The MetLife Dental plan does not cover certain expenses, including but not limited to charges for:

• services provided before plan coverage becomes effective
• services other than those specifically covered by the plan
• services and supplies that are not provided by a legally licensed dentist or physician (or a licensed hygienist for the scaling or cleaning of teeth and topical application of fluoride under the dentist’s supervision)
• services or supplies that are cosmetic in nature, including charges for personalization or characterization of dentures
• replacement of a lost, missing, or stolen prosthetic device
• services covered by any Workers’ Compensation or employer liability laws, or services which an employer is required by law to furnish in whole or in part
• services rendered through a medical department, clinic, or similar facility provided or maintained by the patient’s employer
• services or supplies for which a covered person would not legally have to pay if there were no coverage
• services or supplies which do not meet accepted standards of dental practices, including charges for services or supplies which are unnecessary or experimental in nature
• services or supplies received as a result of dental disease, defect or injury due to an act of war, whether declared or not
• dental services or supplies that are payable by any government
• any duplicate prosthetic devices or sealants (material, other than fluorides, painted on the grooves of the teeth in an attempt to prevent future decay), oral hygiene, and dietary instruction
• plaque control programs
• implantology (an insert set firmly or deeply into or onto the part of the bone that surrounds and supports the teeth)
• periodontal splinting
• myofunctional therapy.

Expenses incurred for any of the services or supplies listed above may not be used to satisfy your deductible.