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. 

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 Oral surgery Fillings Routine extractions Denture repair and adjustments Appliances for children Prefabricated stainless steel crowns	Crowns Inlays and onlays Bridgework Dentures Denture relines and rebases

For specific costs and further details of the coverage, including exclusions, any reductions or limitations and the terms under which the policy may be continued in force, contact your representative.