Does Humana Medicare Cover Dental?
- Millions of Americans get their Medicare coverage from a Humana Medicare Advantage (Part C) plan, many of which offer dental coverage. Learn about the dental care benefits that can be included in a Humana Medicare plan and how much you can expect to pay for premiums, copays and deductibles in 2021.
Over 4.3 million Medicare beneficiaries chose to get their Medicare coverage from a Humana Medicare Advantage plan in 2024.1 And dental coverage is a big reason why so many people choose Humana’s Medicare Advantage plans.
How Do Humana Medicare Advantage Plans Work?
A Humana Medicare Advantage plan (Medicare Part C) offers all of the same benefits as Original Medicare (Medicare Part A and Part B). On top of that basic coverage, Medicare Advantage plans can then provide some additional benefits for things not included in Original Medicare.
Dental coverage is among the more popular extra benefits offered by many Medicare Advantage plans, along with coverage of prescription drugs, vision and hearing.
Medicare Advantage plans are sold by private insurance companies like Humana and operate in much the same way as the private health insurance plans offered through employers or purchased by individuals under the age of 65.
Every year, Medicare evaluates plans based on a 5-star rating system. In 2023, 92% of all Humana Medicare Advantage plan members were in a plan rated 4 Stars or higher by the Centers for Medicare & Medicaid Services.2
When Will Humana Gold Plus Cover Dental Needs?
A Humana Medicare Advantage plan can provide coverage for both routine and advanced dental services. Some of the dental benefits you might find in a Humana Medicare Advantage plan include:
- Exams
- Teeth cleaning and whitening
- X-rays
- Fillings
- Crowns
- Root canals
- Extractions
- Dentures and bridges
- Orthodontics
- Dental care following an injury or illness
How Much Does Humana Medicare Advantage Dental Coverage Cost?
The cost of a Medicare Advantage plan can vary from one carrier and location to another, so make sure to research which is the best Medicare dental plan for you. Below is an example of Humana Medicare Advantage plans that include dental benefits.
The following example premiums are taken from the Medicare.gov plan finder tool in October 2023 for plan year 2024 and are not a complete list of plans available in each ZIP code.
Plan premiums vary and may be different where you live, and there may be more, fewer or different plans available where you live. Contact a licensed insurance agent or compare plans online to find your local options..
Location | Plan Type | Monthly Premium |
---|---|---|
Phoenix, AZ (85001) |
Humana Gold Plus H0028-052 (HMO) |
$0 |
HumanaChoice H5216-265 (PPO) |
$0 |
|
HumanaChoice H5216-224 (PPO) |
$35 |
|
Dallas, TX (75201) |
Humana Gold Plus H0028-043 (HMO) |
$0 |
HumanaChoice R4182-001 (Regional PPO) |
$0 |
|
Humana Gold Choice H8145-084 (PFFS) |
$45 |
|
Columbus, OH (43210) |
Humana Gold Plus H6622-013 (HMO-POS) |
$0 |
HumanaChoice H5216-285 (PPO) |
$0 |
|
HumanaChoice R5495-002 (Regional PPO) |
$51 |
Which Humana Medicare Plans Include Dental Coverage?
Humana offers several distinct types of Medicare Advantage plans, but HMO plans, PPO plans, PFFS plans, and SNP plans all may include dental coverage.
HMO
Health Maintenance Organization plans utilize a primary care physician to coordinate your care within the plan’s network of providers and issue referrals for specialist visits.
PPO
Humana’s Preferred Provider Organization plans grant you the freedom to see any provider you wish while offering additional savings when staying within the Humana network of providers.
PFFS
A Private Fee-For-Service plan allows you to see any health care provider who accepts Medicare and agrees to the payment terms of the plan.
SNP
Special Needs Plans are designed to meet the specific health care needs of someone with a particular health condition or who is dual eligible for Medicare and Medicaid. An SNP can offer benefits that are tailored to each individual.
Am I Eligible for Humana Medicare Advantage Dental Coverage?
In order to be eligible for Humana Medicare plans with dental coverage, you must:
- Be enrolled in both Medicare Part A and Part B
- live in the service area of the plan you wish to join
Because Original Medicare doesn’t typically cover dental services, you can either pay for a standalone dental insurance plan, pay out of pocket for dental services or join a Medicare Advantage plan like one from Humana that offers dental benefits.
Fugelsten Biniek, J. et al. (Oct. 29, 2020). Medicare Advantage 2021 Spotlight: First Look. Kaiser Family Foundation (KFF). https://www.kff.org/medicare/issue-brief/medicare-advantage-2021-spotlight-first-look.
Humana. (Oct. 8, 2020). 92% of Humana’s Medicare Advantage Members are in 4-Star and Above Contracts for 2021, Reflecting Ongoing Commitment to Quality Care and Improved Health Outcomes. https://humana.gcs-web.com/news-releases/news-release-details/humanas-medicare-advantage-members-are-4-star-and-above.