Good dental health is critical to your overall well-being. You may purchase dental insurance that is designed to prevent problems before they occur.
Your dental plan is administered by Humana. This plan provides for a wide array of dental services with an annual limit of $1,000 per person per year.
You will receive more benefit by seeing in network dentists. However, the non network reimbursement is the most generous, at 90th% Usual and Customary (UCR). This means that what Humana allows for as reimbursement for a service will be satisfied by 90% of dentists’ charges. however, when seeing a non network provider, since they are not contracted with Humana, they are able to balance bill you. This means that you could end up paying additional costs for services through a non network provider beyond just your coinsurance responsibility.
To find a dentist, review your benefits, download or print your ID card and much more, go to www.humana.com to find a dentist or call 800-541-7846. To register for access to additional plan details and your ID card, benefits, etc, click here.
| Dental Benefit | In Network | Non Network |
| Deductible (Single/Family) | $50/$150 | $50/$150 |
| Preventive Services | 100%, deductible waived | 100%, deductible waived |
| Basic Services | 50% after deductible | 50% after deductible |
| Major Services | 50% after deductible | 50% after deductible |
| Orthodontia (Child(ren) Only) | 50% after deductible | 50% after deductible |
*Out of network providers may balance bill based on contracted amount paid.
Preventive services
• Routine oral examinations (2 per year)
• Bitewing x-rays (2 films under age 10, up to 4 films ages 10 and older)
• Routine cleanings (2 per year)
• Fluoride treatment (1 per year, through age 14)
• Sealants (permanent molars, through age 14)
• Space maintainers (primary teeth, through age 14)
• Oral Cancer Screening (1 per year, ages 40 and older)
Basic services
• Emergency care for pain relief
• Amalgam fillings (1 per tooth every 2 years, composite for anterior/front teeth)
• Oral surgery (tooth extractions including impacted teeth)
• Stainless steel crowns
• Harmful habit appliances for children (1 per lifetime, through age 14)
Major services
• Crowns (1 per tooth every 5 years)
• Inlays/onlays (1 per tooth every 5 years)
• Bridges (1 per tooth every 5 years)
• Dentures (1 per tooth ever 5 years)
• Denture relines/rebases (1 every 3 years, following 6 months of denture use)
• Denture repair and adjustments (following 6 months of denture use)
• Implant Related Services (1 every 5 years limited to crowns, bridges, and dentures. Coverage limited to equivalent cost of a non-implant service. Implant placement itself is not covered.)
• Periodontics (periodontal cleanings 4 per year, scaling/root planing and surgery 1 per quadrant every 3 years)
• Endodontics (root canals 1 per tooth per lifetime and 1 re-treatment)
Orthodontia services
Child orthodontia – Covers children through age 18. Plan pays 50 percent (no deductible) of the covered orthodontia services, up to: $1,000 lifetime orthodontia maximum per covered child.
