Dental
The Florida Aquarium offers dental coverage through Humana. The Dental DHMO Plan is an in-network plan only, whereas the Dental PPO Plan allows you to use in-network or out-of-network benefits. If out-of-network dentists are used, you will be responsible for paying the difference between Huma na’s allowed amount and what the dentist may charge, also known as “balance billing” . The chart below provides a brief overview of the plans, The Florida Aquarium pays 100% of the employee only dental cost for either selected plan!
Dental
DMO Plan
PPO Plan
In-Network
In-Network
Out-of Network*
Calendar Year Deductible Individual
Not Applicable
$25
$50
Family
Not Applicable
$75
$150
Annual Maximum
Unlimited
$1,500
$1,500
Diagnostic & Preventive Exams Cleanings Fluoride X-Rays Sealants Regular Restorative Services
Refer to Fee Schedule
Covered in full
Covered in full
Amalgam Fillings
Refer to Fee Schedule
Covered 80% after deductible
Extractions - Single Tooth Periodontics (Gum Disease) Endodontics (Root Canal) Major Services Crowns
Covered 90% after deductible
Bridges Dentures
Refer to Fee Schedule
Covered 60% after deductible
Covered 50% after deductible
Basic Child Only $1,000 Lifetime Max
Adult/Child Refer to Fee Schedule
Orthodontia
• Out of network claims are subject to reasonable and customary charges. • If you or your dependents do not enroll when first eligible, there is a 12-month waiting period for Basic (fillings/ 6 months) and a 24 month waiting period for Major and Orthodontia coverage.
BASE DMO Plan (HS205)
PREMIUM PPO Plan
Employee Cost Per Pay Period
Employee Only
$ 0.00 $ 6.66 $ 8.32 $ 17.43
$ 0.00 $ 12.30 $ 21.59 $ 34.41
Employee + Spouse Employee + Child(ren)
Family
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