Routine dental 
 
Dental services are subject to our  
standard claims review  
procedures which could include  
dental history to approve  
coverage. Dental benefits under  
this plan may not cover all  
American Dental Association  
procedure codes. Information  
regarding each plan is available  
at  Humana.com/sb .
 
Network dentists have agreed to  
provide services at contracted  
fees (the in-network fee  
schedules, or INFS). If amember  
visits aparticipating network  
dentist, the member will not