Mutual of Omaha Dental Plans
The Mutual of Omaha approach to dental insurance is simple – plan options to fit your dental needs backed by one the largest dental networks nationwide and award-winning service. It’s really that simple. Mutual of Omaha individual dental insurance is an affordable way to maintain dental health when you are not eligible for benefits through an employer.
Plan highlights include:
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- No enrollment fees
- No waiting periods and additional savings by going in-network.
- You can visit any dentist, and will almost always pay less out-of-pocket when visiting a Mutual of Omaha Dental Network provider.
- Over 400,000 access points and 100,000 in-network dentists nationwide.
- Discounted fees, typically 30% below average charges in your community
- Two exams and cleanings per year covered at 100%
- Up to $5,000 annual maximum benefit amount per person
- The freedom to choose any dentist or utilize the Ameritas Dental network with over 428,000 access points and 111,500 unique providers
- Comprehensive coverage for all ages (18+) at a single rate
- A 30 day customer satisfaction guarantee
- Dental plans are also available to Seniors ages 65+
- List of Covered Dental Services
Network for greatest savings.
- Over 400,000 access points nationwide
- Over 100,000 unique providers nationwide
- Mutual of Omaha dental 65+ insureds have a 41% network utilization with a 31% discount average
- 94% provider persistency
Plan Designs
Mutual of Omaha offers 2 plans: Mutual Dental Preferred and Mutual Dental Protection with a choice of a $1,500, $3,000, or a $5,000 annual benefit.
Mutual of Omaha dental plans are best when using a Mutual of Omaha network provider for the most savings. The Mutual Dental Preferred plan is best for individuals needing repeated dental work using a network or non-network provider. The dental plans provide great discounts for using in-network dentists and prevents any billing “surprises” that dentists outside of the network may charge balance billing (bill the patient for larger amounts than the insurance company pays).
Out-of-Network Benefits
Charges are paid at the 80th percentile of the average cost of service in the customer’s area. The customer then pays the difference to the dental provider (if any).
Mutual Dental Protection
- Most economical option
- Designed for someone looking for coverage for annual cleanings with periodic cavities
- Major coverage level increases from 20% year 1 to 50% years 2+
- Plan providing coverage beginning day one
- Choice of $1,500, $3,000, or $5,000 annual benefit, no waiting periods
- 15% dental insurance discount if the dental application is signed on or after a Medicare supplement application is signed and is within 30 days of the Medigap plan issue date
Mutual Dental Preferred
- Designed for someone looking for coverage on all services with propensity for cavities
- Major Services coverage level increase after year 1
- Plan providing coverage and orthodontia beginning day one
- Choice of $1,500, $3,000, or $5,000 annual benefit, no waiting periods
- 15% dental insurance discount if the dental application is signed on or after a Medicare supplement application is signed and is within 30 days of the Medigap plan issue date
Mutual Dental Protection
Mutual Preferred
Dental Savings Sample
Network vs. Non-Network
- All plans offer out-of-network benefits
- Non-network plans provide higher levels of coverage for non-network dentists
- Network plans are cheaper, and are a good way to save money if your dentist is in network
| Mutual Dental Protection | Mutual Dental Preferred | Mutual Dental Savings Plan | |
|---|---|---|---|
| Network | Designed for those who will utilize a Mutual of Omaha Dental Network provider | Freedom to use any dentist, opportunity to utilize a Mutual of Omaha Dental Network provider for additional savings | Utilize a Mutual of Omaha Dental Network provider |
| Maximum Benefit | Choice of $1,500, $3,000, or $5,000 | Choice of $1,500, $3,000, or $5,000 | No limits on use |
| Deductible (Basic & Major only)a specified amount of money that the insured must pay before an insurance company will pay a claim. | $100 | $50 | N/A |
| Waiting Periods | No | No | No |
| Enrollment Fees | No | No | No |
| Monthly Cost | $1,500 annual max: $29.91 $3,000 annual max: $30.76 $5,000 annual max: $32.89 |
$1,500 annual max: $57.57 $3,000 annual max: $65.93 $5,000 annual max: $72.27 |
Member only: $8.95 Member + 1: $13.95 Member + family: $15.95 |
| PREVENTIVE SERVICES | |||
| Plan Pays | Plan Pays | Plan Pays | |
| Exams (2/year) | 100% | 100% | 61% savings |
| Cleanings (2/year) | 100% | 100% | 55% savings |
| Bitewing X-rays | 100% | 100% | 61% savings |
| Fluoride Treatments (under age 16) | 100% | 100% | 61% savings |
