Plan Cost Information

Dental Value Plan HI215-TX
  Monthly Annual* Annual Discount
Individual $14.99 $179.88 $0.00
Individual +1 $28.48 $341.76 $0.00
Family $62.96 $755.52 $0.00

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 by notifying HumanaOne in writing within ten (10) days of your effective Date (except New Hampshire, which is 30 days from effective date). If you cancel your membership within the above allotted cancellation period, you will be refunded your premium (not the enrollment fee). You will also be responsible for the full cost of any services received during this time period. The enrollment fee is non-refundable in all situations.