Humana – Individual Dental & Vision Plans
Dental Plan C550
With the HumanaOne Dental Plan C550 (formerly CompBenefits Plan 550), you won’t be surprised by any hidden costs. There just aren’t any. Your dental needs are covered right from the start. Any pre-existing condition you may have is covered immediately and the plan can be purchased on a standalone basis without a Humana health insurance plan.
The HumanaOne Pre-Paid Dental Plan C550 gives you access to services with low co-payments through a wide network of dentists. This is a great plan for individuals who want:
- No co-payments on many diagnostic and preventive procedures
- Confidence that you will save money on dental care.
- No benefit maximums
HumanaOne Dental Plan C550 (Formerly CompBenefits C550)
Plan Features
- 100% coverage on many diagnostic and preventive procedures. You pay nothing for this dental work.
- Low $10 office visit co-payment
- Discounts on Specialty Care and certain Cosmetic Procedures
- No benefit maximum or claim forms
- A provider network with more than 5,000 network dentists
- Specialty care and some cosmetic procedures covered at a discount
How it Works
- First, sign up for coverage. When you are filling in your application you will need to select your Primary Care Dentist from the dental directory list. Participating dentists are located near your home or office. Each dentist is licensed and is a skilled and experienced professional. CompBenefits carefully reviews the credentials of each dentist in the network before they are selected. Family members under the same plan may select different dentists. You can find a dentist by visiting Humana’s Dentist Finder.
- When you see your participating dentist, you’ll receive no charge services on
- X-rays
- Routine Cleanings
- Topical Flouride
- Oral Exams
- Local Anesthesia
- You pay only the fees listed on the schedule of benefits
.
Procedure Prices
Dental Services | You Pay |
---|---|
Office Visit | $10 copayment |
Periodic Oral Evaluation | $0 |
X-rays | $0 |
Filling (silver) | $30 |
Filling (tooth-colored) | $50 |
Extraction | $35 |
View a list of procedure prices ![]() |
Complete Procedure Price List
Code | Services | Member Pays |
---|---|---|
Appointments |
||
D9310 | Consultation (diagnostic service provided by dentist other than practitioner providing treatment). | $30.00 |
D9430 | Office visit (normal hours) | $10.00 |
D9440 | Office visit (after regularly scheduled hours) | $35.00 |
D9999 | Emergency visit during regularly scheduled hours, by report. | $20.00 |
D9999 | Broken appointments (without 24 hr. notice, per 15 min) -maximum $40 per broken appointment. No charge will be made due to emergencies | $10.00 |
Code |
Diagnostic |
Member Pays |
D0120 | Periodic oral examination | no charge |
D0140 | Limited/comprehensive/detailed and extensive oral eval | no charge |
D0150 | Limited/comprehensive/detailed and extensive oral eval | no charge |
D0160 | Limited/comprehensive/detailed and extensive oral eval | no charge |
D0180 | Comprehensive periodontal evaluation | $25.00 |
D0210 | X-ray intraoral-complete series including bitewings | no charge |
D0220 | X-ray intraoral-periapical, first film | no charge |
D0230 | X-ray intraoral-periapical, each additional film | no charge |
D0270 | X-ray bitewing-single film | no charge |
D0272 | X-ray bitewings-two films | no charge |
D0274 | Bitewings-four films | no charge |
D0330 | Panoramic film | no charge |
D0460 | Pulp vitality tests | no charge |
D0470 | Diagnostic casts | no charge |
Code |
Preventive |
Member Pays |
D1110 | Prophylaxis-adult, routine (once every 6 months) | no charge |
D1120 | Prophylaxis-child, routine (once every 6 months) | no charge |
D1110 | Prophylaxis-adult/child, (additional) | $35.00 |
D1120 | Prophylaxis-adult/child, (additional) | $35.00 |
D1203 | Topical application of fluoride (not including prophylaxis)— child (up to 16 years of age) | no charge |
