MetLife

Reviewers
Male / Female		 Recommend
Yes / No		 Number of Reviews Coverage Claims Customer Service Cost Total Average Rating
11 / 8 0 / 19 19 1.38 1.23 1.07 3.52 1.80

Date Submitted: December 19, 2011
Insurance Provider: MetLife in North Carolina
Coverage: 2 out of 10
Claims: 2 out of 10
Customer Service: 1 out of 10
Cost: 10 out of 10
Recommend: No
Review: Lied about covering implants
Called for pre-approval and got it. Received the Explanation of Benefits today which explains it is fully denied. Why? Oh because no benefits can be allowed for individual implants or implant related procedures when the arch can be restored with a standard prosthesis. Liars! Do not believe them - crooks!
Comments [ 0 ]
Submitted by: TEA
50 year-old   ::   Male Reviewer   ::   North Carolina

Date Submitted: December 7, 2011
Insurance Provider: MetLife in North Carolina
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 6 out of 10
Recommend: No
Review: Insurance Fraud
They state there is $2000 worth of orthodontic coverage, but only allowed $600. It should have been over $1000, but they kept saying they did not have all the forms or EOB. They are on the edge of insurance fraud and being reported by this paying member. We have called over 6 times in the last 2 months to resolve this issue and the representatives seem very confused.
Comments [ 0 ]
Submitted by: Tired
36 year-old   ::   Female Reviewer   ::   NC

Date Submitted: May 6, 2011
Insurance Provider: MetLife in New Jersey
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 5 out of 10
Recommend: No
Review: Metlife SUCKS !!!!
Scheduled adult cleaning with their dentist who schedules appointment in December 2010 and again in May 2011. When claim submitted Metlife DENIES COVERAGE stating work less than 6 mos apart. Explained that I am allowed 2 per year and this is the first in 2011 and that their affiliated dentist scheduled appointment and he should have known better that this was going to be an issue. Again coverage DENIED and customer service rep refused to let me speak to supervisor. THIS IS WRONG !!!! and I repeat... METLIFE SUCKS !!!!
Comments [ 2 ]
Submitted by: RDR
60 year-old   ::   Male Reviewer   ::   New Jersey

Date Submitted: November 19, 2010
Insurance Provider: MetLife in Virginia
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 3 out of 10
Recommend: No
Review: DO NOT INSURE WITH METLIFE FOR ANYTHING
I have made countless calls for the last 8 months for approval for two claims. Each time I call a new customer service rep has a different story to tell me. The kicker is prior to having my work done, I along with my dentist called countless times to make sure I was covered and was told I was covered. I EVEN GOT THE NAME OF THE DENTIST TO GO TO FROM THEM. Now MAGICALLY AFTER 8 MONTHS there is NO RECORD OF MY COVERAGE OR ANY CALLS STATING I WAS COVERED.

No one can explain to my why this is, not only that the customer service reps are rude. When you ask to speak to a Supervisor they say either "they are all in a meeting no one is here to speak to you" or they say "they are in training no one can speak to you".

I've still been calling in the same day I was told my claim would be reprocessed, I was told the person I spoke with misinformed me and it would not be processed. I know this is going to end in a courtroom.

Never again. I will not do business with any entity of MetLife. And I was just informed by my company it is switching dental insurance providers do to countless complaints from employees about Metlife's POOR CUSTOMER service. Come January this will be a forgotten nightmare. I also predict bankruptcy for MetLife...maybe in less than a year from now. At the end of the day if your consumers are unhappy it will eventually begin to affect your bottom-line. Wait and see.

Comments [ 0 ]
Submitted by: Unhappy Metlife Consumer
32 year-old   ::   Female Reviewer   ::   Virginia

Date Submitted: September 19, 2010
Insurance Provider: MetLife in Illinois
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 1 out of 10
Recommend: No
Review: Worthless dental insurance!
I purchased Metlife Dental Insurance through the Retired Teachers Asociation of Chicago. For around $500 in premiums we got around $250 in benefits. Worst of all, our Plan B gave us absolutely NO break in price for services not covered. Plan B does not cover crowns. Instead of paying around $600 (the fee Participating Dentists charge for crowns), I would need to pay $925. I have purchased the Careington 500 dental plan. I paid $129 for me and my husband for the whole year. My crown under the plan will cost me $425. Do the math! Stay away from Metlife Dental Plans.
Comments [ 0 ]
Submitted by: Disgusted in Chicago
64 year-old   ::   Female Reviewer   ::   Chicago, IL

Date Submitted: August 21, 2010
Insurance Provider: MetLife in New York
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 1 out of 10
Recommend: No
Review: It's a fight for every claim
I've had MetLife for five years and only needed benefits for cleaning and xrays for the first four years. In my fifth year, as my old childhood fillings are failing and separating from my teeth (leaving them dangerously prone to cracking) I needed filling removal and a crown and root canal. MetLife denied the claim for the crown saying there was not enough proof the tooth was compromised enough for a crown. (Say what? Uncompromised teeth don't normally need root canals.) In my sixth year, same thing. Needed another crown and root canal. Same denial of claim. Then came the kicker: only coverage for 1 crown every 60 months! Lousy $2000 a year benefit pays for virtually nothing. A root canal is over $1000 and a crown is over $1000! Even with my $2000 maximum, I only got back $800 last year from MetLife after paying out almost $3000. This year looks to be the same. My friend has Aetna and has needed the same work as I have. Hers has been fully covered even out of network. I'm going to inquire of my company to see if they can get something better than MetLife. I've had to take money from my 401K to pay for my dental care.
Comments [ 1 ]
Submitted by: Dental Patient
43 year-old   ::   Female Reviewer   ::   Suffolk County, New York

