LIBERTY plans

Search below for the plan name and out-of-network reimbursement type (INFS or U&C) listed on your quote. The name of each document corresponds to the display of the product on your quote.

Dental Plan Name_Coins % (in)_Coins % (out)_ Deductible Single_Annual Maximum

Summary of Dental Benefits

SDBC (Humana LS100) Small/Large Group pdf opens in new window

SDBC (Humana LS200) Small/Large Group pdf opens in new window

SDBC (Humana LS300) Small/Large Group pdf opens in new window

Benefit Schedule

LS100 Humana Benefit Schedule CDT24 pdf opens in new window

LS200 Humana Benefit Schedule CDT24 pdf opens in new window

LS300 Humana Benefit Schedule CDT24 pdf opens in new window

Need help?

If you would prefer a paper version of your Summary of Dental Benefits and Coverage (SDBC) document, call us at 800-232-2006 (TTY: 711). We are available Monday – Friday, 7 a.m. – 7 p.m., Eastern time