Is Humana Good Dental Insurance for Your Needs

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Humana's dental insurance plans offer a range of coverage options, including preventive care, fillings, and crowns, with varying copayments and coinsurance rates depending on the plan.

Some plans also cover orthodontia and oral surgery, but these services may require a separate deductible or coinsurance rate.

Humana's network includes a large number of dentists, making it easy to find an in-network provider.

Coverage Options

Humana offers a variety of dental coverage options to suit different needs. You can choose from a range of plans, including the Preventive Value PPO and the Complete Dental PPO.

The Preventive Value PPO is a good option for seniors who prioritize routine preventive care. This plan comes with no waiting period, enrollment fee, or annual maximum, making it affordable and accessible.

The Complete Dental PPO is ideal for older adults who want extensive dental coverage. This plan includes preventive, basic, and major services, as well as options for orthodontic work.

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Here are some key features of the Complete Dental PPO:

  • Routine oral exams and evaluations are 100% covered in-network
  • Basic services, such as fillings and extractions, are 50% covered in-network after the deductible is met
  • Major services, including oral surgery and dentures, have a 12-month waiting period
  • The plan includes emergency care, periodontal maintenance, and periodontal scaling and root planing

These plans offer flexibility and convenience, allowing you to choose your primary care dentist and see them as often as needed. With Humana's dental coverage options, you can maintain your dental health and save money on common services.

Costs and Savings

Humana dental plans can be quite affordable, with some plans starting at just $6.99 per month. The HumanaOne Dental Savings Plus Discount Plan, for example, offers immediate discounts of up to 40 percent on many dental services through in-network providers with no waiting periods.

The cost of full-coverage dental plans, on the other hand, can vary widely and is dependent on many factors, including the number of people in your family that need coverage, their ages, and whether anyone needs orthodontic care or dentures.

Here's a breakdown of the costs for a 65-year-old living in Florida:

Keep in mind that prices can vary widely based on age and location, so it's essential to review the costs and savings of each plan carefully.

Value Hmo

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Dental Value HMO plans are a great option for those who want lower premiums and to avoid unexpected costs. They have a set fee schedule, so you'll never get surprised with a huge bill.

Preventive services like exams and cleanings are covered 100 percent with no deductible. You can expect zero deductibles or waiting periods, which is a huge relief.

Non-emergency office visits cost just $15 ($10 in Kentucky), and there's no maximum benefit limit. You can pay your premiums by mail, phone, or online, making it super convenient.

To access network specialists, you'll need to choose a primary-care network dentist for routine care. Basic services like fillings, extractions, and X-rays are covered on a set fee schedule, and major services like root canals, crowns, and dentures are also covered.

Dental Value HMO plans are available in eight states: Florida, Missouri, Ohio, Tennessee, Texas, Georgia, Illinois, and Kentucky.

Costs and Savings

The cost of dental insurance can vary widely, with prices depending on your age, location, and the type of plan you choose. The HumanaOne Dental Savings Plus Discount Plan is the simplest and most affordable option, with prices starting at $6.99 per month.

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Preventive services, including cleanings and exams, are often covered at no additional cost, but the specifics depend on the plan you choose. For example, the Preventive Value PPO plan has no copay for office visits, routine cleanings and exams, and x-rays.

Deductibles can also impact the cost of dental insurance. The Preventive Value PPO plan has a $50 individual lifetime deductible, while the Bright Plus PPO plan has a $50 individual deductible.

Annual maximums can also affect the cost of dental insurance. The Preventive Value PPO plan has an unlimited annual maximum, while the Bright Plus PPO plan has a $1,250 annual maximum.

Here are some estimated costs for different dental procedures under the HumanaOne Dental Savings Plus Discount Plan:

The cost of dental insurance can be complex, but understanding the specifics of your plan can help you make informed decisions about your oral health.

Insurance Plans

Humana offers a range of dental insurance plans, including the Preventive Value PPO, which is best for seniors looking for affordable routine care with a wide network of providers.

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This plan comes with no waiting period, enrollment fee, or annual maximum, and a one-time lifetime deductible of $50 for an individual, $100 for an individual plus one dependent or spouse, and $150 for a family of three or more individuals.

The Preventive Value PPO plan provides 100 percent coverage in-network after the lifetime deductible is met and 80 percent for an out-of-network dentist after the lifetime deductible is met.

Bright PPO

The Bright PPO plan is a great option for older adults who want both preventive and basic restorative care. It offers budget-friendly premiums with access to a wide network of providers.

This plan is ideal for people who prefer regular exams and cleaning. Members can use their coverage as soon as they receive their member ID card.

There is no enrollment fee, and the plan has a $50 individual deductible and a $150 family deductible. Members also get a $100 annual allowance for in-office teeth whitening, which is a great extra benefit.

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Members get full coverage for two routine oral exams and cleanings each year, two limited oral evaluations, and one set of bitewing X-rays each year. They also get a comprehensive periodontal evaluation every three years and one panoramic film combined with full mouth every five years.

The Bright Plus dental plan is a good fit for people who want to prioritize their oral health and preventive care. It's a solid choice for those who want to catch any issues before they become major problems.

Complete

The Complete Dental PPO is a great option for older adults who want extensive dental coverage. It includes preventive, basic, and major services with options for orthodontic work.

You can maintain your already healthy smile with access to all of Humana's dentist and specialist locations nationwide. This plan is good for older adults transitioning from their employer's insurance to their own plan.

Members pay an annual deductible of $50 per person or $150 per family, with no deductible for preventive services when using in-network providers. There's no waiting period to get two annual routine oral examinations, two cleanings per year, two annual topical fluoride treatments, and one limited annual oral evaluation.

