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What orthodontic treatment does Humana cover under the Dental Preferred Plan.

Question asked by aka301222282707 on Aug 15, 2018
Latest reply on Aug 15, 2018 by communitymanager

I have the PPO through my wife's employer.  According to the summary of bennifts and numerous other pages, we are entitled to recieving $1000 for orthodontic services.  My daughter (10 years old) needs phase one treatment requiring a RPE, Bi-Helix, and upper/lower braces then eventually a retainer.  Dentist say the insurance will not cover it, although i'm reading on my benefits plan that orthodontic treatment will cover up to $1000.  The billing code they are using is D8060.


I need to know why Humana will not cover this treatment. OR is there a mistake between the dentist office and/or the insurance company. The coverage documents doesn't really specified what ortho treatments it covers.