Physician Mutual Individual Basic Plan
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Individual & Family Plans Available
Physician Mutual Individual Plan
- Annual Deductible -No annual deductible
- Annual Maximum Benefit - $1,000 per person
Find Plan Availability & Pricing In Your Area By Entering In Your ZIP Code Below:
Individual & Family Plans Available
- Enjoy up to 100% coverage for preventive dental care such as x-rays, cleanings, and dentist examination
- No annual deductible
- Up to $1,000 maximum yearly coverage
| Benefit | In-network | Out-of-network |
| Individual Basic Plan | No deductible | No deductible |
| Family Plan | $99.50 per person | $99.50 per person |
| Annual Benefit Maximum | $1,000 per person | $1,000 per person |
Plans Starting From *$17.95 per Month in ZIP Code 32030 The Cost of Each Plan May Vary By Age or ZIP Code
Enter your ZIP Code to Find Plan Availability & Pricing in Your Area
Individual Plan Highlights
| Eligibility |
| Primary enrollee, spouse/domestic partner, eligible kids up to the age of 26 years **Make sure you read and understand the plan policy for more details on eligibility of members |
| Deductibles and Maximums | |
| Calendar Year Deductible | No deductible for individuals |
| Up to $150 per family for family plans | |
| Annual Maximum Per Calendar Year | $1,000 per beneficiary |
| Orthodontic Deductible | N/A |
| Orthodontic Lifetime maximum | N/A |
| Covered Services | Physicians Mutual PPO Dentists | Non-Physicians Mutual PPO Dentists |
| Diagnostic & Preventive Services Cleanings, Exams, X-rays | 100% | 100% |
| Diagnostic & Preventive Services CleaningsEmergency treatment to relieve pain, fillings | Up to 50% | Up to 50% |
| Periodontics Gum treatments | Not Covered | |
| Oral surgery Simple tooth extractions | Up to 50% | Up to 50% |
| Prosthodontics Dentures, implants, bridges | Not Covered | |
| Major Services Inlays, onlays, crowns, cast restorations | Not Covered | |
| Orthodontics Adults and dependent children | Not Covered | |
Waiting Periods
| Preventive & Diagnostic Services | No waiting period |
| Basic Services | Up to 6 months |
| Major services | N/A |
| Orthodontics | N/A |
Plans Starting From *$17.95 per Month in ZIP Code 32030
The Cost of Each Plan May Vary By Age or ZIP Code
Additional Plan Information forPhysicians Mutual Individual Basic Plan
Annual Maximum
This term is used to refer to the maximum amount of money that the plan can pay in a typical calendar year
- Typically, we pay up to $1,000 per enrollee on the plan
Calendar Year Deductible
This term is used to refer to the amount of money you will pay out-of-pocket for certain services in a calendar year. Our total deductibles are as follows:
- Individual plan- no deductible
- Up to $150 annual deductible for families
Can I Choose Any Dentist?
Yes, you are free to visit any licensed dentist, anywhere. However, you will save a lot of money if you choose to work with one of our in-network dentists. Our dentists agree to slightly lower fees and won’t charge you anything more than your expected share of the total cost. Our in-network dentists also help you to complete claim forms and can advise you on some questions about your share of payment. Use the “Find a Dentist” tool on this page to easily locate an in-network dentist.
*The rates indicated on this page may not apply to you
**Be sure to read your plan policy for further clarification on your plan benefits, exclusions, and limitations. In case of any inconsistency between the information provided here and your plan policy, the terms of the plan policy prevail.
The information contained here is written by Physicians Mutual and is meant for public consumption.
Everything included here is only meant to serve as a quick summary and is not intended to replace the terms of your plan policy.
Physicians Mutual is a registered trademark.
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