Does Humana Medicare Cover Dental?
- Some Humana Medicare Advantage (Part C) plans can offer dental coverage. Learn about the dental care benefits that can be included in some Humana Medicare Advantage plans.
Over 6 million Medicare beneficiaries chose to get their Medicare coverage from a Humana Medicare Advantage plan in 2024.1 Some Humana Medicare Advantage plans can cover dental care, though benefits and plan availability can vary depending on where you live.
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 some Medicare Advantage plans, along with coverage of things like prescription drugs, vision or hearing.
Medicare Advantage plans are sold by private insurance companies like Humana.
Every year, Medicare evaluates plans based on a 5-star rating system. In 2024, 94% 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 coverage option for you.
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 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.
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Freed M, et al. (Aug 8, 2024). Medicare Advantage in 2024: Enrollment Update and Key Trends. Kaiser Family Foundation (KFF). https://www.kff.org/medicare/issue-brief/medicare-advantage-in-2024-enrollment-update-and-key-trends.