Name: Extend 5000
Brand: Humana

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person 10001 | Applicant,35 edit

+ Vision & Hearing

$99.99 /mo.

Dentist Search

Humana Extend 5000

Plan Type Dental PPO+Vision

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Dentist Search

$99.99 /mo.

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Plan Highlights

This individual Humana Extend dental, vision, and hearing plan is designed for people who are looking to combine their coverages into a single plan while maximizing their benefits. This plan offers access to a nationwide network of providers who specialize in routine dental, vision, and hearing services. Coverage includes preventive, basic, and major dental services, in addition to vision and hearing services.

Preventive, Basic, and Major dental coverage (waiting periods may apply).

Dental implant coverage.

Preventive dental services are covered at 100% for both in and out of network after deductible (deductible waived for in-network preventive services). Coinsurance for basic and major dental services after deductible.

Teeth whitening coverage.

Vision and hearing coverage.

Common Procedures

Details

Fee Schedule: N/A | Dentist Search

Exams: Routine periodic examinations – limit two every calendar year
In Network – 100%
Out of Network – 100% after deductible (in GA, KS, LA, MS and TX no deductible)
Preventive – No waiting period

Cleanings: Cleanings – limit two every calendar year
In Network – 100%
Out of Network – 100% after deductible (in GA, KS, LA, MS and TX no deductible)
Preventive – No waiting period

X-Rays: Radiography: Bitewing x-rays (limit one set of two films every calendar year for ages 10 and younger, and limit one set of four films every calendar year for ages 11 and older) and Panoramic (one in 5 calendar years)
In Network – 100%
Out of Network – 100% after deductible (in GA, KS, LA, MS and TX no deductible)
Preventive – No waiting period

Fillings: Fillings: Restorative Amalgam Fillings (limit one per tooth per two calendar years) Resin-based composite (white fillings) anterior only
In Network – 80% after deductible
Out of Network – 80% after deductible
Basic – 90 days waiting period

Extractions: Simple extractions and root removal:
In Network – 80% after deductible
Out of Network – 80% after deductible
Basic – 90 days waiting period

Crowns: Crowns, inlays and onlays (limit once per tooth every five calendar years)
In-Network:
1st year – 50% after deductible
2nd year and after - 60% after deductible
Out-of-Network:
1st year – 50% after deductible
2nd year and after - 60% after deductible
Major – 6 months waiting period

Root Canals: Endodontics: Pulpal therapy and root canals (limit one per tooth per lifetime)
In-Network:
1st year – 50% after deductible
2nd year and after - 60% after deductible
Out-of-Network:
1st year – 50% after deductible
2nd year and after - 60% after deductible
Major – 6 months waiting period

Dentures: Complete dentures (limit one every five calendar years)
Denture repair and adjustments (if more than six months after initial placement)
In-Network:
1st year – 50% after deductible
2nd year and after - 60% after deductible
Out-of-Network:
1st year – 50% after deductible
2nd year and after - 60% after deductible
Major – 6 months waiting period

Deep Cleanings: Periodontal maintenance (limit two every calendar year)
In-Network:
1st year – 50% after deductible
2nd year and after - 60% after deductible
Out-of-Network:
1st year – 50% after deductible
2nd year and after - 60% after deductible
Major – No waiting period for this service

Implants: Dental implant-surgical placement (One per tooth per five years, subject to review)
1st year – 50% after deductible
2nd year and after - 60% after deductible
Out-of-Network:
1st year – 50% after deductible
2nd year and after - 60% after deductible
Major – 6 months waiting period

Braces / Orthodontia: Not Covered Service

Teeth Whitening: External bleaching – per arch – performed in office
$200 allowance, does not apply to deductible or annual dental maximum.
No waiting period.

Additional Network Information:

Good oral health means more than an attractive smile. Research shows that oral health, preventive care and regular visits to the dentist are integral to overall health. You can lower your cost by choosing one of the more than 325,000 dentist locations in the Humana Dental network. You can use Dentist Search to find a participating specialist.

Out-of-network dentists can bill you for charges above the amount covered by your Humana Dental plan. To ensure you do not receive additional charges, visit a dentist in the Humana Dental PPO Network. Waiting periods and other limitations may apply; please see your policy for coverage details.

This plan may require a one-year contract.

Exclusions and Limitations
Privacy Policy
Plan Brochure
Summary of Dental Benefits and Coverage Disclosure Matrix

FAQ

Can I change my dental/vision provider once I am in the plan?

Yes. You can change dentist or dental office at any time. Please contact Member Services for help locating participating provider in your area.

What is a pre-existing condition versus work-in-progress? Is it covered?

What provider options do I have?

When can I start using my Plan?

When will I receive my new member kit and what will it include?

Who can enroll in this plan?

Humana Specialty Benefits
P.O. Box 14283
Lexington, KY 40512-4283

Disclaimers & Disclosures

This website provides a very brief description of some of the important features of this plan. It is not the insurance contract, nor does it represent the insurance contract. A full description of benefits, exclusions and limitations is contained in the Schedule of Benefits and your policy.

Rates shown are based upon the information you provided, and are subject to change based on the dental and/or vision plan's underwriting practices and your selection of available optional benefits, if any. Final rates and effective dates are subject to underwriting and are always determined by the dental insurance and/or vision insurance company. To be considered for reimbursement, expenses must qualify as covered expenses.

This site was designed to provide you with a general description of the plans you requested. Keep in mind that it does not include all the benefits and limitations outlined in the policies -- it is the insurance contract, not the general descriptions on this website, which forms the contract between you and the insurance company.

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