•0% coinsurance for periodontal maintenance up to 4per year. 
•0% coinsurance for amalgam and/or composite filling, necessary  
anesthesia with covered service up to unlimited per year. 
•$1000 maximum benefit coverage amount per year for preventive  
and comprehensive benefits. 
Dental benefits may not cover all American Dental Association  
procedure codes. Information regarding each plan is available at  
Humana.com/sb .  
Use the CAREington Medicare network for the Mandatory Supplemental