D1206 | Topical fluoride varnish (for child <16) | no charge |
D1330 | Oral hygiene instruction | no charge |
D1351 | Sealant-per tooth | $20.00 |
D1510 | Space maintainer-fixed, unilateral | $65.00 + lab |
D1515 | Space maintainer-fixed, bilateral | $65.00 + lab |
D1520 | Space maintainer-removable, unilateral | $105.00 + lab |
D1525 | Space maintainer-removable, bilateral | $105.00 + lab |
D1550 | Recementation of space maintainer | $20.00 |
Code |
Restorative |
Member Pays |
D2140 | Amalgam-one surface, primary or permanent | $30.00 |
D2150 | Amalgam-two surfaces, primary or permanent | $35.00 |
D2160 | Amalgam-three surfaces, primary or permanent | $40.00 |
D2161 | Amalgam-four or more surfaces, primary or permanent. | $50.00 |
D2940 | Sedative filling | $30.00 |
D2999 | Sedative base (under fillings), by report | no charge |
Code |
Resin Restorative |
Member Pays |
D2330 | Resin based composite-one surface, anterior | $50.00 |
D2331 | Resin based composite-two surfaces, anterior | $55.00 |
D2332 | Resin based composite-three surfaces, anterior | $65.00 |
D2391 | Resin based composite-one surface, posterior | $90.00 |
D2392 | Resin based composite-two surfaces, posterior | $110.00 |
D2393 | Resin based composite-three surfaces, posterior | $130.00 |
D2394 | Resin based composite-four or more surfaces, posterior | $150.00 |
D2510 | Inlay-metallic, one surface | $155.00 |
D2520 | Inlay-metallic, two surfaces | $165.00 |
D2530 | Inlay-metallic, three or more surfaces | $190.00 |
Code |
Crown and Bridge |
Member Pays |
D2740 | Crown-porcelain/ceramic substrate | $370.00 + lab |
D2750* | Crown-porcelain fused to high noble metal | $370.00 |
D2751 | Crown-porcelain fused to predominantly base metal | $370.00 |
D2752* | Crown-porcelain fused to noble metal | $370.00 |
D2790* | Crown-full cast high noble metal | $370.00 |
D2791 | Crown-full cast predominantly base metal | $370.00 |
D2792* | Crown-full cast noble metal | $370.00 |
D2910 | Recement inlay | $30.00 |
D2920 | Recement crown | $30.00 |
D2930 | Prefabricated stainless steel crown-primary tooth | $120.00 |
D2950 | Core buildup, including any pins | $60.00 |
D2951 | Pin retention-per tooth, in addition to restoration | $30.00 |
D2952 | Cast post and core in addition to crown | $120.00 + lab |
D2953 | Each additional cast post-same tooth | $120.00 + lab |
D2954 | Prefabricated post and core in addition to crown | $120.00 |
D2962 | Labial veneer (porcelain laminate)—laboratory | $370.00 + lab |
Code |
Endodontics |
Member Pays |
D3220 | Therapeutic pulpotomy | $50.00 |
D3221 | Pulpal debridement, primary and permanent teeth | $130.00 |
D3310 | Root canal therapy-anterior (excluding final restoration) | $250.00 |
D3320 | Root canal therapy-bicuspid (excluding final restoration) | $350.00 |
D3330 | Root canal therapy-molar (excluding final restoration) | $450.00 |
D3410 | Apicoectomy/periradicular surgery-anterior | $200.00 |
Code |
Peridontics (gum treatment) |
Member Pays |
D4210 | Gingivectomy/gingivoplasty per quadrant | $200.00 |
D4211 | Gingivectomy/gingivoplasty per tooth | $55.00 |
D4341 | Periodontal scaling and root planing, per quadrant | $65.00 |
D4342 | Periodontal scaling and root planing 1 to 3 teeth per quadrant | $65.00 |
D4355 | Full mouth debridement to enable comprehensive evaluation and diagnosis | $60.00 |
D4381 | Localized delivery of chemotherapeutic agents (per tooth) | $60.00 |
D4910 | Periodontal maintenance | $65.00 |
Code |
Prosthodontics |
Member Pays |
D5110 | Complete denture-maxillary | $375.00+lab |
D5120 | Complete denture-mandibular | $375.00+lab |
D5130 | Immediate denture-maxillary | $375.00+lab |
D5140 | Immediate denture-mandibular | $375.00+lab |
D5211 | Maxillary partial denture-resin base | $375.00+lab |
D5212 | Mandibular partial denture-resin base | $375.00+lab |
