Dental Benefits

Like brushing and flossing, visiting your dentist is an essential part of your oral health. Uprise Health offers two plan options from MetLife for routine care and beyond.

Dental Benefits

Biweekly Contributions

Coverage tier	Dental Base	Dental Buy-Up
Employee Only	$3.32	$10.85
Employee + Spouse	$6.61	$21.60
Employee + Child(ren)	$7.16	$26.07
Employee + Family	$11.16	$39.66

Employee Only

Dental Base: $3.32
Dental Buy-Up: $10.85

Employee + Spouse

Dental Base: $6.61
Dental Buy-Up: $21.60

Employee + Child(ren)

Dental Base: $7.16
Dental Buy-Up: $26.07

Employee + Family

Dental Base: $11.16
Dental Buy-Up: $39.66

Coverage Details

Feature	Base In-Network	Base Out-Of-Network	Buy-Up In-Network	Buy-Up Out-Of-Network
Annual Deductible - Individual	$50	$50	$50	$50
Annual Deductible - Family	$150	$150	$150	$150
Annual Maximum - per Person	$1,000	$1,000	$2,000	$2,000
Preventive Services Oral Exams, Routine Cleanings, X-rays, Fluoride Applications, Sealants, Space Maintainers	100%	100%	100%	100%
Basic Services Fillings, Root Canal Therapy, Periodontics, Extractions	80%*	80%*	90%*	90%*
Major Services Crowns, Dentures, Bridges	50%*	50%*	60%*	60%*
Orthodontics Adult and Child(ren)	N/A	N/A	50%	50%
Orthodontic Lifetime Maximum	N/A	N/A	$2,000	$2,000

Annual Deductible - Individual

Base In-Network: $50
Base Out-Of-Network: $50
Buy-Up In-Network: $50
Buy-Up Out-Of-Network: $50

Annual Deductible - Family

Base In-Network: $150
Base Out-Of-Network: $150
Buy-Up In-Network: $150
Buy-Up Out-Of-Network: $150

Annual Maximum - per Person

Base In-Network: $1,000
Base Out-Of-Network: $1,000
Buy-Up In-Network: $2,000
Buy-Up Out-Of-Network: $2,000

Preventive Services Oral Exams, Routine Cleanings, X-rays, Fluoride Applications, Sealants, Space Maintainers

Base In-Network: 100%
Base Out-Of-Network: 100%
Buy-Up In-Network: 100%
Buy-Up Out-Of-Network: 100%

Basic Services Fillings, Root Canal Therapy, Periodontics, Extractions

Base In-Network: 80%*
Base Out-Of-Network: 80%*
Buy-Up In-Network: 90%*
Buy-Up Out-Of-Network: 90%*

Major Services Crowns, Dentures, Bridges

Base In-Network: 50%*
Base Out-Of-Network: 50%*
Buy-Up In-Network: 60%*
Buy-Up Out-Of-Network: 60%*

Orthodontics Adult and Child(ren)

Base In-Network: N/A
Base Out-Of-Network: N/A
Buy-Up In-Network: 50%
Buy-Up Out-Of-Network: 50%

Orthodontic Lifetime Maximum

Base In-Network: N/A
Base Out-Of-Network: N/A
Buy-Up In-Network: $2,000
Buy-Up Out-Of-Network: $2,000

*After deductible

Plan Notes

If your dentist doesn’t participate in your plan’s network, your out-of-pocket costs will be higher, and you are subject to any charges beyond the Reasonable and Customary (R&C). To find a network dentist, visit MetLife at mybenefits.metlife.com.
Dental premium contributions are deducted from your paycheck on a pre-tax basis. Your tier of coverage determines your biweekly premium.
MetLife does not provide physical ID cards. Your provider will need the employee’s Social Security number and date of birth to confirm benefits. If you would like to request an ID card, you may download the MetLife mobile app.