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DENTAL

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.

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