Group Dental Insurance Plan

AUSA has partnered with MetLife to offer members and their families access to insurance that helps reduce their out-of-pocket expenses.

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WHY CHOOSE AN AUSA GROUP DENTAL PLAN?

Dental problems can be unpredictable and expensive. That's why AUSA is offering MetLife Dental Insurance... to help round out your healthcare coverage and keep the cost of your dental care in check.

Dental insurance helps pay for routine care and prevent more costly problems. How? When preventative care is covered, you're more likely to seek services for cleanings and checkups, which can help stop problems before they become more complicated.

Choose from two different plans1 to help cover these services and more:

  • Cleanings, x-rays, and exams
  • Fillings and extractions
  • Bridges, crowns, and dentures

Help offset the gaps in your healthcare coverage by enrolling for a dental plan today.

Plan Details

AUSA offers two dental insurance plans. You can choose between the Scheduled Dental Plan and the PPO Dental Plan, depending on your needs and budget.


SCHEDULED DENTAL PLAN

The Scheduled Dental Plan provides a fixed price list for dental procedures, which can be found in the AUSA Group Dental Insurance brochure. The plan pays a flat dollar amount per covered dental procedure, as outlined in the policy. You can visit any provider, and MetLife will pay the lesser of the provider’s actual charge or the amount listed on the price list.

Highlights

  • Annual maximums: You and your covered dependents are entitled to receive up to $1,000 each in dental benefits in any calendar year after the cash deductible is satisfied.
  • Deductibles: For the individual plan, an annual deductible of $50 must be met before benefits can begin. For the family plan, an annual deductible of $150 aggregate must be met before benefits can begin.
  • Reimbursement: You will be reimbursed according to the fixed price list for covered dental procedures, which can be found in the AUSA Group Dental Insurance brochure.
  • Coverage for your family: Spouse and dependent coverage is available. Dependents can be covered up to age 26.
  • Coverage for orthodontic services: Members can receive coverage for orthodontic services for children under age 19.

PPO DENTAL PLAN

The PPO Dental Plan takes advantage of MetLife’s extensive dental network. When you choose an in-network dentist, you are only responsible for any applicable coinsurance and deductible.

Highlights

  • Annual maximums: You and your covered dependents are entitled to receive up to $1,500 each in dental benefits in any calendar year after the cash deductible is satisfied.
  • Deductibles: For the individual plan, an annual deductible of $50 must be met before benefits can begin. For the family plan, an annual deductible of $150 aggregate must be met before benefits can begin.
  • Reimbursement: You and your covered dependents will receive reimbursement for dental services according to the following guidelines: Type A (preventative): 100%; Type B (basic): 80%; and Type C (major): 50%.
  • Coverage for your family: Spouse and dependent coverage is available. Dependents can be covered up to age 26.

1Those services defined under your dental benefits summary are covered. Please review your plan benefits summary for a more detailed list of covered services.

Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, waiting periods, reductions, limitations, and terms for keeping them in force. Please contact MetLife or your plan administrator for complete details.

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