Name: Preventive Plus
Brand: Humana

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$17.99 /mo.

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Preventive Plus

Plan Type PPO

Dentist Search

$17.99 /mo.

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Plan Highlights

If you’re looking for a dental PPO plan, this one is low-cost and provides coverage for preventive and basic care, such as cleanings , X-rays, fillings and extractions. Plus, there are no copayments for office visits.

Here’s what you can expect:

Freedom to visit any dentist you like
Most in-network preventive services covered 100%
Additional discounts may be available for visiting network dentists

Common Procedures

Details

Fee Schedule: N/A | Dentist Search

Exams: Routine oral examinations (limit two per year)
In Network – 100% – no deductible
Out of Network – 70% of in network fee schedule after deductible
No waiting period

Cleanings: Cleanings (limit two per year)
In Network – 100% – no deductible
Out of Network – 70% of in network fee schedule after deductible
No waiting period

X-Rays: Bitewing X-rays (limit one set per year, excludes full mouth and panoramic)
In Network – 100% – no deductible
Out of Network – 70% of in network fee schedule after deductible
No waiting period

Fillings: Fillings (Limit two per year, composite covered on front teeth only*)
In Network – 50% after deductible
Out of Network – 30% of in network fee schedule after deductible
6-month waiting period applies

Extractions: Extractions and root removal
In Network – 50% after deductible
Out of Network – 30% of in network fee schedule after deductible
6-month waiting period applies

Crowns: Discount Services*

Root Canals: Discount Services*

Dentures: Discount Services*

Deep Cleanings: Discount Services*

Implants: Discount Services*

Braces / Orthodontia: Discount Services*

Teeth Whitening: Not Covered Service

Additional Network Information:

Under our Preventive Plus dental plan, you can choose to visit any dentist from the Humana network, no primary care dentist required. There are more than 270,000 dentist locations on the Humana Dental PPO network. Simply present your Humana Dental identification (ID) card when you see your dentist. It contains all the information your dentist needs to submit your claims.

Out-of-network dentists can bill you for charges above the amount covered by your Humana Dental plan. To ensure you do not receive additional charges, visit a dentist in the HumanaDental PPO network.

Exclusions and Limitations: N/A
Privacy Policy
Plan Brochure

Notes:

Waiting periods and other limitations may apply, please see your policy certificate for coverage details.
Emergency care covered at 50% both in-network and out-of-network in state of Illinois (IL).
Composite (white) fillings are only covered on anterior (front) teeth. An alternate benefit is allowed for composite fillings on posterior (back) teeth where the plan will cover the cost of an amalgam (silver) filling and the member is responsible for any cost over the covered amount.

* Discount Services – You may receive a discount on these non-covered services. You may contact your participating provider to determine if any discounts are available on non-covered services. Out-of-pocket expenses do not apply to deductible and annual maximum. Members are responsible for 100% of the discounted service.

FAQ

Can I change my dentist once I am in the plan?

Yes. You can change dentist or dental office at any time. Please contact Member Services for help locating participating provider in your area.

What is a pre-existing condition versus work-in-progress? Is it covered?

What provider options do I have?

When can I start using my Plan?

When will I receive my new member kit and what will it include?

Who can enroll in this plan?

Humana Specialty Benefits
P.O. Box 14283
Lexington, KY 40512-4283

Disclaimers & Disclosures

This website provides a very brief description of some of the important features of this plan. It is not the insurance contract, nor does it represent the insurance contract. A full description of benefits, exclusions and limitations is contained in the Schedule of Benefits and your policy.

Rates shown are based upon the information you provided, and are subject to change based on the dental and/or vision plan's underwriting practices and your selection of available optional benefits, if any. Final rates and effective dates are subject to underwriting and are always determined by the dental insurance and/or vision insurance company. To be considered for reimbursement, expenses must qualify as covered expenses.

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