Humana Dental Smart Choice – Low

32237NC0290001
Low
PPO

Humana Dental Smart Choice – Low is a Low PPO plan by Humana.

Locations

Humana Dental Smart Choice – Low is offered in the following counties.

Plan Overview

This is a plan overview for 2025 version of Humana Dental Smart Choice – Low 32237NC0290001.
Insurer: Humana
Network Type: PPO
Metal Type: Low
HSA Eligible?:
Plan ID: 32237NC0290001

Cost-Sharing Overview

Humana Dental Smart Choice – Low offers the following cost-sharing.

Notes:

  • Some plans have separate cost-sharing for medical and drugs, while other plans offer combined cost-sharing. The cost-sharing amounts above are combined medical and drug costs unless otherwise noted.
  • You are viewing the standard version of this plan. Your costs may be lower depending on your income. Use the “get a quote” button below to see your estimated premium and out-of-pocket costs after assistance.
Ready to sign up for Humana Dental Smart Choice - Low?

Click or call to enroll online, get a quote, or find out if you qualify for assistance.
Get Help from a licensed agent. 1-877-668-0904

Plan Features

Humana Dental Smart Choice – Low offers the following features and referral requirements.

Wellness Program:
Disease Program:
Notice Pregnancy:
Referral Specialist:
Specialist Requiring Referral:
Plan Exclusions:
Child Only Option?: Allows Adult and Child-Only

Network Details

The following network details will help you understand what Humana Dental Smart Choice – Low covers when you are out of the service area or out of the country.

Out of Country Coverage: No
Out of Country Coverage Description:
Out of Service Area Coverage: Yes
Out of Service Area Coverage Description: Any covered expense incurred for services received from an out of network provider will be covered at a lower coinsurance, based on the maximum allowable fee and providers can balance bill which will result in higher out of pocket costs, except for covered expense incurred for services received outside of the service area as required by law for emergency care services.
National Network: Yes

Additional Benefits and Cost-Sharing

Humana Dental Smart Choice – Low includes the following benefits at the cost sharing rates listed below.

Service In-Network
Copay / Coinsurance
Out-of-Network
Copay / Coinsurance
Limits and Explanation
Routine Dental Services (Adult)
Covered
Not Applicable No ChargeNot Applicable 30.00% Coinsurance after deductible1.0 Visit(s) per 6 Months
Dental Check-Up for Children
Covered
Not Applicable No Charge after deductibleNot Applicable 50.00% Coinsurance after deductible1.0 Visit(s) per 6 Months
Basic Dental Care – Child
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible See plan brochure for plan details and limitations and exclusions
Orthodontia – Child
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible Medically necessary orthodontia for child.
Major Dental Care – Child
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible See plan brochure for plan details and limitations and exclusions
Basic Dental Care – Adult
Covered
Not Applicable 40.00% Coinsurance after deductibleNot Applicable 40.00% Coinsurance after deductible See plan brochure for plan details and limitations and exclusions
Orthodontia – Adult
Not Covered
Major Dental Care – Adult
Covered
Not Applicable 100.00%Not Applicable 100.00% See plan brochure for plan details and limitations and exclusions
Accidental Dental
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible See plan brochure for plan details and limitations and exclusions
Dental X-rays
Covered
Not Applicable No Charge after deductibleNot Applicable 50.00% Coinsurance after deductible1.0 Procedure(s) per 6 Months Panoramic and Complete Series X-Rays have a frequency of 1 per 5 years
Topical Fluoride
Covered
Not Applicable No Charge after deductibleNot Applicable 50.00% Coinsurance after deductible2.0 Visit(s) per Year
Fillings
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible
Sealants
Covered
Not Applicable No Charge after deductibleNot Applicable 50.00% Coinsurance after deductible1.0 Procedure(s) per 3 Years
Recementation of Space Maintainers
Covered
Not Applicable No Charge after deductibleNot Applicable 50.00% Coinsurance after deductible
Removal of Fixed Space Maintainers
Covered
Not Applicable No Charge after deductibleNot Applicable 50.00% Coinsurance after deductible
Minor Restorative Services
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible Benefit is 1 per 5 years
Periodontal Root Scaling and Planing
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible1.0 Procedure(s) per 2 Years
Periodontal Maintenance
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible4.0 Procedure(s) per Year
Periodontal and Osseous Surgery
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible1.0 Procedure(s) per 3 Years
Occlusal Adjustments
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible1.0 Procedure(s) per 3 Years
Root Canal Therapy and Retreatment
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible
Periradicular Surgical Procedures
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible
Partial Pulpotomy
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible
Vital Pulpotomy
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible
Denture Adjustments
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible
Initial Placement of Bridges and Dentures
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible Benefit is 1 per 5 years
Tissue Conditioning
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible
Denture Reline and Rebase
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible1.0 Procedure(s) per 3 Years
Post and Core Build-up
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible Benefit is 1 per 5 years
Extractions
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible
Oral Surgery
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible
Implants
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible Benefit is 1 per 5 years
Immediate Dentures
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 50.00% Coinsurance after deductible Benefit is 1 per 5 years

Free Preventive Services

There is no copayment or coinsurance for any of the following Humana Dental Smart Choice – Low preventive services. This is true even if you haven’t met your yearly deductible.

Please note, these services are free only when delivered by a doctor or other provider in your plan’s network.

Ready to sign up for Humana Dental Smart Choice - Low?

Click or call to enroll online, get a quote, or find out if you qualify for assistance.
Get Help from a licensed agent. 1-877-668-0904

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