Mutual Dental Preferred

Issue Ages: 19-99

Calendar Year Deductible:

• $0 per year for preventive services
• $50 per year for basic and major services

Preventive Services: Two cleanings per year, X-rays

• 100% (Insured pays nothing)

Basic Services: Fillings, Extractions, Emergency treatment

• 80% (Insured pays 20%)

Major Services: Crowns, Dentures, Bridges, Root Canals, Periodontics, Oral surgery

• 50% (Insured pays 50%)

Calendar Year Benefit:

• $1,500; $3,000; $5,000 (The maximum amount the policy pays each calendar year for all covered services)

Lifetime Maximum Benefit for Implants:

• $3,000 (The maximum amount the policy pays for dental implants)

Mutual Dental Protection

Issue Ages: 19-99

Calendar Year Deductible:

• $100 per year for all services combined

Preventive Services: Two cleanings per year, X-rays

• 100% (Insured pays nothing)

Basic Services: Fillings, Extractions, Emergency treatment

• 50% (Insured pays 50%)

Major Services: Crowns, Dentures, Bridges, Root Canals, Periodontics, Oral surgery

• 50% (Insured pays 50%)

Calendar Year Benefit:

• $1,500; $3,000; $5,000 (The maximum amount the policy pays each calendar year for all covered services)

Lifetime Maximum Benefit for Implants:

• $2,000 (The maximum amount the policy pays for dental implants)

Vision Care Rider

The Vision Benefits rider may be added to either dental insurance policy. This rider provides a reimbursement benefit that pays for:

Eye Exams: Up to $50 every calendar year for one eye exam (no waiting period)

Eyeglasses and Contact Lenses: Up to $150 every two calendar years for eyeglasses or contact lenses (after a six-month waiting period)

No Provider Network: Policyholders can see the vision care provider of their choice

Works with Other Vision Care Benefits: The Vision Care Benefits rider can be used in conjunction with any other vision care benefit or discount the policyholder may have.