HumanaDental DHMO Plans
You'll experience great service with this quality plan.
- Fact sheet (221k)
- DHMO Member Handbook (173k)
- HumanaDental DHMO Plan FAQ (3 MB)
- DHMO PCD Provider list of counties (33k)
- DHMO PCD Provider map (1.3 MB)
- DHMO Specialty Dentist Provider list of counties (31k)
- DHMO Specialty Dentist Provider map (1.3MB)
Common Questions
Can I go to any dentist?
No. You and each of your eligible dependents must select a general practice primary care dentist (PCD) who participates in the HumanaDental DHMO Network. This PCD will take care of your dental needs.
If you would like to select or change your PCD, contact HumanaDental at (877) 377-0987.
If you want to suggest a provider to be added to the network, please call (877) 377-0987 or use the Provider nomination form.
Will Humana advise when the PCD is effective?
When you call Humana Dental to select or change your PCD, we will advise you over the phone of the new effective date. New member ID cards will be sent within 7 to 10 business days reflecting the name and effective date of the new PCD.
What's the benefit of seeing a HumanaDental participating network dentist?
The plan does not cover services from a dentist who does not participate in the Network, except for emergency care.
What's the benefit of seeing a HumanaDental participating DHMO network dentist? Visit the HumanaDental DHMO Plan Dentist Finder
You pay only a copay for covered services or treatment. Procedures not listed on the benefit summary are available at a discount from your PCD. You should ask your PCD for an estimate before you receive any treatment.
What is the billing process?
When you visit your PCD, simply present your HumanaDental identification card. You may be required to pay a copayment for some services.
If the dental services received were not covered by the dental insurance plan, your PCD will bill you for the charges. You pay your PCD directly, if applicable.
To determine what will be paid on a procedure, ask your dentist to submit a pretreatment estimate. We do not preauthorize benefits over the phone.
How do I schedule an appointment?
After you have selected a PCD from the HumanaDental DHMO network, contact HumanaDental and notify them of your selection. Then make an appointment with your PCP. Simply mention you are covered under the HumanaDental DHMO Plan for GBP participants when you call.
You can select a PCD by calling HumanaDental at (877) 377-0987, 7 a.m. to 7 p.m. CT, Monday – Friday, and a representative will assist you in your selection.
How do I file an appeal?
You can learn more about the appeal process online
What if I am no longer eligible to continue coverage?
When a participant is no longer eligible to continue coverage under the HumanaDental DHMO Plan because COBRA continuation of coverage ends, the participant is eligible to apply for a HumanaOne individual dental plan.
To be eligible, the participant, or their qualified dependents, must apply within 31 days after the last day of coverage. However, the participant may apply for the conversion policy prior to the end of coverage under the HumanaDental DHMO Plan. If issued, the HumanaOne individual dental plan will go into effect the first of the month following approval. If you have any questions about your conversion privilege or need an application, please call (877) 377-0987.
