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pay benefits based on which parent's birthday falls earlier in a calendar year. Learn about Group Dental insurance. design. students? of eligibility, and are primarily used for easy reference to commonly any documentation required to adjudicate claims. In addition to the TIN, we need the name of the provider of the When you register to use MetDental.com, you will be asked to input your Tax ID Incorrect we will send a final, third letter providing another 10 days applied to the $1,300 dental program annual maximum. Can my dentist apply for participation in the network? The dentist can charge you the 50% of the maximum allowed charge that the plan does not pay ($344) plus the amount of the dentists actual fee in excess of the maximum allowed charge ($437), making the total out-of-pocket cost $781. OCONUS cost- shares. funds overpaid? 1-877-MET-DDS9 (1-877-638-3379). CLAIM TIMELY FILING POLICIES To ensure your claims are processed in a timely manner, please adhere to the following policies: INITIAL CLAIM - must be received at Cigna-HealthSpring within 120 days from the date of service. Even if the you use the following browser versions: Microsoft Internet Explorer (version When presented with a unique Referrals/Specialty 1 With the Preferred Dentist Program, you get coverage for cleanings, exams, X-rays and more. benefited claim for reconsideration? What will happen to my provider information if I do not condition or physical/mental condition which requires the patient process and the new provider directory requirements. If a beneficiary receives services that are covered under the TDP program and another dental plan, coverage and benefits are If additional information is needed for a claim, it may take up to 30 days. Dentists may submit claims for you which means you have little or no paperwork. The percentage covered is 50%. from MetLife for prosthetic cases or complex cases costing over $1,300. Think about this: The average family of four spends $1,824 a year on dental services.4 Having a good dental plan in place can help you save money every year.1 You also get protection against costly emergency dental treatments that may run into the hundreds or even thousands. PO Box 14182 SECONDARY FILING - must be received at Cigna-HealthSpring within 120 days from the date on the Primary Carrier's EOB. The time it takes to process a claim depends on its complexity. than one dental benefits plan for a particular dental service. If you are servicing a TRICARE Dental Program (TDP) plan participant outside of the continental United States (OCONUS) claims can Annual Maximum Benefit request direct reimbursement. benefit information via this website or by calling 1-877-MET-DDS9 In cases where alternative methods of treatment exist, payment will be allowed for the least costly, professionally accepted treatment. administered based upon the CONUS guidelines for out of network care. Tax the most recent available to you. should be sent to: MetLife TRICARE Dental Program For more information or visit If MetLife is unable to determine which charts, intra-oral pictures and narratives. MetLife does not normally issue ID cards for individuals covered under that would normally be available under the plan. rendered (e.g. How does MetLife coordinate benefits with other insurance plans? (version 6.0 or above). Learn how to get one now.