In an effort to provide Consolidated Edison retirees and their dependents access to dental benefits, Metropolitan Life Insurance Company (MetLife) is offering a retiree dental program. If you recently retired or you and your spouse have continuously been covered under another employer group dental program since your retirement date, you can enroll by calling MetLife at 1-800-634-0336 or visit their web site at www.metlife.com/dental.
You can use the MetLife Preferred Dentist Program (PDP) consisting of a national network of more than 45,000 general and specialty participating dentists. Participating dentists in the network have agreed to reduce their fees for services provided to participants. The fee reduction typically ranges between 10-30 percent.
The program pays a maximum of $1,000 per person each year for covered dental services. There is no coverage for orthodontia services. There are no annual deductibles and the program covers the following expenses:
- 90 percent of preventive and diagnostic services (routine exams, X-rays and cleanings).
- 50 percent of oral surgery, non-surgical periodontia, simple extractions, and restorative services (fillings, root canal therapy, and treatment of gum disease).
- 30 percent of endodontia, surgical periodontia, surgical extractions, bridges, and dentures.
The program is entirely voluntary. All costs will be paid by retirees through MetLife’s monthly premium charges. If you decide to enroll, premium payments will be deducted from your monthly pension check.
Although Con Edison currently sponsors the Retiree Health Program, the information above does not alter the company’s right to change or terminate the program at any time due to changes in laws governing employee benefit plans, the requirements of the Internal Revenue Code, Employee Retirement Income Security Act, or for any other reason. The company is not obligated to contribute any fixed amount or percentage of program costs.
Notice of Privacy Practices
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that requires Con Edison and the health plans sponsored by the company to protect your personal health information (PHI). As a participant under one of the health plans offered by Con Edison, we are required to notify you of the privacy practices that will be followed by the company and the plans and your rights concerning your personal health information.
Under the law and privacy practices, we have the responsibility to protect the privacy of your personal health information by:
1. limiting who may see it
2. limiting how we may use or disclose it
3. explaining our legal duties and privacy practices
4. adhering to these privacy practices
5. informing you of your legal rights