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A Regional Dental Plan with PPO and EPO Options

Humana Dental 1-877-692-2468 2021 A Regional Dental Plan with PPO and EPO Options IMPORTANT Rates: Back Cover Changes for 2021: Page 3 Summary of Benefits: Page 60 Serving: Alabama, the majority of Arizona, Arkansas, California, Colorado, District of Columbia, Florida, Georgia, the majority of Illinois, Indiana, Kansas, Kentucky, Louisiana, parts of Maryland, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Utah,Virginia and West VirginiaThis plan has five enrollment regions; please see the end of this brochure to determine your region and corresponding Options : EPO Options : High PPO Option Self Only Standard Advantage EPO Option Self OnlyHigh PPO Option Self Plus One Standard Advantage EPO Option Self Plus OneHigh PPO Option Self and Family Standard Advantage EPO Option Self and FamilyIntroduction On December 23, 2004, President George W.

participating in the provider network, you may nominate him or her to join. Contact us at 877-692-2468 to nominate a provider who is currently not participating with the Humana Dental High PPO or Standard Advantage EPO Plan. You cannot change plans, outside of Open Season, because of changes to the provider network.

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