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In-network coverage is 100 percent for preventive care, but some limits may apply. You can pay your premiums by mail, by phone, or online for added convenience.

For basic care, there is a six-month waiting period, although it may be waived if you have had coverage for 12 continuous months. Members will receive emergency care, one filling per tooth for two years, and prefabricated stainless-steel crowns.

In-network coverage is 80 percent after paying the deductible, but some limits apply. The Complete Dental PPO also covers major services like oral surgery, complete and partial dentures, and crowns, onlays, and inlays.

There is a 12-month waiting period for major services, but it may be waived if you have had coverage for 12 continuous months. In-network coverage is 50 percent after paying the deductible, but some limits apply.

The HumanaOne Complete Dental plan offers comprehensive coverage with no waiting periods for preventive services, which are covered 100 percent after a low deductible is met.

One

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HumanaOne dental plans offer a range of options to fit different needs and budgets.

There are four separate HumanaOne dental plans to choose from: the Dental Preventive Plus plan, the Dental Value Plan, the Loyalty Plus plan, and the Dental Savings Plus plan.

All HumanaOne dental plans free you from the inconvenience of the underwriting process and remove worry about pre-existing conditions.

The Loyalty Plus plan rewards you for loyalty by increasing your coverage the longer you remain with the plan.

This plan has a one-time deductible for basic and more complicated procedures.

You can stay with a trusted provider or change your dentist and keep your benefits and savings with the Loyalty Plus plan.

Choosing and Purchasing

You can purchase a Humana dental plan online or by calling a licensed sales agent between 8 a.m. and 9 p.m. ET Monday through Friday. To enroll online, you'll need to input your state and age to view your plan options.

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To choose the best dental insurance plan for you, consider the premiums, cost share (copays and/or coinsurance), and deductibles. With Humana, you can expect low co-pays, a wide choice of dentists, and the ability to see a specialist without a referral.

Here are some key factors to consider when choosing a Humana dental plan:

  • Estimate your future dental needs, including regular checkups and cleanings, as well as major dental work or oral surgery.
  • Find a plan that your dentist accepts, and check if they are part of Humana's provider network.
  • Consider your budget and how much you are comfortable paying for premiums, copays, and deductibles.

By considering these factors, you can find a Humana dental plan that works for you and your family.

How to Purchase

You can purchase a Humana dental plan online or by calling a licensed sales agent between 8 a.m. and 9 p.m. ET Monday through Friday.

To start the online process, input your state and age to bring up your plan options, and then add your chosen plan to your cart.

You'll be presented with the cost and effective date of your new plan, and then prompted to add applicant and household details.

The final step is to review and check out your purchase on a final page.

Close-up Photo of Dentist Examining Patient's Teeth
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You can also use the MyHumana app to locate a dentist, refill prescriptions, and more.

To purchase a Humana Medicare Advantage plan with dental coverage, you can call a licensed insurance agent at 1-800-472-2986 TTY Users: 711 24 hours a day, 7 days a week.

You can also get started by requesting a free plan quote online, with no obligation to enroll in a plan.

How to Choose Insurance

Choosing the right insurance plan can be overwhelming, but it's essential to do your research to find the best fit for you. Consider your future dental needs, including regular checkups and cleanings, as well as any potential major dental work or oral surgery.

To estimate your future dental needs, think about whether you or a family member will need major dental work or oral surgery. This will help you choose a plan that covers the services you'll need. You can also find a plan that your current dentist accepts, which can make it easier to stick with your regular dentist.

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Your budget is also a crucial factor in choosing a plan. Decide whether you'd prefer to pay monthly premiums, copays at the time of service, or discounted fees directly to the dentist. Some plans may have a waiting period for certain services, so be sure to check the plan's policy before enrolling.

Here are some key factors to consider when choosing a plan:

  • Plan premiums: This is how much you pay per month to stay with the plan.
  • Copay: This is how much you pay per visit or per procedure.
  • Coinsurance: This is the percentage of covered charges insurance pays.
  • Benefit maximum: This is how much the plan will pay for your dental care over a certain period of time.

By considering these factors and doing your research, you can find a plan that meets your needs and fits your budget.

Loyalty

The Loyalty Plus PPO plan from Humana is a great option for aging adults who want comprehensive dental coverage with increasing benefits over time. It offers immediate coverage with no waiting period, and you get rewards for being a member.

You have a choice of any Humana dentists, and benefits increase over the duration of your membership. The percentage your plan pays toward services grows annually until the third year.

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During your first year, you get a maximum of $1,000 per person, which breaks down to 40 percent covered for basic services like fillings, extractions, and X-rays. The second year it’s $1,250 maximum, with 55 percent covered for basic services.

By the third year, the limit increases to $1,500 per person, with 70 percent covered for basic services. Coverage for major services like root canals, crowns, and dentures is 20 percent covered for the first year, 30 percent covered for the second year, and 50 percent covered for the third year forward.

The Loyalty Plus Plan from Humana gives members reward perks through benefits increases for the first three years. This means you'll enjoy increases on coverage and care for services like routine exams, fillings, root canals, and more.

One-time deductible for the entire time you stay on the plan is another benefit of the Loyalty Plus Plan. No waiting periods and no co-payments are also part of this plan, giving you security and peace of mind.

Frequently Asked Questions

Is Humana a good provider?

Humana has consistently shown 4-star plans in California, indicating a high level of quality and service. This suggests that Humana may be a reliable provider option for those seeking health insurance.

Danielle Hamill

Senior Writer

Danielle Hamill is a seasoned writer with a keen eye for detail and a passion for storytelling. With a background in finance, she brings a unique perspective to her writing, tackling complex topics with clarity and precision. Her work has been featured in various publications, covering a range of topics including cryptocurrency regulatory alerts.

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