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.

2022 – 2023 Dental Plan Options for CA/National Employees:

Compare Plan Options

Compare the plans and view the plan comparison for coverage. For employees located outside of California, you can only choose between the MetLife Low and High Plans.

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.

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