D5213 | Maxillary partial denture-cast metal framework, resin denture bases | $375.00+lab |
D5214 | Mandibular partial denture-cast metal framework, resin denture bases | $375.00+lab |
D5410 | Adjust complete denture-maxillary | $30.00 |
D5411 | Adjust complete denture-mandibular | $30.00 |
D5421 | Adjust partial denture-maxillary | $30.00 |
D5422 | Adjust partial denture-mandibular | $30.00 |
Code |
Repairs to prosthetics |
Member Pays |
D5510 | Repair broken complete denture base | $30.00+lab |
D5520 | Replace missing or broken teeth-complete denture (each tooth) | $30.00+lab |
D5610 | Repair resin denture base | $30.00+lab |
D5630 | Repair or replace broken clasp | $30.00+lab |
D5640 | Replace broken teeth-per tooth | $30.00+lab |
D5650 | Add tooth to existing partial denture | $45.00+lab |
D5730 | Reline complete maxillary denture (chairside) | $65.00 |
D5731 | Reline complete mandibular denture (chairside) | $65.00 |
D5740 | Reline maxillary partial denture (chairside) | $65.00 |
D5741 | Reline mandibular partial denture (chairside) | $65.00 |
D5750 | Reline complete maxillary denture (laboratory) | $50.00+lab |
D5751 | Reline complete mandibular denture (laboratory) | $50.00+lab |
D5760 | Reline maxillary partial denture (laboratory) | $50.00+lab |
D5761 | Reline mandibular partial denture (laboratory) | $50.00+lab |
D5850 | Tissue conditioning-maxillary | $45.00 |
D5851 | Tissue conditioning-mandibular | $45.00 |
Code |
Prosthodontics (fixed) |
Member Pays |
D6210* | Pontic-cast high noble metal | $370.00 |
D6211 | Pontic-cast predominantly base metal | $370.00 |
D6212* | Pontic-cast noble metal | $370.00 |
D6240* | Pontic-porcelain fused to high noble metal | $370.00 |
D6241 | Pontic-porcelain fused to predominantly base metal | $370.00 |
D6242* | Pontic-porcelain fused to noble metal | $370.00 |
D6750* | Crown-porcelain fused to high noble metal | $370.00 |
D6751 | Crown-porcelain fused to predominantly base metal | $370.00 |
D6752* | Crown-porcelain fused to noble metal | $370.00 |
D6790* | Crown-full cast high noble metal | $370.00 |
D6791 | Crown-full cast predominantly base metal | $370.00 |
D6792* | Crown-full cast noble metal | $370.00 |
D6930 | Recement fixed partial denture (per unit) | $25.00 |
Code |
Extractions/oral and maxillofacial surgery |
Member Pays |
D7111 | Coronal remnants, deciduous tooth | $35.00 |
D7140 | Extraction, erupted tooth or exposed tooth | $35.00 |
D7210 | Surgical removal of erupted tooth | $55.00 |
D7220 | Removal of impacted tooth-soft tissue | $100.00 |
D7230 | Removal of impacted tooth-partially bony | $125.00 |
D7240 | Removal of impacted tooth-completely bony | $150.00 |
D7250 | Surgical removal of residual tooth roots | $65.00 |
D7310 | Alveoloplasty in conjunction with extractions-per quadrant | $65.00 |
D7311 | Alveoplasty in conjunction with extractions-one to three teeth or tooth spaces, per quadrant | $65.00 |
D7320 | Alveoloplasty not in conjunction with extractions-per quadrant | $100.00 |
D7321 | Alveoplasty not in conjunction with extractions-one to three teeth or tooth spaces, per quadrant | $100.00 |
D7510 | Incision and drainage of abscess-intraoral | $40.00 |
Code |
Anesthesia |
Member Pays |
D9215 | Local anesthesia | no charge |
D9230 | Analgesia (nitrous oxide), per 15 minutes | $30.00 |
Code |
Adjunctive general services |
Member Pays |
D9450 | Case presentation, detailed and extensive treatment planning | no charge |
D9951 | Occlusal adjustment-limited | $40.00 |
D9952 | Occlusal adjustment-complete | $225.00 |
Orthodontics |
||
NOTE: Members can receive a 25 percent savings by visiting an in-network orthodontist. |
* The above copayments do not include the additional cost of precious (high noble) and semi-precious (noble) metal. The additional cost of precious metal shall not exceed $125 per unit and $75 per unit for semi-precious metal.