Date Submitted: July 27, 2010
Insurance Provider: MetLife in New Jersey
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 2 out of 10
Recommend: No
Review: Stay away
Terrible Dental Insurance. Believe the reviews that say this company is a scam. There reps speak broken English because the are outsourced to Costa Rica. The are trained to tell you lies so the don't have to pay. Stay away!!!
Comments [ 0 ]
Submitted by: Dentist
50 year-old   ::   Male Reviewer   ::   Elmwood Park, NJ

Date Submitted: July 24, 2010
Insurance Provider: MetLife in Florida
Coverage: 1 out of 10
Claims: 2 out of 10
Customer Service: 1 out of 10
Cost: 2 out of 10
Recommend: No
Review: In Network Provider Scam
Gave a periodontist in network. The dentist had another dentist in his practice. Made the appointment and office made appt. with other dentist in office. When bill submitted, Metlife said, Network dentist goes with "Dentist Only", not the practice. Had to pay over $1,000. Just called, for another periodontist in network. There are just two. Guess which one. You guessed it, the one that WASN'T in the network when I filed the claim. They told me that they can drop a dentist from the network the day, you go there..so you must CHECK right before you go to make sure this dentist is still in network.
Comments [ 0 ]
Submitted by: Zoe Shepherd
50 year-old   ::   Male Reviewer   ::   Orlando, FL

Date Submitted: July 21, 2010
Insurance Provider: MetLife in Georgia
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 1 out of 10
Recommend: No
Review: Worst dental insurance ever
They play tricks. never pay what they should. Scam!!! Stay away from them.

In my coverage table, crown is covered. When I did it, they refused to pay for it. Instead, they want to pay for alternate materials which most dentists no longer used (cheapest ones). Customer service is horrible, rude and careless. What a shame.
Comments [ 0 ]
Submitted by: howard
32 year-old   ::   Male Reviewer   ::   Atlanta

Date Submitted: November 23, 2009
Insurance Provider: MetLife in Georgia
Coverage: 2 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 5 out of 10
Recommend: No
Review: Prepare to spend hours on forms
Even with the minimal coverage provided by MetLife Dental, you would be amazed at the paperwork involved and hours spent to have the insurance pay for claims that are literally under $100. On most occasions I had to submit the paperwork several times - and I'm just talking copies of receipts and EOBs from BC/BS - for them to pay their fair share. My dentist will not file supplemental insurance paperwork, and now I know why - they don't have the time. Trust me, if you just have routine work, and don't really expect major issues, this is not worth the time and money.
Comments [ 0 ]
Submitted by: Loren
54 year-old   ::   Male Reviewer   ::   Atlanta, GA

Date Submitted: August 18, 2009
Insurance Provider: MetLife in Minnesota
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 10 out of 10
Recommend: No
Review: Even their top plan pays only for cleaning
I paid for their best policy but this year all claims were denied

1)
My wifes partial fell apart. Replacement was $1800.00 but the "benefit plan" paid $0, because her missing teath (and the reason she got the original denture (paid for by a previous insurance company) was: "pre-existing condition" (missing teeth)

2)
Second claim for 3 crowns ($2800.00) all denied because Metlife they didnt like the state of my wifes gums.

Dental insurance seems to have gone the way of Wall Street (fraudulent rips offs) Recommendation: cancel your dental plan and get better work done in Mexico for 1/3 the cost. Thats what I have done. My wife will do it also next time.


Comments [ 0 ]
Submitted by: Sir Gareth
65 year-old   ::   Male Reviewer   ::   Elk River

Date Submitted: June 23, 2009
Insurance Provider: MetLife in Ohio
Coverage: 4 out of 10
Claims: 3 out of 10
Customer Service: 2 out of 10
Cost: 7 out of 10
Recommend: No
Review: paid for one daughter not other
Metlife paid for one of my daughter's visits but not the other. Issue with who is legally responsible for daughter's insurance- both parents work for same company--both insured by metlife--parents are divorced. Attempts made to call fruitless since no option to speak to a real person provided--very frustrating.
Comments [ 0 ]
Submitted by: Pat
43 year-old   ::   Female Reviewer   ::   Cincinnati, Ohio

Date Submitted: March 27, 2009
Insurance Provider: MetLife in Colorado
Coverage: 3 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 4 out of 10
Recommend: No
Review: Metlife refuses to pay claims other than cleanings
I've been fighting with this outfit for month's to get them to cover 2 crowns for my wife's teeth. They've asked for more information, but keep denying they were "medically necessary".

AVOID this company unless you like being caught in the middle and having to ultimately pay it out of your pocket!!


Comments [ 1 ]
Submitted by: BSH
45 year-old   ::   Male Reviewer   ::   Loveland, CO

Date Submitted: March 10, 2008
Insurance Provider: MetLife in Maryland
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 5 out of 10
Recommend: No
Review: Breach of Contract
I have Metlife dental coverage. They are refusing to pay their share of a crown I had put on one of my molars. The crown was needed because my tooth was cracked in several places. There are pictures from my dentist to prove it. Metlife claims that the crown was not covered because I didn’t show that the cracks occurred "during the act of chewing". Their benefits description states that crowns are indeed covered, and yet the same benefits description says nothing about a chewing-related caveat. It appears to be an attempt to get me to go away so they don’t have to pay their share of the cost
Comments [ 0 ]
Submitted by: Carl R
39 year-old   ::   Male Reviewer   ::   Lexington Parkm MD