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What You're Saying...
PPO

May I go to any dentist?
Yes, however, for maximum benefits at the lowest cost visit a participating network dentist.

What's the benefit of seeing an in-network dentist?
If your dentist is not in the network you still recieve benefits, but you will pay higher out-of-pocket costs for the dental services.

To verify if a dentist participates in the Network, visit our
Dentist Finder. Pop-up Window

What is the billing process?

  • Prior to receiving services, review your plan certificate for important plan information, such as deductibles or required waiting periods.
  • When you visit a dentist, simply present your HumanaDental identification card. The dentist will submit the claim to us on your behalf.
  • HumanaDental will review the claim and reimburse the dentist for eligible charges.
  • HumanaDental will mail an Explanation of Benefits (EOB) to your home. Your dentist will bill you for your portion of the charges. If you visit a participating PPO network dentist, your dentist cannot bill you for amounts over the negotiated fees, ensuring lower out-of-pocket costs for you. You pay your dentist directly, if applicable.

What services are covered under this plan?

Preventive services Basic services Major services
  • Oral examinations
  • X-rays
  • Cleanings
  • Topical fluoride treatmen
  • Sealants
  • Periodontics (gum therapy)
  • Endodontics (root canals)
  • Space maintainers
  • Emergency care for pain relief
  • Basic oral surgery services - basic extractions of erupted tooth or root
  • Fillings
    Routine extractions
  • Appliances for children
  • Prefabricated stainless steel crowns
  • Crowns
  • Inlays and onlays
  • Bridgework
  • Dentures
  • Denture relines and rebases
  • Denture repair and adjustments
  • Complex oral surgery