$33.90 MyOption DEN478 
Offers coverage for certain preventive, basic, and major services at both 
in-network (HumanaDental Medicare network) and out-of-network 
dentists. These extra benefits –in addition to your basic benefits –have 
an additional monthly premium.  18 
H1036_SB_MAPD_HMO_234000_2023_M Summary of Benefits H1036234000SB23 To find out more about the coverage and costs of Original Medicare, look in the current “Medicare &You”