2018 FT Overview

5 / 14

2018 BENEFITS PLAN OVERVIEW | 5
Dental Benefits
Good dental health is important to your overall well being. MBA CSi has partnered with MetLife to offer their
employees access to a Dental PPO plan. The plan provides affordable coverage based on the type of
services obtained - preventive, basic or major - and offers flexibility by including coverage for both in–
network and out-of-network providers. If you utilize a network dentist, you will see greater cost-savings than if
you were to go out-of-network. Please see the chart below for a more detailed description of benefits.
To locate a provider, visit
When you select your network, make sure you select “PDP Plus”.
Met Life Dental
Services
Low Option High Option
In-Network Out-of-Network In-Network Out-of-Network
Deductible (does not include Preventive)
- Single
- Family
$25
$75
$25
$75
$50
$150
$50
$150
Preventive Type A 100% 90% 100% 90%
Basic Type B 50% 40% 80% 60%
Major Type C 25% 25% 50% 25%
Annual Max Benefits $1,250 $1,750
Orthodontia Not covered Not covered
Semi-Monthly Deduction
Tier Low Option High Option
Employee Only $2.59 $10.55
Employee + Spouse $5.53 $22.32
Employee & Child(ren) $6.53 $23.92
Employee & Family $10.19 $38.18