Humana
Dental, Vision Insurance
Premiums
MONTHLY PREMIUMS     1 member     2 members     3 members     4 members     5+ members
Dental Prepaid HI215      $12.99         $23.78            $33.37           $42.96            $51.36


ANNUAL PREMIUMS
       1 member     2 members     3 members     4 members     5+ members
Dental Prepaid HI215      $143.88        $273.36        $388.44         $503.52          $604.32





MONTHLY PREMIUMS
    1 member    2 members     3+ members
Dental Preventive Plus     $19.99         $38.23           $74.71


ANNUAL PREMIUMS        1 member     2 members    3+ members
Dental Preventive Plus     $227.88       $346.76         $884.52



MONTHLY PREMIUMS     Under age 51      Age 51 +
Dental Loyalty Plus            $35.74             $45.74

ANNUAL PREMIUMS        Under age 51      Age 51 +
Dental Loyalty Plus            $416.88           $536.88




MONTHLY PREMIUMS
    1 member     2 members     3+ members
Vision Care Plan               $15.74         $28.74            $49.74

ANNUAL PREMIUMS        1 member     2 members     3+ members
Vision Care Plan               $176.88       $332.88         $584.88




All Premiums include Administration and Association Fees, where applicable.
There is a one time enrollment fee of $35 Per Plan.

                             Call to enroll or for more information
                                                 
                             1-866-875-3676


Additional Info


For Dental Prepaid HI215 plan:
A one-time, non-refundable, $35 enrollment fee will be applied to your initial payment. Unless you pay annually, a $1 administration fee will be applied to each bill. This is a one-year plan. Limitations and exclusions may apply. Plans not available in all areas. Assumes application is taken today.

For Dental Preventive Plus and Vision Care Plan:
A one-time, non-refundable $35 enrollment fee will be applied to your initial payment. Unless you pay annually, a $1 administration fee will be applied to each bill. A $0.75 association fee applies. This is a one-year plan. Limitations and exclusions may apply. Plans not available in all areas. Assumes application is taken today.

Insured by Humana Insurance Company, Humana Health Plan, Inc., Humana Health Insurance Company of Florida, Inc., Humana Health Benefit Plan of Louisiana, Inc., HumanaDental Insurance Company, or The Dental Concern, Inc.,or offered by Humana Employers Health Plan of Georgia,Inc.,or Humana Medical Plan,Inc.

For Arizona residents: Insured by Humana Insurance Company or HumanaDental Insurance Company. For Texas residents: Insured by Humana Insurance Company or HumanaDental Insurance Company or DentiCare Inc. For Mississippi residents: Insured by Humana Insurance Company or HumanaDental Insurance Company or CompBenefits Insurance Company.

Dental and Vision Products Offered by the Humana family of companies including Humana Dental Insurance Company, Humana Insurance Company, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company (a Pre-paid Limited Health Service Organization and licensed under Chapter 636, Florida Statutes), CompBenefits Dental, Inc., CompBenefits of Alabama, Inc., CompBenefits of Georgia, Inc., American Dental Plan of North Carolina, Inc., and DentiCare, Inc. (d/b/a CompBenefits).

 C-FL-22311



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