NOTE:
- NOT ALL PARTICIPATING DENTISTS PERFORM ALL LISTED PROCEDURES, INCLUDING AMALGAMS. PLEASE CONSULT YOUR DENTIST PRIOR TO TREATMENT FOR AVAILABILITY OF SERVICES.
- UNLISTED PROCEDURES ARE AT THE DENTIST’S USUAL FEE LESS 25 percent INCLUDING, BUT NOT LIMITED TO, MAXILLOFACIAL PROSTHETICS, ENAMEL MICROABRASION, AND BLEACHING.
- WHEN CROWN AND/OR BRIDGEWORK EXCEEDS SIX UNITS IN THE SAME TREATMENT PLAN, THE PATIENT MAYBE CHARGED AN ADDITIONAL $50.00 PER UNIT.
Waiting Periods on Types of Services | |
---|---|
Preventive | None |
Diagnostic | None |
Basic | None |
Major | None |
Preventive care
- Routine oral exams
- Prophylaxis (cleaning and scaling of teeth) – two per year
- Topical fluoride application (up to age 16 and not including prophylaxis) – two per calendar year
Diagnostic care
- Intra-oral occlusal film
- Bitewing X-rays (up to a set of four)
- Full-mouth X-rays (panoramic film)
Endodontics care
- Root canal therapy
- Pulpal debridement, primary and permanent teeth
- Apexification/recalcification
- Apicoectomy/periradicular surgery
Periodontics care
- Gingivectomy/gingivoplasty
- Osseous surgery
- Pedicle/free soft tissue grafts
- Periodontal scaling and root planing
Orthodontia
- NOTE: Members can receive a 25 percent savings by visiting an in-network orthodontist.
Plan C550 Rates
Fee | Price |
---|---|
One-Time Enrollment Fee | $35.00 (total) The fee for both 1 person or 4 persons is $35. |
Monthly Premium (1 person) | $14.18 |
Monthly Premium (2 persons) | $23.50 |
Monthly Premium (3 persons) | $31.52 |
Monthly Premium (4 persons) | $39.37 |
Monthly Admin Fee (Included in rates above, waived if you pay yearly) |
$1.00 |
Effective Dates
DHMO (Dental C550) effective dates are calculated as follows:
- If application is received between the 1st and 15th of the month, the policy effective date will be the 1st of the following month 1. Example: Application received on May 10th will have an effective date of June 1st.
- If application is received between the 16th and end of the month, the policy effective date will be the 1st of the 2nd following month (the month after the following month) 1. Example: Application received May 18th for processing will have a policy effective date of July 1st.
The reason for the difference in effective dates is due to the member having to select a primary care dentist and being included in the monthly membership rosters sent to providers.
Can I Terminate My Coverage At Anytime?
No, there is a one year contract with these plans. However, Dental C550 members can terminate their coverage within the first 30 days of their effective date, but they will only be refunded their premium (not enrollment fee) and will be responsible for any claims incurred during this time. After the 30 day window, cancellations are not accepted unless for approved exceptions.
Payment Options
Payment options include monthly and annual bank draft, monthly and annual credit card payments (Visa and MasterCard), and monthly and annual bills.
After Enrollment
After enrollment, members will receive a welcome packet and ID cards 7-10 days after the application is received and enrollment is processed, and should bring their ID cards with them when visiting the dentist. Members should inform their provider of their plan when scheduling their appointment to avoid any issues at the time of service.
Preventative Plus Dental Plan
If you’re looking for a dental PPO plan, this one is low-cost and provides coverage for preventive care, such as cleanings and X-rays, and offers discounts on basic and major services. Plus, there are no copayments for office visits.
With the Preventive Plus plan, you can choose to visit any dentist in the Humana dental network. There are more than 120,000 in-network dentists nationwide to choose from. Even though you have the option of paying monthly or yearly, this is a one year plan.
