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Compare Dental Options

  • HumanaDental DHMO Coverage

    Administered by HumanaDental.

    To receive plan benefits, you must select and use a primary care dentist (PCD) from the DHMO Dentist Finder on the HumanaDental website.

    Must choose a network dentist to receive covered benefits.

    • Deductible - $0
    • Copays - Costs vary based on service provided (including cleanings and oral exams). See the Dental Care Schedule on the HumanaDental website.
    • Maximum benefit - Unlimited per calendar year / unlimited lifetime.
    • Cleanings/Exams - Varies according to service. Allows 2 exams per calendar year at no cost and 2 cleanings per year with $12 copay.
    • Orthodontic - Services performed by a general dentist listed in the directory – child - $1,800, adult - $2,100; services performed by specialist – You pay 75% of his/her usual fee. DHMO pays nothing.
    • Specialty dentistry - You are responsible for 100%; however, the PCD will charge only 75% of his or her usual fee for specialty dentistry. Orthodontic services preformed by a specialist are covered at this level.

    Filing Claims

    You do not have to file claims for the HumanaDental DHMO, except for out-of-area emergency care. HumanaDental pays your dentist directly.

    You can appeal a decision with a Texas Employees Group Benefits Program (GBP) insurance carrier. Additional guidelines are provided in writing to members during the appeals process.


  • State of Texas Dental Choice PlanSM (PPO) Coverage

    Administered by HumanaDental.

    Choose any dentist. You will receive higher benefits if using a participating dentist through the preferred provider network.

    Participating Dentist

    Non-Participating Dentist

    Deductibles  Preventive - $0 for you and family
    Combined Basic/Major/ Prosthodonic - $50 for you; $150 for family
    Orthodontic services - no deductible
    Preventive - $50 for you;$150 for family
    Combined Basic/Major/ Prosthodonic - $100 for you; $300 for family
    Orthodontic services - no deductible
    Copays 

    You pay nothing for diagnostic and preventive services.

    You pay 10% of allowed amount for preventive services up to maximum benefit after deductible is met.

    Maximum benefit  $1,500 Calendar Year maximum (excludes orthodontic services)
    $1,500 Lifetime Benefit for orthodontic services
    Cleanings/Oral Exams 

    0% - Two (2) cleanings/oral exams per calendar year are covered at 100%.

    10% of the allowed amount after deductible is met. Two (2) cleanings/oral exams per calendar year are allowed.

    Orthodontic coverage 

    Orthodontic services are only available to dependents age 19 or younger. Orthodontic benefits are available to dependents age 19 or younger, Humana will allow 50% of the covered orthodontia services, up to: the lifetime maximum.

    Orthodontic services are only available to dependents age 19 or younger. Humana will allow 50% of the covered orthodontia services, up to the lifetime maximum. You may be required to pay the difference between the allowed amount and billed charges.

    Note: If you are a State of Texas Dental Choice PlanSM (PPO) participant, any covered dental expenses that applied to your deductible during the last three months (October-December) of the calendar year will apply to your deductible in the new calendar year. This means you don't have to satisfy a deductible at the end of one year and a deductible at the start of another year.

    Filing Claims

    Claims should be filed within 90 days of the date of service. The State of Texas Dental Choice PlanSM will not accept a claim submitted later than 18 months after the expenses were incurred or date of service. Send copies of your provider’s itemized bill to file your claim. Special claim forms are not required.

    You can appeal a decision with a Texas Employees Group Benefits Program (GBP) insurance carrier. Additional guidelines are provided in writing to members during the appeals process. More information about the appeals process.


  • State of Texas Dental Discount PlanSM

    Administered by Careington.

    Under this plan, participating dentists have agreed to accept a discounted fee from participants as payment-in-full for dental services performed.

    Benefits-eligible employees, retirees, and dependents can enroll in the plan as a new employee, a new retiree, within 31 days of a qualifying life event and during Annual Enrollment. Plan advantages include:

    • No Deductible
    • No copayments
    • No claims to file
    • Save 20% to 60% on most dental work including routine oral exams, unlimited cleanings, and major work such as dentures, root canals, and crowns.
    • 20% savings on orthodontics including braces and retainers for children and adults
    • 20% discount off of specialist fees
    • Save on cosmetic services like bonding, veneers and whitening.
    • 6,000 participating dentist offices in Texas

    Review the frequently asked questions about the State of Texas Dental Discount Plan>

    Example of saving


    Procedure Description * Regular Cost ** Plan Cost % Savings
    Adult Cleaning $93 $31 67%
    Child Cleaning $64 $23 64%
    Routine Checkup $50 $15 70%
    Four Bitewing X-Rays $63 $22 65%
    Composite (White) Filling $237 $83 65%
    Crown (Porcelain Fused to Noble Metal) $1,139 $483 58%
    Complete Upper Denture $1,560 $643 59%
    Molar Root Canal $1,200 $438 64%
    Extraction (Single Tooth) $168 $55 67%
    * Regular cost is based the 80th percentile usual and customary rates as detailed in the 2012 FairHealth Report for Houston, Dallas, and San Antonio.
    ** These fees represent the average of the assigned Careington Care 500 Series fees in Houston, Dallas, and San Antonio. Percentages may vary by region. Prices subject to change.