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.  19 
H5216_SB_MAPD_PPO_107000_2023_M Summary of Benefits H5216107000SB23 To find out more about the coverage and costs of Original Medicare, look in the current “Medicare &You” 
handbook. View it online at  http://www.medicare.gov or get acopy by calling 1-800-MEDICARE (1-800-633-4227),