Humana Preventive Plus Plan Highlights include:
- 100% coverage for preventive services
- No waiting period for preventive services; six month wait for basic services
- Freedom to Choose Any Dentist
- $1,000 annual maximum per person per year
- No exclusions for pre-existing conditions
- Available for all ages including seniors over 65
Plan Features
Plan features include:
- No copayments for office visits
- Annual Deductibles: $50 for an individual, $100 for a two person plan, $150 for a family
- Most preventive services covered 100 percent with in-network providers
- With in-network providers, many basic services are covered 50 percent and you get a discount on most major services
- No waiting period for preventive services; 6 month wait for basic services
- $1,000 annual maximum per person per year
- No exclusions for pre-existing conditions
- Freedom to visit any provider, no primary care dentist required
Benefit Summary
Plan Feature | In-Network | Out-of-Network |
---|---|---|
Deductible | $50 individual / $150 family | |
Annual Maximum Benefit | $1,000 per person | |
Preventive Care – No waiting period
|
100% (no deductible) | 70% of in-network fee schedule after deductible |
Basic Services – 6 month waiting period
|
50% after deductible | 30% of in-network fee schedule after deductible |
Discount Services – no waiting period
|
Receive an average discount of 28% by seeing in-network dentists. | Not available |
Procedure Prices
Dental Services | Coverage Level |
---|---|
Routine Evaluation | 100% |
Routine Cleanings | 100% |
X-rays | 100% |
Extractions | 50% after deductible |
Oral Surgery | 50% after deductible |
Fillings | 50% after deductible |
Preventative Plus Rates
Fee | Price |
---|---|
One-Time Enrollment Fee | $35.00 (total) The fee for both 1 person or 4 persons is $35. |
Monthly Premium (1 person) | $21.99 |
Monthly Premium (2 persons) | $42.23 |
Monthly Premium (3 persons) | $64.47 |
Each additional dependent under 22 | $22.24 per month |
Each additional dependent over 22 | $20.24 per month |
Admin Fee (Included in rates above, waived if you pay yearly) |
$1.00 |
Monthly Association Fee (PBA) (Included in rates above) |
$0.75 |
Effective Dates
Dental Preventive Plus effective dates are calculated as follows:
- Regardless of when an application is received for these plans, the policy will have an effective date of the 1st of the following month.
- Example: Application received on May 10th will have an effective date of June 1st.
- If application is received between the 16th and end of the month, the policy effective date will be the 1st of the 2nd following month (the month after the following month).
- Example 1: Application received May 18th for processing will have a policy effective date of July 1st.
- Example 2: Application received on May 31st will have an effective date of June 1st.
Can I Terminate My Coverage At Anytime?
No, there is a one year contract with these plans. However, Dental Preventive Plus, Vision Care Plan and Vision Focus Plan members can terminate their coverage within the first 10 days of their effective date, but they will only be refunded their premium (not enrollment fee) and will be responsible for any claims incurred during this time. After the 10 day window, cancellations are not accepted unless for approved exceptions.
Payment Options
Payment options include monthly and annual bank draft, monthly and annual credit card payments (Visa and Mastercard), and monthly and annual bills.
After Enrollment
After enrollment, members will receive a welcome packet and ID cards 7-10 days after the application is received and enrollment is processed, and should bring their ID cards with them when visiting the dentist. Members should inform their provider of their plan when scheduling their appointment to avoid any issues at the time of service.
Vision Plan
Humana’s individual vision insurance plan can help you save money on eye exams, eyeglass lenses and frames, and contacts. It also offers substantial discounts on LASIK and cosmetic extras. Here are more of the plan’s features:
- Low exam copayments
- Eyeglass lenses are covered 100% after materials copayment
- $40 wholesale allowance for frames
- Medically necessary contact lenses are covered 100% after materials copayment
- $115 allowance for elective contact lenses
- Discounts on LASIK/PRK and second pair of glasses
- One eye exam per year
The Humana Vision Plan can be added to your medical plan and is also available for individuals and families on a standalone basis. There is no underwriting, which means you will not be disqualified for pre-existing conditions. It only takes a minute to sign up online. Once you’re enrolled, you only pay $10 copayment for your annual examination and can visit any eye doctor in the VCP Network.
