banner

Pro Football Retired Players Association Dental Plan – Update

Pro Football Retired Players Association Dental Plan – Update

Dental Benefits
To date, more than 10,000 retired NFL players have been enrolled in the PFRPA Dental Plan, the first-ever full dental plan exclusively for retired NFL players. However, there are still several thousand retired players that have yet to enroll. Attached please find the PFRPA Dental Plan Flyer and FAQ, as these documents further explain some of the services provided through the Plan. 
Below is a general overview of the Dental Plan, which is also contained in the flyer:

PFRPA Dental Plan Coverage Overview

Option 1
Retired NFL Player: A player is covered under this plan if he retired from the NFL by July 2013. The calendar year maximum is $3,000.
 
Option 2
Retired NFL Player + Spouse: A retired NFL player can elect to share his coverage with his spouse. The calendar year maximum is still $3,000. To include lawful spouse, the retired player will need to fill out and sign the Affidavit for Spousal Eligibility. This form can be found on the Greater Good Fund page on our website, www.footballgreatsalliance.com/greater-good-fund. Completed forms may be submitted by fax to 855-471-9770, or email to membership@pfrpa.com.
—  —  —  —  —
If a retired player didn’t receive their ID card in the mail, they should contact me to find out the reason. We either have the wrong address on file for them, or they opted out of the Dryer, et al. v NFL settlement and need to opt into PFRPA membership to receive access to the Dental Plan. 
The PFRPA Dental Plan has been serving retired NFL players for over a year, and we don’t want you to miss out on the coverage. Please feel free to pass out our PFRPA Dental Plan Flyer to other alums.

PFRPA Dental Plan – Frequently Asked Questions

Q: Who is covered under the PFRPA Dental Plan?

A: Our Dental Plan, administered by MetLife, offers dental coverage to any player that effectively retired from the NFL by July 2013. A retired NFL player can elect to share his coverage with his lawful spouse.

Q: How can I include my lawful spouse under my PFRPA Dental Plan?

A: To include your spouse, you will need to fill out and sign the Affidavit for Spousal Eligibility. This form can be found on the Greater Good Fund page on our website, www.footballgreatsalliance.com, or by calling PFRPA Dental Plan Customer Service at 1-855-497-6675. Please send in completed forms by fax to 1-855-471-9770 or email to membership@pfrpa.com. Spouses would use the same Dental ID Card as their husband.

Q: Is there a co-pay?

A: No, retired players and their spouses will not be required to pay co-pays.

Q: Is there a monthly premium to pay?

A: No, retired players and their spouses will not be required to pay monthly premiums. The Greater Good Fund, our 501(c)(3) charitable foundation, handles monthly premiums on behalf of plan participants.

Q: Is there a deductible?

A: Yes, the annual calendar year deductible is $25 total.

Q: What is the annual calendar year maximum?

A: Retired players have an annual calendar year maximum of $3,000. If a retired player elects to share his coverage with his spouse, the annual calendar year maximum is still $3,000.

Q: What is the calendar year?

A: The calendar year begins each year on January 1, and ends on December 31 of that year.

Q: What services are covered under the PFRPA Dental Plan?

A: Retired players have access to 100% coverage on preventive services, up to 70% coverage on basic services and up to 50% coverage on major services. If a retired player elects to share his coverage with his spouse, the coverage remains the same.

Q: What do preventive, basic and major services typically include?

A: Preventive services can include exams, cleanings and bitewing X-Rays. Basic services can include amalgam fillings, full mouth X-Rays and periodontal maintenance. Major services can include consultations, root canals, implants, bridges, crowns and periodontal surgery. This is just a sampling of items covered.

Q: How do I start receiving dental benefits?

A: You can begin utilizing the dental benefit if you have your PFRPA Dental Plan ID Card. If you have not received your Welcome Packet w/ ID card from MetLife, please contact us via email at info@pfrpa.com. Provide your full name, date of birth and contact information. A member of our team will get in contact with you as soon as possible.

Q: Whom can I contact if I have questions about the dental plan?

A: Contact PFRPA Dental Plan Customer Service at 1-855-497-6675 and a MetLife customer service representative will be able to assist you. For questions regarding claims and plan design, select “Prompt 1” to speak with the appropriate agent. For questions regarding receipt of your ID card, eligibility, address changes, ID card replacement or general inquiries, select “Prompt 2” to speak with the appropriate agent.