plan .
c
10 Summary of Benefits H5619075000SB23 H5619075000 
Covered Medical and Hospital Benefits  (cont.) 
N/A WHAT YOU PAY ON THIS HUMANA PLAN 
Humana.com >Find aDoctor >  
from the Search Type drop down  
select Dental >under Coverage  
type select All Dental Networks >  
enter zip code >from the  
network drop down select  
HumanaDental Medicare. 
VISION SERVICES 
Medicare-covered vision 
services $0 copay 
Medicare-covered diabetic eye  
exam $0 copay 
Medicare-covered glaucoma 
screening $0 copay