dentist?

There are thousands of general dentists and specialists to choose from nationwide so you are sure to find one that meets your needs. You can receive a list of these participating dentists online at www.metlife.com/mybenefits or call 1-800-942-0854 to have a list faxed or mailed to you.

How Can I Find Out About Fees for Dental Services in My Area?

You have access to the Dental Procedure Fee Tool provided by VerifPoint. This tool helps you approximate the in-network (PDP fees) and out-of-network fees* for dental services in your area. This tool provides information about fees for services such as exams, cleanings, fillings, crowns, and more. You can access the Dental Procedure Fee Tool here: https://www.feelookup.com/