| Sealants (under age 16) | 100% | 100% | 61% savings |
| BASIC SERVICES (type 2) | |||
| Plan Pays | Plan Pays | Plan Pays | |
| Fillings |
Starting Day 1: 50% After Year 1: 50% |
Starting Day 1: 80% After Year 1: 80%
|
53% savings |
| Simple Extractions |
Starting Day 1: 50% After Year 1: 50% |
Starting Day 1: 80% After Year 1: 80% |
60% savings |
| MAJOR SERVICES (type 3) | |||
| Plan Pays | Plan Pays | Plan Pays | |
| Oral Surgery |
Starting Day 1: 20% After Year 1: 50% |
Starting Day 1: 20% After Year 1: 50% |
Save 5% to 60% on major services performed by a General Dentist |
| X-Rays (panoramic) |
Starting Day 1: 20% After Year 1: 50% |
Starting Day 1: 20% After Year 1: 50% |
Save 5% to 60% on major services performed by a General Dentist |
| Endodontics |
Starting Day 1: 20% After Year 1: 50% |
Starting Day 1: 20% After Year 1: 50% |
Save 5% to 60% on root canals performed by a General Dentist |
| Periodontics |
Starting Day 1: 20% After Year 1: 50% |
Starting Day 1: 20% After Year 1: 50% |
Save 5% to 60% on major services performed by a General Dentist |
| Crowns |
Starting Day 1: 20% After Year 1: 50% |
Starting Day 1: 20% After Year 1: 50% |
Save 5% to 60% on crowns performed by a General Dentist |
| Bridges |
Starting Day 1: 20% After Year 1: 50% |
Starting Day 1: 20% After Year 1: 50% |
Save 5% to 60% on major services performed by a General Dentist |
| Dentures |
Starting Day 1: 20% After Year 1: 50% |
Starting Day 1: 20% After Year 1: 50% |
Save 5% to 60% on major services performed by a General Dentist |
| IMPLANTS | |||
| Plan Pays | Plan Pays | Plan Pays | |
| Lifetime Maximum Benefit for Implants | $2,000 |
$3,000 |
No limits on use |
Why do I need dental and vision insurance coverage?
If you are in the market for dental and vision insurance and find yourself asking, “Why do I need it?” consider the advantages to your overall health. Our oral and ocular health can be key indicators in detecting early stages of many health risks and diseases along with preventing many other health issues.
Mutual of Omaha understands that your needs are unique
We’re committed to finding you the dental and vision plans that meets your needs. Mutual of Omaha dental and vision insurance plans offer affordable coverage with instant free online quotes, coverage for individuals 18+ (including seniors), no online enrollment fees and the Mutual of Omaha dental network.
| Mutual of Omaha dental insurance plans Include: | Mutual of Omaha vision insurance plans Include: |
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Network Information
Network for greatest savings.
- Over 400,000 access points nationwide
- Over 100,000 unique providers nationwide
- Ameritas 65+ insureds have a 41% network utilization with a 31% discount average
- 94% provider persistency
Savings Example
| Procedure | 80th U&C | Network Rate† | Day One Cost | Day One Savings | Year Two Cost | Year Two Savings |
|---|---|---|---|---|---|---|
| Cleaning | $108 | $61 | $0 | 100% | $0 | 100% |
| Filling | $139 | $80 | $52 | 62% | $16 | 88% |
| Crown | $1,117 | $748 | $635 | 43% | $374 | 66% |
| Description of benefits shown based on 78415 zip code. Rates vary by location. Benefits based on Mutual Dental Preferred dental plan. †MAC/MAB charge. | ||||||
Do I have to use an in-network dentist for your plans?
No, with Mutual of Omaha dental insurance plans, you have the freedom to use any dentist you would like. You do not need to select your dentist from a list of network providers to qualify for benefits and coverage. However, if you purchase a network plan, you have the ability to lower your out-of-pocket costs and receive the greatest savings when you utilize a Mutual of Omaha Dental Network provider.
With a dental insurance policy, you always have the option to see the dentist of your choice. Dentists in our network offer dental services at negotiated rates. That means your out-of-pocket costs will be lower with an in-network dentist. Dentists outside our network do not provide services at negotiated rates. That means your out-of-pocket costs may be greater. Find an in-network dentist for dental insurance.
What is the frequency limit for teeth cleanings?
With all Mutual of Omaha dental plans, you receive two cleanings per year at no cost including x-rays and fluoride treatments.
How can I look for in-network dentists?
The Mutual of Omaha Dental Network features:
- Discounted fees, typically 30% below average charges in your community
- Immediate network discounts
- One of the largest nationwide networks with over 428,000 access points and 111,500 unique providers
Additionally, when you utilize a Mutual of Omaha Dental Network provider, your out-of-pocket costs may be lower because they have agreed to a negotiated fee for covered services.
