• Coverage is provided by UnitedHealthcare (UHC), underwritten by National Pacific Dental. When you sign up for this plan, you must choose a primary care dentist (PCD). To do that, visit the UHC website, click Find a Dentist and choose TX DHMO as your plan.

• Your plan fully covers most preventive care, such as routine checkups and cleanings. You and your covered dependents can receive up to two cleanings each 12-month period, free of charge.

• Generally, there are no deductibles to pay or claim forms to file. You simply pay the set copays when you receive covered services.

• If you need specialty dental care, your PCD is responsible for completing the necessary paperwork for a referral. For more information, please refer to the specialty referral process.

• Some services that are done to improve the look of your teeth, such as teeth whitening, may not be covered by your plan.

• You are covered for dental emergencies. Contact your PCD within 24 hours for emergency care or a referral to an alternate network dentist. Most PCDs have after-hours emergency services. If you can’t reach your PCD or you’re more than 75 miles from your PCD, call UHC for a referral.

• If you’re out of town and need out-of-network emergency dental care, you must obtain pre-authorization from UHC. You must notify your PCD and, in this case, submit a claim form for reimbursement of the plan amount for relief of pain only.

• You can use your health care flexible spending account to pay copays.

• You can change your PCD at any time. You must make the change by the 20th day of the month to have access to your new PCD on the first day of the next month.

• The Dental PPO plan, offered through MetLife, pays preventive care at 100%.
• You pay a deductible for basic, major and orthodontic care.
• This plan allows you to visit any dentist you choose.
• After you meet your deductible, you pay a percentage of covered expenses and MetLife pays the rest.
• You don't submit claims unless you use an out-of-network provider.
• You can use your health care flexible spending account to pay deductibles and coinsurance.

Finding a dentist

You can use any dentist you choose; however, your costs are lower if you use an in-network dentist. If you’d like to find an in-network dentist prior to enrolling in this plan, visit MetLife or call MetLife at 800-942-0854.