Dental Provider Video Library
These short videos cover dental provider-specific topics and are designed to make it easier for you to do business with Humana.
Your practice is dedicated to providing the best care for your patients. Do enough people know that? Partnering with Humana, one of the nation’s largest dental benefit companies, extends the reach of your office.
When you join our network, you gain access to nearly 7 million members – more than 3.5 million Commercial members, 3.5 million Medicare Advantage members
When you join our Humana PPO network, you are brought into networks for the following dental plans: Humana Group Commercial plans include generous cleaning frequencies.
We offer plans with unlimited or extended annual maximums. And many members pick up our implant rider.
Through Humana’s individual dental we provide a portfolio of plans to fit the individual’s needs and budget. There are plans that cover preventive and basic services, Bright Plus has in office teeth whitening benefit. Other plans cover preventive, basic and major services.
The Federal Advantage network support plans offer fixed copays for services.
Humana’s Medicare Advantage – The dental benefits available in those plans vary, but benefits have increased considerably in recent years. Many cover major services such as periodontal scaling, crowns, dentures, etc.
You also join Humana's Access discount networks. Ready to join? Contact the Humana Dental Network recruiting team at: humana.com/provider/dentist-resources
Learn about the advantages of joining the Humana PPO Dental Network.
Humana provides dental insurance benefits to over 4 million seniors nationwide, so many of your patients may have insurance with Humana’s Medicare Advantage Plans, Medicare Advantage Special Needs Plans, or Medicare Supplement Plans.
These dental benefits use a PPO network. In the case of seniors who enrolled in their plan outside of Florida, they use the Humana Medicare Dental PPO network nationwide. If the senior enrolled in Florida, their dental network is the Careington Medicare Network in Florida.
Let’s take a look at your patient’s insurance ID card. The ID card is for their entire Medicare Advantage plan, so it includes information about their Medical, Dental, and Vision benefits. The front of their ID card may say HMO, but that only refers to the medical plan.
You’ll find dental information on the back of the ID card. The bottom of the card indicates the specific benefit. Visit Humana.com/sb, where you can find a detailed description of that benefit.
Let’s take a moment to discuss Medicare Advantage Dual Eligible Special Needs Members. Those individuals will present a Medicare Advantage ID card, similar to the one we just saw. To be on a Special Needs Plan, those members are also on Medicaid, so they may be showing you that ID card as well.
Rest assured that dental benefits for that individual are provided through their Medicare Advantage Plan and Network. You do not need to be in the Medicaid network to provide those Humana members Medicare Advantage dental services.
So here’s a recap: Humana’s Medicare Advantage plans always use a PPO network. Find the dental benefit on the back of the Medicare Advantage ID card. And look to Humana.com/sb for the plan’s details.
If you have questions, we’re just a click or a phone call away. Visit our provider portal at Humana.com/provider. Or call Humana’s dental provider customer service at 800-833-2223.
Learn about the Humana Medicare Advantage Dental Office Handbook, which includes details about the dental benefits, the network and member ID card.
Your practice is dedicated to providing the best care for your patients.
Humana wants to provide support to you and your patients.
During this brief video, we want to provide tips to work with Humana
This is what we will cover today: Confirming a patient’s dental benefits, submitting claims or requests for pre-treatment estimates and the Evidence of Remittance (or EOR).
Step 1: Confirming member benefits
Dental offices can verify member benefits online through Availity.com
Or call Provider Customer service at 1-800-833-2223.
Step 2: Submitting Pre-Treatment Estimate requests or Claims
It is as easy as going to Humana.com.
Find the other "Humana Sites" and go to “For Providers”
Look for "Dentist Resources" then click "Dental Resources"
Look for "View our Welcome Packet," under the "News and Notification" area
Step 3: The Evidence of Remittance showing the completed claim adjudication
Depending on how you receive claim payments from Humana, you will receive an Evidence of Remittance (EOR) or Electronic Remittance Advice (ERA)
Find the “Making it Easier” powerpoint which provides more detail on dental claims.
So that’s all for today. Make sure to Visit our Dental Provider site, or if you have questions call Provider Customer service at 1-800-833-2223
Learn about how to confirm Humana members’ benefits, how to submit claims or requests for pre-treatment estimates, and information about the Evidence of Remittance (EOR).
Welcome! How may we help?