| MetLife Member Information | |
| Plan Network | PDP Plus |
| Group Number | 151675 |
| Member ID Number | Your MetLife member ID is the same as your Wellfleet member ID (nine digits). Follow the instructions on this Wellfleet flyer to obtain your member ID. |
| Dental Benefits Summary | ||
| MetLife PDP Plus Dentist | Non-Network Dentist | |
| Plan Year | August 1 to July 31 | |
| Annual Maximum Benefit | $2,000 | $2,000 |
|
Deductible (applies only to basic and major restorative services) |
$25 | $50 |
|
Preventive and Diagnostic Services:
|
100% of negotiated fee1 | 80% of R & C fee2 |
|
Basic Restorative Services:
|
80% of negotiated fee1 | 60% of R & C fee2 |
|
Major Restorative Services:
|
70% of negotiated fee1 | 40% of R & C fee2 |
|
Services not covered |
Orthodontics, implants, and occlusal guards | |
