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Humana

Humana/CompBenefits has a new contract for 2020 for one of the dental plans, the DHMO. This includes enhanced benefits and lower cost.

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Dental HMO Plan
What's New for 2020
  • New Contract with a Lower Cost
  • New Fee Schedule with 65 additional dental codes
  • 3rd regular cleaning at no cost
  • Free oral cancer screening (age 18 and older)
  • Pre/Postnatal deep cleaning at no cost through reimbursement from Humana
  • Implant Rider covering 50% up to a max of $1,500 per year, $10,000 per lifetime.
Highlights:
  • In-network coverage only, South Florida network
  • No referral for specialty services
  • Must select a Primary Care Dentist or Facility for each enrolled family member
  • Covered services based on Fee Schedule, all other services received at a discount
  • Orthodontia coverage for children and adults
  • No claim forms to file 
Dental DHMO plans are like health HMOs. All services must be obtained from a participating dentist or specialist. No referral is needed for specialty services. Members are required to select a Primary Care Dentist (PCD)/Facility or Humana/CompBenefits will auto-assign one. Each family member can select a different PCD/Facility. PCD’s can be changed on a monthly basis, however, the change must be made by the 15th of the month to be effective the 1st of the following month.

Note: Not all ADA (American Dental Assoc.) codes are covered under the DHMO plan. Services received for ADA codes not covered under the Discounted Fee Schedule are provided at a 25% discount. This plan does not include a “Missing Tooth” exclusion.

2020 DHMO Plan Rates
Deductions for Domestic Partner and/or Over Age Dependent (Child age 26-29 on 01/01/20) coverage will be split between pre- and after-tax deductions.

​​TIER ​ DHMO CS15PB
​Employee ​​$5.22
​​Emp+Spouse/DP ​$9.37
​​Emp+Child ​​$10.42
​​Emp+Family ​$12.50

Contact Information 

Member Services: 800-979-4758
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