Every benefit below is transcribed from the NCD dental plan summaries NCD-MLElite1500-DPO, NCD-MLElite3000-DPO and NCD-MLElite5000-DPO (MetLife L4796199, L4796184 and L4796156, last updated 6 May 2026). Benefits, amounts and riders vary by state; the policy issued to you governs.
Nothing waits — except major work in New York and Connecticut Included
Preventive, basic and major work are all payable immediately from the start date of an individual’s benefits. The one exception the summaries print is major work (Type C) in New York and Connecticut, where a 12 month waiting period applies.
What the plan pays, by type of work Included
Preventive work (Type A) is paid at 100%. Basic work (Type B) is paid at 80%. Major work (Type C) is paid at 10% in year one and 50% from year two onward. The percentages are the same in network and out.
Choose the calendar year maximum Included
$1,500, $3,000 or $5,000 per person, per calendar year.
The deductible Included
$50 per calendar year for an individual and $150 per calendar year for a family, on basic (Type B) and major (Type C) work. Preventive work is not subject to it.
Implants are covered, from the third year, inside their own annual limit Included
Implant services become available in year 3, at 1 per tooth position in 60 months. Implant repairs are 1 per tooth in 12 months and an implant-supported prosthetic is 1 per tooth in 84 months. The implant calendar year maximum is $750 on the 1500 plan, $1,500 on the 3000 plan and $2,500 on the 5000 plan.
Type A, preventive — and how often Included
Examinations 2 times in 12 months. Problem-focused examinations 1 time in 12 months. Cleanings 2 times in 12 months. Fluoride 1 time in 12 months for a dependent child under age 14. Bitewing X-rays 1 time in 12 months for a child under 19, and 1 time in 12 months for an adult.
Type B, basic — and how often Included
Sealants 1 per molar in 36 months for a child under age 14. Space maintainers 1 per lifetime for a child under age 14. Full mouth X-rays once in 36 months. Amalgam fillings, 1 replacement per surface in 24 months. Labs and other tests, emergency palliative treatment, periapical X-rays, other X-rays, simple extractions and resin composite fillings carry no specific frequency or age limitation.
Type C, major — and how often Included
Consultations 2 in 12 months. Root canal 1 per tooth per lifetime. Periodontal maintenance, 2 periodontal treatments in 1 calendar year; includes 2 cleanings (total comb: 2). Periodontal surgery 1 per quadrant in any 36 month period. Scaling and root planing 1 per quadrant in any 24 month period. Prefabricated crowns, crown buildups and post cores, fixed bridges, inlays, onlays and crowns are each 1 per tooth in 84 months. Dentures 1 in 60 months, rebases and relines 1 in 36 months, denture adjustments 1 in 6 months. Repairs and recementations 1 in 12 months, tissue conditioning 1 in 36 months, occlusal adjustments 1 in 12 months.
A tooth you had already lost before you were covered Not covered
The first denture fitted to replace one or more teeth that were missing before the insurance started is excluded, as is an implant-supported prosthetic for the same teeth. Congenitally missing natural teeth are the exception.
No orthodontia, at any age Not covered
Orthodontia services or appliances are excluded, and so is the repair or replacement of an orthodontic appliance. If braces or aligners are what you are looking for, none of these plans pay toward them.
Use a dentist in the network, or any dentist you like Included
In network the plan pays its share of the MetLife PDP Plus PPO Network fee the dentist has agreed to accept. Out of network it pays the same share of the Maximum Allowable Charge, which is a schedule MetLife sets — so an out-of-network dentist may charge more than the plan measures its share against, and the difference is yours.
Required disclosures from NCD, underwritten by Metropolitan Life Insurance Company
Group dental plans featuring the Preferred Dentist Program are provided by Metropolitan Life Insurance Company, New York, NY Like most group benefits programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, waiting periods, reductions, limitations and terms for keeping them in force. You may be financially responsible for copayments, deductibles, or any other amounts in excess of those MetLife is required to pay for covered services as described in your dental certificate and/or policy. Ask your MetLife representative for costs and complete details.
