Your guide to coverage, benefits, and enrollmentMetLife Federal Dental Plan
The MetLife Federal Dental Plan (FDP) is a voluntary, employersponsored dental insurance program designed specifically for U.S. federal employees, retirees, and their eligible dependents. Administered by MetLife, the plan offers a range of preventive, basic, and major dental services, helping members maintain oral health while controlling outofpocket expenses.
Key points of the plan include:
The plan is open to:
You do not need to be enrolled in the FEHB to join the dental plan, but most participants choose both for comprehensive health coverage.
MetLife offers three benefit tiers. Each tier provides a different level of coverage for the same services. Below is a simplified comparison:
| Service Category | Basic | Standard | Premier |
|---|---|---|---|
| Preventive (cleaning, exam, Xray) | 100% (no deductible) | 100% (no deductible) | 100% (no deductible) |
| Basic (fillings, simple extractions) | 80% after $50 deductible | 80% after $35 deductible | 90% after $30 deductible |
| Major (crowns, bridges, dentures) | 50% after $150 deductible | 60% after $100 deductible | 70% after $75 deductible |
| Orthodontics (children only) | Not covered | Up to $1,500 lifetime max | Up to $3,000 lifetime max |
| Annual Maximum (except preventive) | $1,000 | $1,500 | $2,000 |
Note: Actual coverage percentages and deductibles may vary by plan year and specific employer contract. Always review your Summary Plan Description for exact details.
Preventive services are fully covered (no copay) after any required deductible is met. This includes two routine cleanings per year, oral examinations, and a set of diagnostic Xrays. Regular preventive visits are strongly encouraged because they reduce the likelihood of more expensive procedures later.
Basic services address common dental problems such as cavities, simple extractions, and periodontal maintenance. The plan typically reimburses a high percentage after a modest deductible, helping keep routine treatment affordable.
Major restorative procedures, like crowns, bridges, and dentures, are covered at a lower percentage and often subject to a higher deductible. The annual maximum limits the total outofpocket cost you can incur each year for these higherexpense services.
Orthodontic coverage is available only on the Standard and Premier tiers and is limited to children under age 19. The lifetime maximum applies to the entire course of treatment, so families should consider this when deciding on a tier.
Premiums for the MetLife Federal Dental Plan are deducted pretax from your payroll, which can lower your taxable income. Premium amounts vary based on the benefit tier you select, your employment status (employee vs. retiree), and the number of eligible dependents covered.
Retirees often pay a slightly higher perperson rate because the employer contribution is lower or absent.
Enrollment is handled through the Office of Personnel Management (OPM) portal or your agencys human resources office. Follow these steps:
If you miss Open Season, you can still enroll during a qualifying life event such as marriage, birth of a child, or loss of other coverage.
While you can see any dentist, using a network provider ensures you receive the plans contracted rates and maximum reimbursement. Outofnetwork visits may result in higher outofpocket costs.
The plan covers two cleanings per year at 100% after any deductible. Additional cleanings are considered extraordinary and are billed like a standard preventive visit.
Once you hit the annual maximum for basic and major services, you become responsible for 100% of any additional covered dental expenses until the next plan year.
No. Tier changes are only allowed during Open Season or after a qualifying life event.
Orthodontic benefits are limited to children under 19. Adult orthodontic treatment is not covered under any tier.
Use the Find a Dentist tool on the MetLife website or the OPM portal. You can search by zip code, specialty, or provider name.
Parttime employees who are eligible for FEHB are also eligible for the dental plan, but premium costs are prorated based on hours worked.
