• 100% coverage on many diagnostic and preventive procedures. You pay nothing for this dental work.
• Low $10 office visit co-payment
• Discounts on Specialty Care and certain Cosmetic Procedures
• No benefit maximum or claim forms
• A provider network with more than 5,000 network dentists
• Specialty care and some cosmetic procedures covered at a discount

• First, sign up for coverage. When you are filling in your application you will need to select your Primary Care Dentist from the dental directory list. Participating dentists are located near your home or office. Each dentist is licensed and is a skilled and experienced professional. CompBenefits carefully reviews the credentials of each dentist in the network before they are selected. Family members under the same plan may select different dentists. You can find a dentist by visiting Humana’s Dentist Finder.
• When you see your participating dentist, you’ll receive no charge services on
  • X-rays
  • Routine Cleanings
  • Topical Flouride
  • Oral Exams
  • Local Anesthesia
• You pay only the fees listed on the schedule of benefits.

* The above copayments do not include the additional cost of precious (high noble) and semi-precious (noble) metal. The additional cost of precious metal shall not exceed $125 per unit and $75 per unit for semi-precious metal.

NOTE:

1. NOT ALL PARTICIPATING DENTISTS PERFORM ALL LISTED PROCEDURES, INCLUDING AMALGAMS. PLEASE CONSULT YOUR DENTIST PRIOR TO TREATMENT FOR AVAILABILITY OF SERVICES.
2. UNLISTED PROCEDURES ARE AT THE DENTIST’S USUAL FEE LESS 25 percent INCLUDING, BUT NOT LIMITED TO, MAXILLOFACIAL PROSTHETICS, ENAMEL MICROABRASION, AND BLEACHING.
3. WHEN CROWN AND/OR BRIDGEWORK EXCEEDS SIX UNITS IN THE SAME TREATMENT PLAN, THE PATIENT MAYBE CHARGED AN ADDITIONAL $50.00 PER UNIT.

Preventive care

• Routine oral exams
• Prophylaxis (cleaning and scaling of teeth) – two per year
• Topical fluoride application (up to age 16 and not including prophylaxis) – two per calendar year
  

Diagnostic care

• Intra-oral occlusal film
• Bitewing X-rays (up to a set of four)
• Full-mouth X-rays (panoramic film)
  

Endodontics care

• Root canal therapy
• Pulpal debridement, primary and permanent teeth
• Apexification/recalcification
• Apicoectomy/periradicular surgery
  

Periodontics care

• Gingivectomy/gingivoplasty
• Osseous surgery
• Pedicle/free soft tissue grafts
• Periodontal scaling and root planing
  

Orthodontia

• NOTE: Members can receive a 25 percent savings by visiting an in-network orthodontist.

• If application is received between the 1st and 15th of the month, the policy effective date will be the 1st of the following month 1. Example: Application received on May 10th will have an effective date of June 1st.
• If application is received between the 16th and end of the month, the policy effective date will be the 1st of the 2nd following month (the month after the following month) 1. Example: Application received May 18th for processing will have a policy effective date of July 1st.

The reason for the difference in effective dates is due to the member having to select a primary care dentist and being included in the monthly membership rosters sent to providers.

No, there is a one year contract with these plans. However, Dental C550 members can terminate their coverage within the first 30 days of their effective date, but they will only be refunded their premium (not enrollment fee) and will be responsible for any claims incurred during this time. After the 30 day window, cancellations are not accepted unless for approved exceptions.

Payment options include monthly and annual bank draft, monthly and annual credit card payments (Visa and MasterCard), and monthly and annual bills.

After enrollment, members will receive a welcome packet and ID cards 7-10 days after the application is received and enrollment is processed, and should bring their ID cards with them when visiting the dentist. Members should inform their provider of their plan when scheduling their appointment to avoid any issues at the time of service.