New Castle County Vocational Technical Benefits -- Dental


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Dental
What Is Covered

The plans pay for many of the preventive, basic and major services you and your family receive. The following services are covered under each of the three plans.

Type A - Preventive	How Many/How Often:
Prophylaxis (cleanings)	Two per calendar year.
Oral Examinations	Two exams per calendar year.
Topical Fluoride Applications	One fluoride treatment per calendar year for dependent children up to 18th birthday.
X-rays	Full mouth X-rays: one every 36 months. Bitewing X-rays: two sets per calendar year.
Sealants	One application of sealant material every 5 years for each non-restored, non-decayed 1st and 2nd molar of a dependent child up to 19th birthday.

Type B - Basic Restorative	How Many/How Often:
Fillings	When dentally necessary in connection with oral surgery, extractions or other covered dental services.
Simple Extractions
Crown, Denture, and Bridge Repair
Oral Surgery
Endodontics
General Anesthesia
Periodontics
Space Maintainers

Type C - Major Restorative	How Many/How Often:
Dental Implants	Initial placement to replace one or more natural teeth, which are lost while covered by the Plan.
Bridges and Dentures	Initial placement to replace one or more natural teeth, which are lost while covered by the Plan. Dentures and bridgework replacement: one every 5 years. Replacement of an existing temporary full denture if the temporary denture cannot be repaired and the permanent denture is installed within 12 months after the temporary denture was installed.
Crowns/Inlays/Onlays	Replacement: once every 5 years.

Type D - Orthodontia

How Many/How Often:

Dependents are eligible to age 21 (end of calendar year in which they turn age 21). If a full time student, dependents are eligible to age 24 (end of month in which they turn age 24).
All dental procedures performed in connection with orthodontic treatment are payable as Orthodontia.
Payments are on a repetitive basis.
Benefit for initial placement of the appliance will be made representing 20% of the total benefit.
Orthodontic benefits end at cancellation of coverage.

*The service categories and plan limitations shown above represent an overview of your Plan of Benefits. This document presents the majority of services within each category, but is not a complete description of the Plan. A summary plan description will be made available following your plan’s effective date, and will govern if any discrepancies exist between this overview and the actual summary plan description.


Dental
	Plan A: High Option
	Plan B: Moderate Option
	What Is Covered
	What Is Not Covered
	When Coverage Ends for a Dependent Child
	Orthodontia
	When Coverage Ends
	Glossary
	MetLife Customer Service Call Instructions

Related Forms
	MetLife Claim Form
	MetLife Enrollment Form
	Dental Certificate
	Plan Overview

Related Links
	MetLife
	MetLife MyBenefits

Disclaimer: New Castle County Vocational Technical Benefits Online provides only an overview of your benefits from New Castle County Vocational Technical School District and The State of Delaware. New Castle County Vocational Technical School District and The State of Delaware reserve the right to amend or to terminate any benefit plan at any time, with or without notice. Review more important legal information about your benefits plans.