Plan Cost Information

Dental Value Plan C550-GA
  Monthly Annual* Annual Discount
Individual $15.00 $180.00 $0.00
Individual +1 $25.62 $307.44 $0.00
Family $51.95 $608.88 $14.52

One Time Non-Refundable Processing Fee:

Monthly: $35.00

Annual: $35.00

Initial Payment Billing Fee:

monthly eft: $1.00
monthly credit card: $1.00

Ongoing Payment Billing Fee:

monthly eft: $1.00
monthly credit card: $1.00

* Discount Already Applied

Payment Options
Credit Cards Accepted: Visa, Mastercard, Discover and American Express
Initial Payment Options Ongoing Payment Options
Monthly Credit Card Monthly Credit Card
Annual Credit Card Annual Credit Card
Monthly E-Check Monthly E-Check
Your payment will be processed as follows
Credit Cards Accepted: Visa, Mastercard, Discover and American Express
Initial Payment Options
Monthly Credit Card Processed within 2 (two) business days
Annual Credit Card Processed within 2 (two) business days
Monthly E-Check Processed within 2 (two) business days
Ongoing Payment Options
Monthly Credit Card Processed on the 15th of each month
Annual Credit Card Auto renew 15th of the month prior to your next effective date
Monthly E-Check Processed on the 15th of each month

Cancellations

You may cancel your Policy:

  1. By notifying HumanaOne in writing within thirty (30) days of the Effective Date. Provided no Dental Care Services have been rendered, all Contributions (excluding Enrollment Fees) will be refunded upon written request. If Dental Care Services have been received, then any Contribution refunds shall be first applied to the Usual Charges of the Participating General Dentist or Participating Specialist.
  2. If you permanently move from the HumanaOne service area. Cancellation shall become effective on the last day of the month in which written notification is received by Company.
  3. If you seek cancellation after the first thirty (30) days and during the first twelve (12) months of the Policy, you will not be entitled to any premium refund. Additionally, HumanaOne Participating General Dentists and Participating Specialists, at their discretion, shall have the right to collect from you their Usual Charges less any Copayments previously paid.