Compare your dental plan options

Category	GE Dental Premium Option*	GE Dental Preventive Care Option*
Payroll Contribution (monthly)	$15.50 ($15.50 in 2022) / 1 person $31.00 ($31.00 in 2022) / 2 person $46.00 ($46.00 in 2022) / 3+ person	No contribution
Allowance (annual)	No Allowance	$175 / 1 person $350 / 2 person $525 / 3+ person
Deductible (annual)	$50 person / $150 family maximum Applies to all services except Preventive, Diagnostic and Orthodontia	No deductible
SERVICES
Diagnostic & Preventive	100% of R&C fees Not subject to deductible	Annual allowance applies to preventive  cleanings, clinical oral exams and x-rays (radiographs) only
Crowns, Inlays, or Onlays	80% of R&C fees Subject to deductible Subject to $2,500 annual benefit maximum / per person for restorative and prosthodontic	NO COVERAGE
Fillings (restorative)	100% of R&C fees Subject to deductible Subject to $2,500 annual benefit maximum / per person for restorative and prosthodontic Not subject to alternative benefit provision (composite/white fillings are covered for all teeth)	NO COVERAGE
Dentures, Fixed Bridges & Implants	50% of R&C fees Subject to deductible Subject to $2,500 annual benefit maximum / per person for restorative and prosthodontic	NO COVERAGE
Benefit Maximum for Restorative and Prosthodontic Care	$2,500 annually	NO COVERAGE
Root Canals, Gum Treatment, & Oral Surgery	80% of R&C fees Subject to deductible	NO COVERAGE
Extractions of Impacted Teeth & General Anesthesia	80% of R&C fees Subject to deductible	NO COVERAGE
Orthodontia (per child under age 19)	50% of R&C fees Lifetime maximum of $2,500 per child Not subject to deductible	NO COVERAGE

*MetLife negotiates reduced rates for dental services with in-network dental care providers for GE Dental Premium Plan Members. Use these providers to decrease your out-of-pocket costs. Some dental providers who are not part of the Preferred Provider Network may charge fees in excess of what is reasonable, necessary and customary. Access to discounts may vary by State.