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MetLife Dental

Posted: Feb 15, 2013 by    

metlife dental claim denial

Complaint Rating:  100 % with 9 votes
100% 9
Contact information:
United States
I was shocked to learn that MetLife dental denied a claim to provide coverage for the dentures my wife ordered from her dentist, who is a member of MetLife's Preferred Dentist Program. I enrolled in OPERS MetLife Dental High Option Plan, which is supposed to provide the most coverage to my spouse and I (I'm a State of Ohio retiree) and 50 percent of Preferred Dentist Program fee for dentures. When I was informed by the Dentist office that MetLife would not pay for the dentures my wife ordered, I called up MetLife and talked to one of their customer service representatives, who told me that MetLife had a "missing tooth exclusion/prior loss clause", which she said means that MetLife can deny my wife's claim. I am filing a complaint since I was provided with information that MetLife provided 50 percent of Preferred Dentist Program Fee for dentures. I am also very unhappy with the way that MetLife's representative talked to me. She told me that I should have "educated myself" more about the plan. I am going through the process to appeal MetLife's denial of my wife's denture claim. I am very dissatisfied with the dental plan coverage from MetLifeative, and I wish I had not done business with MetLife.
Complaint comments Comments (1) Complaint country United States Complaint category Health & Life Insurance


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N  3rd of Jan, 2014 by    0 Votes
Instead of MetLife using Snoopy for advertising they should use this

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