Dental Benefits
Dental insurance offers coverage for preventive care like routine exams, cleanings, and X-rays as well as basic and major services like fillings, extractions, root canals and crowns.
Keep in mind that your costs will generally be lower if you choose an in-network dentist. To find an in-network dentist, please visit https://www.mutualofomaha.com/dental.
In-Network |
Out-of-Network |
|
---|---|---|
Annual Deductible (Individual/Family) |
$50/$150 |
$50/$150 |
Waived for Preventive Care |
Yes |
Yes |
Annual Maximum |
||
Per Person/Family |
$1,800 |
$1,800 |
Preventive |
100% |
100% |
Basic |
80% |
80% |
Major |
50% |
50% |
Orthodontia |
||
Benefit Percentage |
50% |
50% |
Eligibility Requirements |
Children to age 26 |
Children to age 26 |
Lifetime Maximum |
$1,000 |
$1,000 |
Bi-Weekly Cost |
Employee Annual Cost |
SCC Annual Contribution |
|
---|---|---|---|
Employee |
$2.88 |
$74.88 |
$648.70 |
Employee + Spouse |
$17.11 |
$444.84 |
$642.46 |
Employee + Child(ren) |
$20.83 |
$541.68 |
$782.60 |
Family |
$28.75 |
$747.60 |
$1,080.04 |
Group Number
G000CJGN
Provided By
Mutual of Omaha
Provider Website
https://www.mutualofomaha.com/dental
Customer Service
Resources
Frequently Asked Questions