Evidence of Coverage for details. 
*Network dentists have agreed to provide services at anegotiated rate. If you see anetwork dentist, you  
cannot be billed more than that rate. 
Out-of-network dentists have not agreed to provide services at contracted fees. Benefits received  
out-of-network are subject to any in-network benefit maximums, limitations, and/or exclusions. You may  
be billed by the out-of-network provider for any amount greater than the payment made by Humana to