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Quick Links
Questions for the Humana DHMO rep can be directed to the e
mail link during business hours.
Customer Service is also available at 800-233-4013.
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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
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.
Pediatric Dentistry is covered to age 16.
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 will auto-assign one. Each family member can select a different PCD/Facility. PCDs 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. A designated PCP is required to receive services.
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.
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2025 DHMO Plan Rates
Deductions for Domestic Partner and/or Over Age-Dependent (Child age 26-29 on 01/01/2023) coverage will be split between pre- and after-tax deductions.
TIER
DHMO CS15PB
Employee
$5.42
Emp+Spouse/DP
$9.74
Emp+Child
$10.84
Emp+Family
$13.00
Contact Information
Member Services:
800-979-4758
Visit:
Humana
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