With the DHMO-Prepaid plan, you pay a pre-negotiated price for services provided by your primary care dentist.
Each covered family member selects a primary care dentist in the HumanaDental Prepaid/DHMO network. This dentist takes care of the member's dental needs. Your primary care dentist may decide that you need to see an in-network dental specialist.
The plan doesn't cover services from out-of-network dentists, except for emergency care.
The DHMO-Prepaid plan has no deductible or copays for many dental preventive services provided by your primary care dentist. These services include oral examinations, X-rays, cleanings, topical fluoride treatment (up to age 16, one per calendar year), and sealants (up to age 14). The plan has set copays for other covered services, including the ones listed below. Office visit copayments vary by plan. Depending on your plan, copays may vary based on the type of dentist you go to (general dentist or specialist), too. To see your specific plan benefit details, sign in to MyHumana.
Basic services – Space maintainers (up to age 14), emergency care for pain relief, extractions, fillings (amalgams, composite for anterior teeth), and prefabricated stainless steel crowns
- Major services – Crowns, inlays and onlays, bridgework, dentures, denture relines and rebases, denture repair and adjustments, complete oral surgery, periodontics (gum therapy), and endodontics (root canals)
Your employer's plan may
include optional benefits such as:
Coverage for in-network specialists in addition to general dentists (“HS” plans)
- Choice of orthodontia coverage
Be sure to review your plan certificate for important plan information such as covered benefits and deductibles.