Vision
Vision insurance for whole-person health
Highlights of Vision PLUS:
*No copay on routine eye exams
*$250 allowance on frames*
*Large network with over 125,000 healthcare provider locations
Eye exam
PLUS network provider: $0 copay
In-network coverage: $10 copay
Out-of-network coverage: $30 allowance
Waiting period: None
1 standard contact lens fit and follow-up every 12 months from the last date of service
Eyeglass frames
PLUS network provider: $250 allowance
In-network coverage: $200 allowance
Out-of-network coverage: $200 allowance
Waiting period: None
1 pair of eyeglass frames every 12 months from the last date of service
Eyeglass lenses
PLUS network provider & in-network coverage for standard plastic lenses:
Single vision: $10
copay
Bifocal: $10 copay
Trifocal: $10 copay
Lenticular: 20% off retail price
Out-of-network coverage for standard plastic lenses:
-Single vision: $25 allowance
-Bifocal: $40 allowance
-Trifocal: $55 allowance
*Lenticular: Not covered
Waiting period: None
1 pair of eyeglass lenses every 12 months from the last date of service
Contact lenses
(instead of eyeglass lenses)
PLUS network provider & in-network coverage:
Conventional: $200 allowance
Disposable: $200 allowance
Medically necessary: $0 copay
Out-of-network coverage:
Conventional: $92 allowance
Disposable: $92 allowance
Medically necessary: $200 allowance
Waiting period: None
Contact lenses (in lieu of eyeglass lenses), 1 every 12 months from the last date of service
Dental
Complete Dental
Highlights of the Humana Complete Dental plan
*117,000 dentist and specialist locations across the U.S.
*
Pay your premiums by mail, by phone or online
*You’ll pay an annual deductible of $50/person or $150/family—but there is no deductible if you use in-network providers for preventive services!
Preventive care
Receive these services with no waiting period:
2 routine oral examinations per year
2 cleanings per year
2 topical fluoride treatments per year
1 limited oral evaluation per year
In-network coverage: 100% covered with no deductible (some limits apply)
Basic care
A 6-month waiting period† applies to these services.
Waiting periods may be waived on basic services if the member had prior coverage for 12 continuous months.
Emergency care including extractions and root removal
1 filling per tooth per 2 years
Initial placement for space maintainers for ages 14 and under
Prefabricated stainless steel crowns
In-network coverage: 80% covered after paying the deductible (some limits apply)
Major services
/A 12-month waiting period applies to these services.
Waiting periods may be waived on major services if the member had prior coverage for 12 continuous months.
Oral surgery, including 1 root canal per tooth per lifetime
Complete and partial dentures once per 5 years, plus repairs and adjustments
Crowns, onlays and inlays, 1 per tooth per 5 years
Also included with no waiting period: Periodontal maintenance (limit 2 per year) and periodontal scaling and root planing (limit 1 per quadrant every 3 years).
In-network coverage: 50% covered after paying the deductible (some limits apply)