Negotiated fees refer to the fees that in-network dentists have agreed to accept as payment in full for certain services, subject to any co-payments, deductibles, cost sharing and benefits maximums. Negotiated fees are subject to change. Negotiated fees do not apply to non-covered services in states that prohibit limitations for services not covered under a plan. Participating providers in these states may charge their non-negotiated fees for non-covered services.
Payment for out-of-network services is based on the lesser of the dentist’s actual fee or the Maximum Allowable Charge (MAC). The out-of-network Maximum Allowable Charge is a scheduled amount determined by MetLife.
This brochure provides a brief summary of benefits. For a complete listing of benefits, exclusions, and limitations, please refer to the certificate of coverage. In the event of discrepancies contained in this brochure, the benefits, terms, and conditions contained in the certificate documents shall govern.
Products are not available in all states. Please call (800) 485-3855 to verify current state availability.
Services which are not dentally necessary, those which do not meet generally accepted standards of care for treating the particular dental condition, or which we deem experimental in nature. Services for which a covered person would not be required to pay in the absence of dental insurance. Services or supplies received by a covered person before the insurance starts for that person. Services which are neither performed nor prescribed by a dentist except for those services of a licensed dental hygienist which are supervised and billed by a dentist and which are for scaling or polishing of teeth or fluoride treatment. Services which are primarily cosmetic. (For residents of Texas: Services which are primarily cosmetic unless required for the treatment or correction of a congenital defect of a newborn child).
Services or appliances which restore or alter occlusion or vertical dimension. Restoration of tooth structure damaged by attrition, abrasion or erosion unless caused by disease. Restorations or appliances used for the purpose of periodontal splinting. Counseling or instruction about oral hygiene, plaque control, nutrition and tobacco. Personal supplies or devices including, but not limited to: water piks, toothbrushes, or dental floss. Initial installation of a Denture to replace one or more teeth which were missing before such person was insured for Dental Insurance, except for congenitally missing natural teeth. Decoration or inscription of any tooth, device, appliance, crown or other dental work. Missed appointments.
Services covered under any workers’ compensation or occupational disease law. Services covered under any employer liability law. Services for which the employer of the person receiving such services is not required to pay. Services received at a facility maintained by the Policyholder, labor union, mutual benefit association, or VA hospital. Services covered under other coverage provided by the Policyholder. Services, to the extent such services, or benefits for such services, are available under a government plan. This exclusion will apply whether or not the person receiving the services is enrolled for the government plan. We will not exclude payment of benefits for such services if the government plan requires that Dental Insurance under the group policy be paid first.
Temporary or provisional restorations. Temporary or provisional appliances. Prescription drugs. Services for which the submitted documentation indicates a poor prognosis. The following when charged by the dentist on a separate basis - Claim form completion; infection control such as gloves, masks, and sterilization of supplies; or local anesthesia, nonintravenous conscious sedation or analgesia such as nitrous oxide. Dental services arising out of accidental injury to the teeth and supporting structures, except for injuries to the teeth due to chewing and biting of food. Caries susceptibility tests. Precision attachments associated with fixed and removable prostheses. Adjustment of a denture made within 6 months after installation by the same dentist who installed it. Duplicate prosthetic devices or appliances. Replacement of a lost or stolen appliance, cast restoration or denture. Intra and extraoral photographic images. Fixed and removable appliances for correction of harmful habits.
Appliances or treatment for bruxism (grinding teeth), including but not limited to occlusal guards and night guards. Treatment of temporomandibular joint disorder. This exclusion does not apply to residents of Minnesota. Orthodontia services or appliances. Repair or a replacement of an orthodontic appliance. Implant Supported Prosthetics to replace one or more teeth which were missing before such person was insured for Dental Insurance, except for congenitally missing natural teeth.