0000037280 00000 n The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. Please contact Member Services. 0000035971 00000 n cy Rates | MetLife State of Florida Employees | MetLife Preferred Dentist Program - MetLife You may still elect to receive services from a non Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. All Rights Reserved. The $150 co-payment is for a plain metal crown. 0000016556 00000 n Refer to the current Physician-related/professional services for information regarding blood, blood products, and related services. 206 0 obj <>stream Please be sure to add a 1 before your mobile number, ex: 19876543210, Coinsurance You pay a percentage of covered expenses, Crowns and fixed bridgework when the teeth were prepared before your Aetna coverage began, Appliances (such as dentures) when the impression was taken before your Aetna coverage began, Root canal therapy when the tooth's pulp chamber was opened before your Aetna coverage began. WebSavings from enrolling in the MetLife Federal Dental Plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of [Company Name] Plan Benefits I was billed more than the standard $150 co-payment for a crown. Altamonte Springs dentists Boca Raton dentists Clearwater dentists Coral Gables dentists Coral Springs dentists Daytona Beach dentists Delray Beach dentists Englewood dentists Fort Lauderdale dentists Gainesville dentists Grove City dentists The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic.
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