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 |
$3.12 |
$74.88 |
$598.80 |
Employee + Spouse |
$18.54 |
$444.96 |
$593.04 |
Employee + Child(ren) |
$22.57 |
$541.68 |
$722.40 |
Family |
$31.15 |
$747.60 |
$996.96 |
Group Number
G000CJGN
Provided By
Mutual of Omaha
Provider Website
https://www.mutualofomaha.com/dental
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