Dental Insurance for Good Oral and Overall Health

When you think about your health, you might not think about your mouth, gums and teeth. But did you know that your dental health has a big impact on your overall health? That’s why more and more people are choosing to get dental insurance. Medical Mutual offers quality dental insurance. With more than 70,000 dental locations in our network you'll get the care you deserve with the dentist you want.

When you need dental care, you want to see a dentist you’re comfortable with. That’s why you want to make sure your dental insurance network offers you the freedom to select any dentist within the network for the most coverage or outside the network with some coverage. With the DenteMax network, the choice is always yours.

  • Choose any dentist you want, in or out of the network (coverage will differ)
  • No need to select a primary dentist
  • You and your family members can select different dentists
  • No need for referrals for specialty care

Dental Plan Comparison

Here’s a quick overview of some of the key features of these plans. Adult dental plans apply to adults age 19 and older. Pediatric dental coverage applies to children through age 18.  Percentages and dollar amounts represent what you are responsible for paying.

 Plan Type  Individual Dental Plan 1 Individual Dental Plan 2   Individual Dental Plan 3
 Benefits  Network  Non-Network  Network  Non-Network  Network  Non-Network
 Benefit Period Deductible (Per Member)  $100  $100  $50  $50  $50  $100
Benefit Period Maximum (Per Member)  $1,000
Preventive Services    0 percent  50 percent  0 percent  50 percent  0 percent  50 percent
 Basic Services  50 percent after deductible (six month waiting period)  75 percent after deductible (six month waiting period)  20 percent after deductible (six month waiting period)  60 percent after deductible (six month waiting period)  Covers fillings only. 20 percent after deductible (no waiting period)  Covers fillings only. 40 percent after deductible (no waiting period)
 Major Services  70 percent after deductible (12 month waiting period)  85 percent after deductible (12 month waiting period)  50 percent after deductible (12 month waiting period)  75 percent after deductible (12 month waiting period)  Not covered  Not covered
Pediatric Dental Coverage   Included (see table below)
 Plan Type  Stand Alone Pediatric, Dental Plan 1 Pediatric and Dental Plan 3 Pediatric Dental Plan 2 Pediatric 
 Benefits  Network  Non-Network  Network  Non-Network
 Benefit Period Deductible (Per Member)  $100  $100  $50  $50
 Out of Pocket Maximum (Per Member)  $700  N/A  $500  N/A
Benefit Period Maximum (Per Member)   Unlimited  Unlimited  Unlimited  Unlimited
Preventive Services   0 percent  50 percent  0 percent  50 percent after deductible
 Basic Services  50 percent after deductible (no waiting period)  75 percent after deductible (no waiting period)  20 percent after deductible (no waiting period)  60 percent after deductible (no waiting period)
Major Services   70 percent after deductible (no waiting period)  85 percent after deductible (no waiting period)  50 percent after deductible (no waiting period)  75 percent after deductible (no waiting period)
Medically Necessary Pediatric Orthodontia (Separate Deductible)   70 percent after deductible ($100)  85 percent after deductible ($100)  50 percent after deductible ($50)  75 percent after deductible ($50)

Examples of Services Covered With These Plans

Here’s a brief summary of the specific types of services that are covered under this plan. The amount of coverage may vary or have restrictions (see note below).*

 Preventive Services  Oral exams, bite wing X-rays, prophylaxis (cleaning), sealants
Basic Services   Consultations and other exams by a specialist, diagnostic X-rays, composite or amalgam fillings, emergency palliative treatment (includes emergency oral exam), minor restorative services, repairs/relines/adjustments of prosthetics, simple extractions, impactions, minor oral surgery services, general anesthesia
 Major Services  Gold foil restoration, inlays and onlays, endodontics/pulp services, crowns, bridgework, partial and complete dentures
Medically Necessary Pediatric Orthodontia (for Individuals 18 and younger)  Orthodontic diagnostic services, minor treatment for tooth guidance, minor treatment for harmful habits, interceptive orthodontic treatment, comprehensive orthodontic treatment

*Important note: These are examples of services covered, but some benefits carry frequency restrictions, such as a limit to services or treatment per benefits period. All coverage percentages are based on services provided within the DenteMax network. Some coverage requires that a deductible be met before benefits begin.

Who is Eligible for Medical Mutual Dental Insurance?

Medical Mutual Dental insurance is available to all ages. Family coverage includes you, your spouse and any unmarried children under the age of 28. Stand-alone pediatric coverage is available for children through age 18. You and any dependents must be residents of Ohio for at least six months of the year to be eligible. This plan can be purchased with one of our medical plans or by itself.

Please note: When purchasing a Medical Mutual Dental plan only, one year of premium will be required at the time the first billing statement is received.

Seeing a DenteMax Dentist is Simple and Easy

Once you're enrolled in the Medical Mutual Dental plan, just:

  • Call a DenteMax dentist to schedule an appointment.
  • Let the dentist know you are a Medical Mutual SuperDental member. Then present your identification card at your first visit.
  • A claim will be submitted to Medical Mutual for the services you received.

Ready to Get Started?

Call us at 866.488.3266.