Physician Mutual Dental Insurance
- Sarah Christly
- Nov 21, 2024
- 3 min read
Key Takeaways
Flexible Coverage Options: Physician Mutual offers a range of dental plans tailored to different budgets and needs, from basic to comprehensive coverage.
Guaranteed Acceptance: The insurance provides guaranteed acceptance, meaning you can get coverage without medical underwriting, regardless of your health history.
No Annual Maximums or Deductibles: There are no annual maximums on benefits and no deductibles, allowing immediate use of benefits for covered services.
Freedom to Choose Any Dentist: You have the flexibility to choose any dentist, with in-network providers potentially offering greater savings.
Additional Benefits Available: Optional vision and hearing coverage can be added, enhancing the value of your insurance plan.
Understanding the Limitations: Be aware of the 12-month waiting period for major procedures and restrictions on switching plans after receiving major treatments to avoid waiting periods again.
HUGE Dental Network of over 500,000 providers
Dental care can be pricey, from routine checkups to unexpected procedures. That's where dental insurance comes in handy, offering a financial safety net to manage those costs and keep your smile shining. Today, let’s dive into whether Physician Mutual Dental Insurance might be the right fit for you.
Exploring Physician Mutual's Dental Plans
Physician Mutual offers a range of plans—Economy, Standard, Preferred, and Premier—each tailored to different budgets and needs:
Preventive Care: Enjoy 100% coverage for routine services like cleanings and exams with any in-network dentist.
Basic Care: This includes things like fillings and simple extractions. Coverage varies by plan, with the Premier Plan covering 70% of costs.
Major Care: For bigger procedures like root canals and crowns, coverage kicks in after a 12-month waiting period, with the Premier Plan covering 70%.
For example, under the Preferred Plan, you'd get up to $435 toward a crown or root canal. The Standard Plan offers up to $315 for these procedures, and the Economy Plan provides up to $195.

Benefits of Choosing Physician Mutual
Here’s what sets Physician Mutual apart:
Guaranteed Acceptance: No medical underwriting means you’re automatically approved, regardless of health history.
No Annual Maximums or Deductibles: You won’t have to worry about hitting coverage limits or paying out-of-pocket before your benefits kick in.
Choose Any Dentist: While staying in-network can save you more, you’re free to go to any dentist you like.
Wide Network: The Ameritas network includes over 500,000 provider locations nationwide.
Extra Perks: Optional benefits for vision and hearing care are available, along with discounts for combining certain services.
Potential Drawbacks
However, there are a few cons to consider:
Waiting Periods: A 12-month wait for major care could be a dealbreaker if you need immediate extensive dental work.
Costs: Monthly premiums vary, so it’s important to weigh the financial aspects of each plan against your needs.
Coverage Limits: Be aware of exclusions, such as cosmetic procedures and orthodontics.
Be Aware
Keep in mind that there are specific procedures for adding vision and hearing benefits to your policy; it's best to include these when you initially sign up. Also, be aware of the waiting periods for upgrading plans. With Physician Mutual Dental Insurance, you can't begin with the most comprehensive plan to complete all your dental work and then switch to a less expensive plan without encountering a waiting period.
Is Physician Mutual Right for You?
Choosing the right dental insurance is a balance of needs, budget, and preferences. Physician Mutual offers strong perks like guaranteed acceptance and no deductibles, but also consider the waiting periods and potential costs.
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