Like most insurance policies/benefit programs, insurance policies/benefit programs offered by Metropolitan Life Insurance Company and its affiliates (MetLife) contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. Certain administrative services are provided through Careington International Corporation, Frisco, TX (Careington). Careington is not affiliated with Metropolitan Life Insurance Company or its affiliates. Please contact MetLife for costs and complete details. In certain states, availability of MetLife’s individual dental product is subject to regulatory approval.
PPO program benefits are provided by Metropolitan Life Insurance Company, New York, NY.
1Dental Managed Care program benefits are provided by Metropolitan Life Insurance Company, a New York corporation, in NY. Dental HMO program benefits are provided by: SafeGuard Health Plans, Inc., a California corporation, in CA; SafeGuard Health Plans, Inc., a Florida corporation, in FL; and SafeGuard Health Plans, Inc., a Texas corporation, in TX. The Dental HMO/Managed Care companies are part of the MetLife family of companies.
“Dental HMO” is used to refer to product designs that may differ by state of residence of the enrollee, including but not limited to: “Specialized Health Care Service Plans” in California; “Prepaid Limited Health Service Organizations” as described in Chapter 636 of the Florida statutes in Florida; and “Single Service Health Maintenance Organizations” in Texas.
2DISCLOSURE: THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance. This plan does not meet the minimum creditable coverage requirements under M.G.L. c.111M and 956 CMR 5.00. This plan is not a Qualified Health Plan under the Affordable Care Act. The range of discounts will vary depending on the type of provider and service. The plan does not pay providers directly. Plan members must pay for all services but will receive a discount from participating providers. The list of participating providers is available at www.metlifetakealongdental.com. A written list of participating providers is available upon request. You may cancel within the first 30 days after effective date or receipt of membership materials (whichever is later) and receive a full refund. Discount Plan Organization and administrator: Careington International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034; phone (800) 441-0380.
For Colorado Residents: This policy DOES NOT include coverage of pediatric dental services as required under the Affordable Care Act. Coverage of pediatric dental services is available for purchase in the State of Colorado and can be purchased as a stand-alone plan. Please contact your insurance carrier, agent, or Connect for Health Colorado to purchase either a plan that includes pediatric dental coverage or an Exchange-qualified stand-alone dental plan that includes pediatric dental coverage. Approved subject to the foregoing.
L0921016407[exp0923][All States][DC,GU,MP,PR,VI] Metropolitan Life Insurance Company, 200 Park Avenue, New York, NY 10166 © 2021 MetLife Services and Solutions, LLC