Clay County, FL
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Dental
The County’s dental plan is administered through Metropolitan Life Insurance Company (MetLife). The County provides two plans for employees to choose from with differing coverages and premiums.
| Plan Option 1 Low Plan |
Plan Option 2 High Plan |
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| Coverage Type |
In-Network % of Negotiated Fee* |
Out-of-Network % of Negotiated Fee* |
In-Network % of Negotiated Fee* |
Out-of-Network % of Negotiated Fee* |
| Type A: Preventative (cleanings, exams, X-rays) |
100% | 80% | 100% | 90% |
| Type B: Basic restorative (fillings, extractions) |
50% | 50% | 80% | 70% |
| Type C: Major Restorative (bridges, dentures) |
50% | 30% | 50% | 40% |
| Type D: Orthodontia |
50% | 50% | 50% | 50% |
| Deductible | ||||
| Individual | $50 |
$50 |
$50 |
$50 |
| Family | $150 |
$150 | $150 | $150 |
| Annual Maximum Benefit |
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| Per Person |
$1,000 |
$1,000 | $1,500 |
$1,500 |
| Orthodontia Lifetime Maximum |
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| Per Person |
$1,000 |
$1,000 | $1,500 |
$1,500 |
| Child(ren)'s eligibility for dental coverage is from birth up to end of year they turn 26. |
*Negotiated Fee refers to the fees that participating dentists have agreed to accept as payment in full for covered services, subject to any copayments, deductibles, cost sharing and benefits maximums. Negotiated fees are subject to change.
| Low |
High | |||
| Single | Family | Single |
Family | |
| Employee Share |
$0.00 |
$34.90 | $15.34 | $83.80 |
| County Contribution |
$16.58 |
$17.97 | $17.19 | $19.93 |
| Total Cost |
$16.58 |
$52.87 | $32.53 | $103.73 |
The County pays a portion of dental premiums for employees, up to 100% of premium for an individual employee on the low plan.