My dentist is not in-network. Can I still visit them?
Yes, Mutual of Omaha plans you have the freedom of choice. Seeing an out of network dentist will potentially be more costly because they have not agreed to accept our payment allowances. You will be responsible for the difference between what your Mutual of Omaha plan covers and what the non-participating dentist charges.
Additionally, when you utilize a Mutual of Omaha Dental Network provider, your out-of-pocket costs may be lower because they have agreed to a negotiated fee for covered services.
How long will the enrollment process take?
Enrollment materials will be emailed or mailed to you within 7-10 business days of a completed application, depending on the selection made during the enrollment process.
Does Mutual of Omaha offer family dental insurance plans?
While Mutual of Omaha does not currently offer family dental insurance, our dental savings plan offers a member and family membership option in addition to plans for individual members only and members plus one. For family plans, we recommend Ameritas and Delta Dental plans.
Is there any waiting period for the dental savings plan?
No. There is no waiting, no age restriction and no limits on use for our dental savings plan.
Do I need pre-approval for major dental work?
No. Mutual of Omaha does not require a pre-approval for services received, but we recommend a pre-treatment estimate of services for any non-emergency treatment plan of $300 or more.
This allows us to let you and your provider know, before the procedure is performed, if it is a covered procedure and what the reimbursement for the covered procedure will be. This helps eliminate confusion before dental work is performed. Please discuss this option with your dentist.
Does my plan cover cosmetic dentistry and orthodontics?
Cosmetic services are not covered under Mutual of Omaha’s group dental plans. Orthodontia is a benefit option that is offered as a service under many plan options. You may contact Mutual of Omaha Customer Services Department at 1-800-927-9197 to review your group’s dental benefits.
What are the differences between the Mutual of Omaha Dental Insurance and Dental Savings plans?
Mutual of Omaha dental insurance provides direct coverage of dental costs, up to the annual maximum benefit with no waiting period for services. Our dental savings plan provides discounts for most dental services including cosmetic services and has no limits on use and no waiting. Each dental product has advantages but determining the best options for you will depend on your needs. Compare the Mutual of Omaha dental plans for more details.
What dental plan should I choose?
Some dental plans may work better for you or your family. Here are a few questions to ask yourself, while reviewing plans:
- Are there waiting periods for certain procedures?
- Does this plan require you to use a network of dentists or can you use any dentist you choose? If the plan has a network, what dentists participate in the plan’s network?
- If I used a dentist outside the plan’s network, what will the benefits be?
- Does the plan charge an enrollment or application fee?
- Is there a deductible on the plan?
- What is the annual maximum?
How do I know how much a dental procedures costs with Mutual of Omaha dental insurance?
How do I order an ID card or order a replacement ID card?
- Online Account: Log in to your secure, personal account on the Mutual of Omaha website to view and print a temporary card immediately.
- Customer Service Phone: Call 1-800-775-6000 (Mon–Fri, 7:00 a.m. to 5:30 p.m. CST) to request a new physical card.
- Medicare Specific: If your card is lost or stolen, call the number above or visit a local Social Security office to request a replacement.
- Vision Cards: Use the EyeMed Members app for digital access to vision coverage.
- Replacement Time: New cards sent through the mail may take up to 30 days to arrive.
- Security: If your card was stolen, inform the representative to ensure a new policy number is issued if necessary.
How do I submit a dental claim?
To submit a Mutual of Omaha dental claim, in-network dentists typically file on your behalf. For non-participating dentists or specific claims, download the claim form from Go2Dental or Mutual of Omaha’s website, complete it with itemized bills/receipts and EOBs, and mail it to P.O. Box 211472, Eagan, MN 55121.
Steps to Submit a Dental Claim:
- In-Network Services: Most in-network dentists handle the claim filing for you.
- Out-of-Network Services: If you must submit it yourself, obtain an itemized receipt and, if necessary, an Explanation of Benefits (EOB) from Pangea Financial Group.
- Form Submission: Complete the required dental claim form from Go2Dental, sign it, and send it via mail to:
Mutual of Omaha
PO Box 211472
Eagan, MN 55121 - Digital Access: You can check the status of your claim through the Mutual of Omaha Employee Portal.
Assistance: For further help, call 800-877-5176.
For accident-related dental claims, you may need to include additional documentation, such as medical records or incident reports.
Apply Online Now
- Savings for using the DenteMax Plus network (includes, DenteMax, United Concordia, Connection Dental)
- Still have the freedom to use any dentist you would like
- Instant free online quotes
- No online enrollment fees
- Optional vision add-on