Dental

Green Dot Public Schools offers a choice of dental plans through MetLife so you can select the level of coverage that best fits your needs.

2023 – 2024 Dental Plan Options for California/National/UPAS Employees:

DHMO plan: you choose a primary care dentist and receive all of your care within the plan’s network — there is no out-of-network coverage. There is also no deductible or annual maximum benefit under the DHMO plan.

High and Low plans: you can see any dentist you want, but you must first meet a deductible before coverage begins. These plans also include an annual maximum benefit. The differences between the High and Low plans is in the deductibles, annual maximums, out-of-network coverage, and orthodontic lifetime maximums.

Compare Plan Options

Compare the plans and view the plan comparison table for coverage.

Key Features

All the dental plans include:
  • Affordable coverage that helps you manage the cost of dental treatment
  • Wide network of providers that have agreed to negotiated rates, which helps you save money (reminder: the DHMO plan only pays benefits for care received in network)
  • Choice of four coverage levels:
    • Employee Only
    • Employee Only + Spouse/Domestic Partner
    • Employee + Children up to age 26
    • Employee + Family

Use Your Dental Benefits Wisely

Here’s how to make the most of your dental benefits:
  • Choose your provider – Each time you need dental care, you have a choice of providers. Selecting a participating dentist in the MetLife network will ensure you receive the highest benefits from your plan.
  • If your service is expected to exceed $300, submit a request for a pretreatment estimate – (such as crowns, inlays, bridges, and periodontics). For more information about pretreatment estimates, call your dental carrier.
  • Check your claim status and other information – on MetLife’s website. You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more.

Find a Network Dentist

You’ll generally pay less when you use a dentist in your carrier’s network.
Plan Details MetLife DHMO Plan MetLife Low Plan MetLife High Plan
In-Network In-Network Out-of-Network In-Network Out-of-Network
Primary Care Dentist Yes No No No No
Annual Deductible
(Individual/Family)		 None $50/$150 $75/$225 $25/$75 $50/$150
Annual Maximum Benefit None $1,500 $1,000 $1,500 $1,500
Diagnostic and Preventive Care Services Fee schedule Covered in full You pay 20%, no deductible Covered in full Covered in full
Basic Services Fee schedule 20% after deductible 50% after deductible 20% after deductible 20% after deductible
Major Services Fee schedule 50% after deductible 50% after deductible 50% after deductible 50% after deductible
Orthodontics (adults and children) Fee schedule 40% after deductible 40% after deductible 40% after deductible 40% after deductible
Orthodontic Lifetime Benefits (adults and children) Fee schedule $1,000 $1,000 $2,500 $2,500