|
MetLife Plan Information |
|
| Plan Network | PDP Plus |
| Group Number | 151675 |
| Member ID | Academic Health Plans (AHP), SHIP’s insurance broker, sent an email to enrolled students with the dental member ID. If you did not receive this email, please contact the SHIP office at (510) 642-5700 or ship@berkeley.edu |
| 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, occlusal guards | |
