Dental

Your Dental Plan

Delta Dental and MetLife
Agropur offers two dental plan options, allowing you to choose the network that best matches your preferred provider. Both plans offer similar coverage.

Dental	In-Network
Dental	In-Network & Out-of-Network
Annual Deductible	$50/person; $150 per family
Annual Benefit Maximum	$1,500 per individual
Lifetime Orthodontia Maximum	$1,500 per individual
Plan Pays
Diagnostic & Preventive Care Oral evaluations, x-rays, cleanings, sealants, fluoride treatment (once per benefit year for children up to age 19)	100% covered Deductible waived, does not count towards annual benefit maximum.
Basic Services	Amalgam and resin fillings, oral surgery, endodontic, periodontics, general anesthesia
Major Services Resins, crowns, fixed, removable bridges, partial or full dentures, crown and bridge repairs, implants	You pay 50% after deductible
Orthodontics Child and Adult	You pay 50%

MetLife

MetLife utilizes the PDP Plus (Preferred Dentist) network. Your benefits can be maximized by using an in-network provider. The dental plan reimburses out-of-network dentist offices at 99% of the reasonable and customary fee. This means the plan will reimburse out-of-network claims as if they were in-network in most cases giving you greater overall access to dentist offices in your area.
MetLife includes additional dental services for individuals with specific medical conditions, called Preventive Plus coverage. An application for the coverage can be completed prior to the service being provided.
Take a look at the summary chart below to understand how services are covered.

Locate an in-network provider near you at metlife.com/mybenefits or call 800-942-0854.

See the video and flyer for instructions to register your MyBenefits account with MetLife.

Delta Dental

Delta Dental utilizes the Delta Dental PPO plus Premier network. Your benefits can be maximized by using an in-network provider.
Delta Dental includes additional cleanings and/or fluoride treatment to individuals with specific medication conditions that have oral health implications, called Evidence-Based Integrated Care. To utilize the coverage, you will need to enroll online through your Delta Dental account.
Delta Dental includes additional visits, consultations and/or exams for individuals an intellectual or developmental disability.

Locate an in-network provider near you at www.deltadentalwi.com or call 800-236-3712