Welcome to EPISD Benefits

2011 - 2012 Dental Plans

Through MetLife, EPISD offers you the opportunity to select from three Dental Plans to meet your needs.

No waiting periods, claim forms, deductibles or calendar year maximums.
It is your responsibility to manage your dental care.
Prior to receiving services, you should review the benefits summary for covered services and co-payments. (Co-payments apply only when services are performed by your selected Metlife general dentist.
Orthodontics and specialty care will have a 70% co-payment of dentist’s usual fee for those services.
No Out-of-Network benefits are available under this plan.
Benefits available only through the network of participating providers.
DHMO Provider List
DHMO Specialty Referral Process

Calendar year Maximum - $1,000
Implants are a covered benefit
Orthodontia Lifetime Maximum - $1,000 per person
Reimburses for covered procedures based on the plan’s schedule of benefits after a $50 annual deductible per person or $150 annual deductible per family is met.
Review the Plan Summary of Benefits prior to enrolling, to obtain a list of procedures that are covered and the reimbursement amount.
After claim has been filed Metlife will reimburse the employee for covered procedures (based on the Schedule of Reimbursements)
Plan allows for you to receive care from any licensed dental care provider.
Lower your out of pocket cost by 10 to 35% by using a provider under the "Preferred Provider Program"

Using a Metlife PPO contracted dentist lowers your out-of-pocket expenses.
Treatment procedures are categorized into 4 different classes and the plan pays a specific percentage of the treatment cost for class.
Calendar year Maximum - $1,000
$50 annual deductible per person or $150 annual deductible per family
Plan allows for you to receive care from any licensed dental care provider.
Lower your out of pocket cost by 10 to 35% by using a provider under the "Preferred Provider Program"