Preventive Plus (Prev+) 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

Prev+ INFS +

Prev+ INFS +_100/80_50_1000

Prev+ INFS +_100/50_50_1000

2019 Prev+ U&C +

Prev+ U&C +_100/80_50_1000

Prev+ U&C +_100/50_50_1000

14

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

Prev+ INFS 14

Prev+ INFS 14_100/80_50_1000

PPO U&C 14

Prev+ U&C 14_100/80_50_1000

Prev+ U&C 14_100/50_50_1000

09

Search below for the plan name and out-of-network reimbursement type listed on your quote (INFS or MAF). 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_Is Waive Deductible Rider Included

Prev+ INFS 09

Prev+ INFS 09_100/80/00_50_1000_Yes

Prev+ MAF 09

Prev+ MAF 09_100/80/00_50_1000_No

Prev+ MAF 09_100/80/00_50_1000_Yes

Prev+ MAF 09_100/50/00_50_1000_No

Prev+ MAF 09_100/50/00_50_1000_Yes

Vol Prev+ MAF 09_100/80/00_50_1000_Yes

Vol Prev+ MAF 09_100/50/00_50_1000_Yes

All other

Search below for the plan name and out-of-network reimbursement type listed on your quote (INFS, MAF or none).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_Is Waive Deductible Rider Included

Prev+ INFS

Vol Prev+ INFS_100/50/00_50_1000_Yes

Prev+ MAF

Prev+ MAF_100/50/00_50_1000_Yes

Prev+ Plus

Prev Plus_100/50/00_50_1000_Yes

Vol Prev Plus_100/50/00_50_1000_Yes

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

Plans are not available in all states. Plan benefits may vary by state. Refer to the plan documents for complete details of coverage.

Dental PPO plans are not offered in all states.

DISCOUNT ONLY – NOT INSURANCE. Discounts are only available at participating providers. The range of discounts will vary based upon participating provider chosen to provide services. Retail prices may vary by location. Humana does not make payment for these services. You are obligated to pay for all services received and you will receive a discount from the participating provider. A list of participating providers is available upon request.

Dental and vision plans, excluding Dental Savings Plus, may have a minimum one-year initial contract period.

Payment may include an administration fee. Association membership and fees may be required on some plans in some states. A one-time, non-refundable enrollment fee may apply (the fee is non-refundable as allowed by state requirements). Applicable fees are disclosed at time of enrollment.

“Humana” is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (“Humana Entities”). Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state.

Humana legal entities that offer, underwrite, administer or insure insurance products and services.

Medical Plans

Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc.

For Arizona Residents: Offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. Administered by Humana Insurance Company.

Individual Dental and Vision Plans

Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. For Arizona residents: Insured by Humana Insurance Company. For New Mexico residents: Insured by Humana Insurance Company. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits).

Group Dental and Vision Plans (Insurance through your employer)

Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, Humana Employers Health Plan of Georgia, Inc. or DentiCare, Inc. (d/b/a CompBenefits). In Arizona, group dental plans insured by Humana Insurance Company. In New Mexico, group dental plans insured by Humana Insurance Company.

Humana group vision plans are offered by Humana Insurance Company, Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company of New York, or The Dental Concern, Inc. In Arizona, group vision plans insured by Humana Insurance Company. In New Mexico, group vision plans insured by Humana Insurance Company.

Group Life Insurance Plans (Insurance through your employer)

Humana group life plans are offered by Humana Insurance Company and Humana Insurance Company of Kentucky. In Arizona, group life plans insured by Humana Insurance Company. In New Mexico, group life plans insured by Humana Insurance Company.

Limitations and exclusions

This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. In the event of any disagreement between this communication and the plan document, the plan document will control.

Statements in languages other than English contained in the advertisement do not necessarily reflect the exact contents of the policy written in English, because of possible linguistic differences. In the event of a dispute, the policy as written in English is considered the controlling authority.

Individual applications are subject to eligibility requirements.

Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. View plan provisions or check with your sales representative.

For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits.

© Humana 2024

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Last Updated: 11/15/2022