MyOption Total Dental (DEN984) 
The MyOption Total Dental benefit helps make it easy for you to plan for your dental care.  
Here's how the benefit works: 
Monthly Premium $33.70 24 – 2023 OPTIONAL SUPPLEMENTAL BENEFITS OPTIONAL SUPPLEMENTAL BENEFITS S(continued) 
Maximum Benefit Humana pays up to  $2,000 per calendar year 
Covered Dental Services In-Network* 
You Pay Out-Of- 
Network** 
You Pay Benefit Limitations Per 
Calendar Year 
Preventive and Diagnostic Dental Services 
Periodic oral exam