Maricopa Community Colleges

Dental Insurance

MCCCD offers two different Dental Plans.
Dental Insurance Summary (pdf) - a brief comparison of the dental plans.

Plan Options

For a complete listing of participating dentists, covered services, co-payments, emergency procedures, coverage limitations and rules which apply to MCCCD dental benefits, contact the member services department of your selected dental plan.

Prepaid (Assurant) Dental

Assurant Heritage Series Plus Plan Packet (pdf)
Find a dentist in the Heritage Series Plus Plan or call (800)443-2995

Assurant is a prepaid/HMO dental plan.
  • Must select a participating dentist who is contracted with Assurant.
  • Each family member covered may select their own Family Dentist.
  • Except for certain specialist services, all services must be performed by the selected Plan Dentist.
  • To change dentists, you must notify Assurant.
Assurant's Heritage Series Plus Plan with Specialty Benefit Amendment
  • No annual deductibles.
  • No filing of claim forms.
  • Routine Preventive Care is covered at a $5.00 co-payment.
  • Routine Preventive Care includes exams, cleanings, and fluoride applications (to age 18).
  • More information can be found on page 7 of the Heritage Series Plus Plan Packet document above.
Online Advantage for Members (pdf) With Online Advantage you can login and view your benefit information online at your convenience.
  • View eligibility
  • View claims status
  • Change facility
  • Request ID card
  • Dental cost estimator
  • Search for a network dentist
  • Contact customer service

Register with Online Advantage, located under resources. All you need is your Member ID# and date of birth. For more information about how Online Advantage can work for you call 800.442.7742, extension 1004 or email Assurant.

PPO (MetLife) Dental

MetLife is a PPO/Indemnity Dental Plan.
(Choose Maricopa County Community College District when selecting the company name.)

MetLife Dental Provisions Document (pdf) - detailed information regarding the MetLife Dental plan.
MetLife Dental Summary Booklet (pdf)
Dental Assistance While Traveling Abroad(pdf)
MetLife Dental Claim Form (pdf)

MetLife PPO/Indemnity Dental Plan
  • In-network and out-of-network option.
  • MetLife pays a percentage of the cost of covered treatment after you satisfy an annual deductible for Basic and Major Care.
  • The cost of preventative exams and cleaning is covered in full.
  • The deductible is the amount you must pay out of your own pocket before the plan starts paying benefits.
  • Since preventive treatment is so important to maintaining your dental health, the deductible does not apply to Routine Preventive Care.
Choosing a Dentist
  • Participating dentists, which are considered in-network, agree to accept MetLife's allowable fee as payment in full.
  • When using an out-of-network dentist you will be required to pay the reasonable and customary charges based on the lowest of a dentist's usual, actual or community average charge as determined by MetLife.
  • Each family member covered may choose any dentist for services.
  • Changing a dentist is easy, just visit the dentist of your choice.

Find a dentist or call (800)942-0854 (Choose Maricopa County Community College District when selecting the company name.)

Participating PPO Dentist (a dentist who has signed an agreement with MetLife):
  • The dental office will complete the claim form and submit it to MetLife for payment.
  • The dentist has agreed to accept the total charges or MetLife's "allowable fee" for services rendered, whichever is less.
  • The dentist agrees to abide by MetLife's benefit determination and administration policies, and agrees to accept payment directly from MetLife.
Non-Participating Dentist (a dentist who is considered out-of-network):
  • You will be responsible for the submission of the claim form to MetLife.
  • MetLife will pay its benefit payment directly to you and you will be responsible to pay the dentist for the full amount of their charges.
  • The payment for the treatment will be based on the billed charges or MetLife's usual, customary, or reasonable fees (UCR), whichever is less.
Pre-Determination Of Benefits

Pre-determination approval protects the patient from unanticipated charges. Prior to performing extensive dental work, ($250 or more), ask your dentist to submit a pre-estimate of benefits to MetLife. This permits MetLife to review the treatment plan for alternative treatment procedures which may be less costly, provided they do not affect the quality of care. You will know in advance what your financial responsibility is for the treatment prior to the actual service being performed.

Out-Of-Area Services

MetLife's program covers dental services provided in any state or country. If you are on vacation, or have children going to school in another state, you can be assured of the same level of benefits that you would be entitled to in Arizona. MetLife's plan is not restricted to "emergency only" care received out of state; all dental services covered in Arizona are also a benefit anywhere else in the world!

Dental Health Manager (DHM)

DHM is an easy to use, interactive program designed to support you in improving your oral health. It is accessible from the MyBenefits Website where you will find the following information.

  • Receive a personal report card with scores that identify your risk level for oral disease and help you understand your current dental health status.
  • Gain access to resources that are relevant to your oral health needs.
  • Track your progress over time with ongoing report cards.
Oral Health Library

MetLife now has an oral health library on-line that is available to employees enrolled in the MetLife dental plan. The oral health library can be accessed through "mybenefits" under the patient education section of your dental page.

With the oral health library, you can access information about dental issues as related to other health issues (such as diabetes, heart disease, pregnancy, etc.). You can also find our patient self-assessment guides.

    If you are pregnant, you have special oral health needs:
  • Try to have a complete oral exam prior to or very early in your pregnancy. All needed dental work should be done before the pregnancy or between the 4th and 6th month of pregnancy, if treatment is needed. It is possible to have urgent treatment for a problem during pregnancy, but it can present risks to your baby. Treatments are most dangerous during the first three months. If you are in the last three months of pregnancy you may have treatment, but you may find the dental chair uncomfortable.
  • If you haven't already, start practicing good oral hygiene and eating a healthy diet. Be complete in brushing and flossing your teeth daily. By doing this, you can control your risk for gum inflammation and disease.
  • Some pregnant women get gum disease -- a problem called pregnancy gingivitis -- which raises their chances for getting more serious gum disease. This condition can be caused both by poor oral hygiene and increased hormone levels during pregnancy. Having this problem can cause discomfort when you brush or floss, but it's important not stop brushing and flossing regularly.
  • Pregnant women with gum diseases are much more likely to have premature babies of low birth weight.

If you elected MetLife's dental coverage, you may also call MetLife at (800)942-0854 for more information about your coverage.

Forms
--List of all forms-- ASRS Beneficicary Beneficiary Change of Status Enrollment Form Coordination of Benefits Dependent Tuition Waiver Eligibility Dependent Verification Domestic Partner Termination Domestic Partnership Affidavit Educational Reimbursement Request Express Scripts Mail Order Express Scripts Prescription Claim MCCCD Eligibility Declaration Medical Claim Medical Waiver FY12-13 MetLife Dental Claim VSP Out of Network Claim form
Contacts

Benefits

480-731-8415 • email

Webmaster

• email