How It Works
- First, sign up for coverage.
- Find a participating vision provide located near your home or office by visiting Humana’s Vision Finder.
- When you see a Humana participating provider, you’ll receive immediate benefits including:
- Low exam copayments
- Eyeglass lenses are covered 100 percent after materials copayment
- $40 wholesale allowance for frames
- Medically necessary contact lenses are covered 100% after materials copayment
- $115 allowance for elective contact lenses
- Discounts on LASIK/PRK and second pair of glasses
- One eye exam per year
- You pay only the fees listed on the schedule of benefits
.
Cost Scenario
How much will you save with a Humana vision plan? Take a look at what some common procedures can cost without insurance:
- Eye Exam: $90
- Frames: $90
- Sigle vision lenses: $70
- Total Cost: $280
Your cost with a Humana vision plan, here are your costs for the same services:
- Eye Exam: $10 co-payment
- Frames: $0
- Sigle vision lenses: $25 co-payment
- Total Cost: $35
You can save up to $245 with the HumanaOne Vision Care Plan
Summary of Benefits
Vison Services | Benefit |
---|---|
Vision Exam | $10 copayment |
Lenses | $25 copayment |
Frames | $40 wholesale allowance |
Second pair of eyeglasses | You get 20% off |
Exam Frequency | Once every 12 months |
Frame Frequency | Once every 24 months |
Contact Lens Allowance | $115 retail allowance |
Lenses or Contact Lens Frequency | Once every 12 months |
View a list of procedure prices ![]() |
Vision Plan Rates
Fee | Price |
---|---|
One-Time Enrollment Fee | $35.00 (total) The fee for both 1 person or 4 persons is $35. |
Monthly Premium (1 person) | $13.99 |
Monthly Association Fee (PBA) | $0.75 |
Monthly Admin Fee (Included in rates above, waived if you pay yearly) |
$1.00 |
Total Monthly Payment | $15.74 |
How Does Wholesale Frame Allowance Work?
Benefits include a wholesale frame allowance. If the wholesale cost exceeds the frame allowance, members pay twice the wholesale difference. They never pay full retail.
Retail Price | Wholesale Price | Wholesale Allowance | Member Pays | Savings |
---|---|---|---|---|
$80-$120 | $40 | $40 | $0 | $80-$120 |
$140-$210 | $70 | $40 | $60 ($70-$40=$30 x 2=$60) |
$80-$150 |
Lasik and PRK Procedures
Members receive substantial reductions when procedures are done by network providers. Members can expect to pay no more than $1,800 per eye for conventional Lasik procedures and $2,300 per eye for custom Lasik from network providers. Members also receive benefits on services performed by preferred TLC Select Lasik Plan providers at the following fixed prices:.
Lasik Package | Cost |
---|---|
Silver Package | $895 per eye for Conventional Lasik |
Gold Package | $1,295 per eye for CustomLasik, TLC Lifetime Commitment can be purchased for $200 per eye |
Platinum Package | $1,895 per eye for CustomLasik plus Bladeless Lasik (using IntraLase technology). Includes the TLC Lifetime Commitment. PRK is available on this package only |
Effective Dates
Vision effective dates are calculated as follows:
- If application is received between the 1st and 15th of the month, the policy effective date will be the 1st of the following month. 1. Example: Application received on May 10th will have an effective date of June 1st.
- If application is received between the 16th and end of the month, the policy effective date will be the 1st of the 2nd following month (the month after the following month). 1. Example: Application received May 18th for processing will have a policy effective date of July 1st.
Payment Options
Payment options include monthly and annual bank draft, monthly and annual credit card payments (Visa and Mastercard), and monthly and annual bills.
People’s Benefit Alliance Membership
Membership in the People’s Benefit Alliance (PBA) is required at additional cost (your $0.75 association fee covers this) in order to be eligible to apply for this plan. With your membership, you will receive discounts on health, travel, consumer, and business-related services, such as:
- Fitness Programs- Puts benefits for healthier living within reach for you and your family
- Vitamin Discounts- Offers discounts on an extensive selection of vitamins
- Car Rental Discounts- Get great deals on car rentals
The association is a membership organization that provides educational information and discounts on goods and services to its members.