Benefits :: Dental Insurance
For
the 2007-2008 school year, GISD offers a choice of two dental
plans as outlined below. For more details on each plan,
including deductibles, and office visit charges, please request
the plan benefits summary from the Human Resources office.
A printable copy of the
Dental
Insurance rate charts is available also (requires Adobe Acrobat
Reader.)
Dental Insurance Plans &
Premiums 2007-2008
Effective May 2007
MetLife- Voluntary Dual Option Plan
|
Coverage Type: |
LOW PLAN IN/OUT NETWORK |
HIGH PLAN IN/OUT NETWORK |
|
Type A – Preventive |
90% of PDP Fee2 |
100% of PDP Fee2/ 100% of R&C Fee 4 |
|
Type B - Basic Restorative |
50% of PDP Fee2 |
80% of PDP Fee2/ 80% of R&C Fee 4 |
|
Type C - Major Restorative |
30% of PDP Fee2 |
50% of PDP Fee2/ 50% of R&C Fee 4 |
|
Type D - Orthodontia |
NA |
50% of PDP Fee2/ 50% of R&C Fee 4 |
|
|
|
|
|
Deductible3 |
|
|
|
Individual |
$25 |
$50 |
|
Family |
$75 |
$150 |
|
|
|
|
|
Maximum Benefit: |
|
|
|
Per Person – Plan Year Max
Lifetime Orthodontia Max – Child Only |
$750
NA
|
$1,000
$1,000
|
|
IMPORTANT RATE INFORMATION |
|
LOW PLAN MONTHLY RATE |
|
|
Monthly Premium Payment |
|
| Employee Only | $14.70 |
| Employee Spouse | $28.70 |
| Employee Children | $30.22 |
| Employee Family | $41.66 |
| View Low Plan List Of Covered Services | |
|
HIGH PLAN MONTHLY RATES |
|
|
Monthly Premium Payment |
|
| Employee Only | $30.16 |
| Employee Spouse | $58.82 |
| Employee Children | $62.00 |
| Employee Family | $85.44 |
| View High Plan List Of Covered Services | |
| The MetLife Preferred Dentist Program (PDP) Exclusions | |
For more information about GISD benefits, contact:
Nancy Horton, Benefits Specialist
GISD Human Resources Department
603 Lakeway Drive
Georgetown, TX 78628
512-943-5000 x. 6092
FAX 512-943-5002
