Is there a waiting period?
Not for most care. Preventive, basic, and major work are payable from your first day, with two exceptions: implants are covered from year 3, and in New York and Connecticut, major work has a 12-month waiting period.
Why does major work pay 10% in year 1?
Instead of a waiting period, major work like crowns, root canals, bridges, and dentures pays 10% in your first year and 50% from year 2 on. Preventive and basic care don't change: 100% and 80% from day one. If you know you'll need big work, the timing matters, and I can help you plan it.
How do implants work on Elite?
From year 3, implants are covered as major work at 50%, up to a yearly implant limit: $750 on Elite 1500, $1,500 on Elite 3000, and $2,500 on Elite 5000. That amount counts toward your yearly maximum. Implants are limited to 1 per tooth position every 5 years, and can't replace a tooth that was already missing before your coverage started, unless it was congenitally missing.
How does the deductible work?
It's $50 per person each calendar year, and no more than $150 for a family. It applies only to basic and major work. Cleanings, checkups, and bitewing X-rays never have a deductible.
Can I see any dentist?
Yes. The plan pays the same percentages in or out of network. In MetLife's PDP Plus network, the dentist accepts MetLife's negotiated fee as payment in full. Out of network, MetLife pays based on its maximum allowable charge, and the dentist can bill you the difference. Find a PDP Plus dentist.
Are white fillings on back teeth covered?
Yes. Tooth-colored (composite) fillings are covered on every tooth, including molars, at 80% as basic care.
How is Elite different from NCD Complete?
Complete has a higher maximum ($10,000, with up to $3,000 for implants), a $100 deductible you pay once for life, and 3 cleanings a year, and its major work rises to 60% from year 3. Elite pays basic care at 80% from day one, where Complete starts at 65%. Compare Complete, Essentials & Value, or ask me which costs less where you live.
Can I replace a tooth I lost before the plan started?
Generally no. Dentures or implant-supported teeth to replace teeth that were missing before your coverage started aren't covered, except for teeth that were missing from birth.
Are braces or night guards covered?
No. Orthodontics, night guards, and treatment for teeth grinding aren't covered on any Elite plan. Jaw (TMJ) treatment isn't covered either, except in Minnesota.
How do I see my ID card and benefits?
Log in to the NCD member portal at members.ncd.com to see your benefits, download ID cards, update your contact information, and change your payment method. NCD Member Care: 800-485-3855, Monday to Friday, 8 a.m. to 6 p.m. Central.
Does accidental damage to my teeth count?
No. Dental work after an accidental injury isn't covered, except for damage from chewing or biting food.