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Your dental health can have a big impact on your overall health. Making oral hygiene part of your daily routine can help prevent a variety of diseases and illnesses, such as heart disease and pneumonia.* This care includes brushing twice a day, flossing and visiting your dentist when you are due for preventive cleanings.
Why Choose MedMutual Dental?
MedMutual Dental plans help cover the costs of many dental services, ranging from routine checkups to unexpected procedures. Our SDC network is one of the largest networks in Ohio, featuring more than 10,000 dentists, periodontists, orthodontists, oral surgeons and other specialists. With our PPO plans you can receive care from any dental provider you like, but by choosing a SDC networkprovider you can maximize your benefits and pay lower rates for services. Other advantages of MedMutual Dental plans include:
- No waiting period for preventive services (e.g., oral exams, cleanings, sealants)
- No referrals needed for specialty care
MedMutual Dental 2024 Plan Options
We offer three dental plan options for all ages. This allows you to choose a plan that meets your specific needs and budget. These plans cover a range of preventive, basic and major services. Common examples of each service type are listed below:
- Preventive services - annual exams, teeth cleanings, bite-wing X-rays and sealants
- Basic services - diagnostic X-rays, minor restorative services, simple extractions, impactions and specialist consultations
- Major services - inlays, endodontics, periodontal services, bridgework, and partial and complete dentures
| Deductible | Benefit Period Maximum | Member Responsibility2 (Preventive/Basic/Major) | |
|---|---|---|---|
| MedMutual Dental Plan 1 (Ages 19 and up) | $100 | $1,0001 | 0% 50%3 70%3 |
| MedMutual Dental Plan 2 (Ages 19 and up) | $50 | $1,0001 | 0% 20%3 50%3 |
| MedMutual Dental Plan 3 (Ages 19 and up) | $50 | $1,0001 | 0% Fillings only, 20%3 Not Covered |
1Network and non-network combined.
2Member responsibility is the coinsurance percentage of your medical bill you’re responsible for after you’ve paid your deductible. These amounts vary for each plan based on whether the service is classified as preventive, basic or major.
3Basic services have a six-month waiting period if no prior coverage. Major services have a 12-month waiting period for dental plans 1 and 2 if no prior coverage.
Please note: All our dental plans include pediatric services that are covered at 100% with no cost sharing. For adult services, there is a deductible and benefit maximum that applies to each member with no cap for multiple members. The benefit period deductible does not apply to preventive services.
The SDC Network
Look for your preferred dentists, as well as other in-network providers in your local area or nationwide, using our online search tool.
MedMutual Dental Insurance FAQs
Can I purchase a MedMutual Dental insurance plan without having medical coverage?
Yes, a dental plan can be purchased as standalone coverage. You may want to consider purchasing medical insurance to enhance your overall coverage.
What services do MedMutual Dental plans cover?
It depends on the plan you choose. Our plans cover many basic services like preventive care, fillings and extractions, plus major services like crowns and root canals. A copay may be required for certain services.
Is there a limit to what dental plans will pay every year?
Most dental insurance plans have an annual maximum benefit. All of our plans have a maximum benefit of $1,000 per year.
Can I add a child to my dental plan?
Yes, all our dental plans include pediatric services that are covered at 100% with no cost sharing. Once your child turns 19 and becomes an adult, they are able to stay on your plan and receive the services that are outlined in your plan as long as they remain a dependent.
Is there a waiting period before I can get dental services once I’m enrolled?
Preventive services have no waiting periods, meaning you can use these services as soon as your coverage begins. If you had no prior coverage before enrolling in a MedMutual Dental plan, you will have a 6-month waiting period for basic services and a 12-month waiting period for major services.
Ready to Shop?
Use our online enrollment tool to get an instant quote. You can also call us at 1-844-583-3072 or call your licensed insurance agent.
*Source: Mayo Clinic. Oral Health: A Window to Your Overall Health
This information only provides a partial listing of benefits. This is not a contract for insurance. No person other than an officer of Medical Mutual may agree, orally or in writing, to change the benefits listed here. The contract or certificate will contain the complete listing of covered services.
This Medical Mutual of Ohio and its Family of Companies (collectively, “Medical Mutual”) website may contain links to other Internet sites (“Third Party Sites”) that are not maintained by or under the control of Medical Mutual. These links are provided solely for your convenience, and you access them at your own risk. Medical Mutual makes no warranties or representations about the contents of products, services or information offered in such Third Party Sites. Consequently, Medical Mutual is not and cannot be held responsible for the accuracy, copyright compliance, legality or decency of material contained in Third Party Sites linked to this Medical Mutual website. MedMutual Advantage are HMO and PPO plans offered by Medical Mutual of Ohio with a Medicare contract. Enrollment in a MedMutual Advantage plan depends on contract renewal. Every year, Medicare evaluates plans based on a 5-Star rating system.
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All times are Eastern Standard Time and exclude major holidays. Our automated telephone system is available 24 hoursa day, seven days a week for self-service options. Call TTY 711 for hearing impaired. Individual and Medicare Supplement Insurance Plans: 1-877-279-3216 Monday-Thursday- 7:30 a.m. to 7:30 p.m.
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