Georgia State University, Human Resources, Benefits Program

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Dental Coverage

The University offers two options for dental coverage:

Board of Regents Indemnity and Metlife

Please refer to New Employee Benefit Booklet for more infomation.

Benefit Summary

		Board of Regents Indemnity	MetLife
			Preferred Dentist Program (PDP)
			In-Network	Out-of-Network
Annual Deductible:	Preventive	N/A	N/A	$100 Per Member
	Basic	$50 per member	$50 per member $150 per family	$100 per member $300 per family
	Major
Annual Plan Maximum Benefit Per calendar year		$1000 per member	$1200 per member	$750 per member
Preventive Services: Two cleanings per year, oral exams, x-rays.		Paid at 100% of Network Rate; not subject to deductible	Paid at 100% of PDP Fee	Paid at 100% of PDP Fee; subject to deductible
Basic Services: Fillings, extractions, root canals, crowns, bridge repair		Paid at 80% of Network Rate; subject to deductible	Paid at 70% of PDP Fee	Paid at 70% of PDP Fee; subject to deductible
Major Services: crowns; inlays; onlays; dentures; bridges		Paid at 80% of Network Rate; subject to deductible	Paid at 50% of PDP Fee	Paid at 50% of PDP Fee; subject to deductible
Orthodontia Lifetime Maximum (6 month waiting period)		$ 1000 per member at Network Rate	$1000 per child Paid at 50% of PDP Fee	$750 per child Paid at 50% of PDP Fee
*DEFINITIONS*
Balance Billing: The amount charged by your dentist that is more than the plan’s allowed amount for that service. PDP Fee: Refers to the fees that participating PDP dentists have agreed to accept as payment in full.
Board of Regents information, refer to: http://www.usg.edu/employment/benefits/dental/ MetLife information, refer to: www.metlife.com/MyBenefits Dental Enrollment Form, click on: www.gsu.edu/~wwwhre/benefits/EnrollmentForms/DentalEnroll.pdf To make change, click here.

Monthly Premium

	Board of Regents	MetLife
Employee Only	$27.24	$23.60
Employee + Spouse	$54.46	$42.70
Employee + Child	$51.74	$53.98
Family	$87.14	$79.48

Dental FAQs

Q: What is the effective date of my dental coverage?
A: Your dental coverage is effective the first of the month following your submission of the enrollment form.

Q: Do I have another opportunity to enroll in dental coverage if I do not complete my benefits election form within the first 31 days of employment?
A: Yes, you can enroll in the MetLife dental plan during the annual open enrollment period.

Q: Can I enroll in the Board of Regents dental plan during open enrollment?
A: No, the Board of Regents dental plan is only offered within the first 31 days of your employment.

Q: When will I receive my insurance card?
A: Employees typically receive their insurance cards six to eight weeks after they submit enrollment forms.

Q: How do I find participating dentists under the MetLife dental plan?
A: You can locate participating dentists under MetLife by viewing their website (www.metlife.com/dental) or by calling member services.