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Dental Plan Overview

Your Good Dental Health Is Our Business

Humana is pleased to continue to offer the employees of Miami-Dade County and Jackson Health System two plans this year. Both plans feature Diagnostic and Preventive care at no cost and all other procedures at substantial discounts. The OHS Plan 200 is your Standard option. It offers you significant savings on complicated procedures. Our Plan S-400 is the Enriched Plan. This plan offers you increased savings and the added benefits of specialty dental care coverage and discounted vision services. Whichever plan you decide is best for you, you can be sure that you will receive the best quality dental care at the most affordable prices. Benefits of the OHS Dental Plans include:

  • No deductibles
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  • Choose your own dentist from our network
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  • No claim forms
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  • 24-hour Emergency Hotline
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  • No exclusions for pre-existing conditions
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  • Member Support phone line
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  • Unlimited annual benefits
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  • Diagnostic and Preventive care covered 100%
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    OHS Has Dental Plans To Save Your Teeth And Your Money

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    		•  We have the largest dental provider network of any company in the state of Florida. In addition, we are as choosy about your dentist as you are so you can be sure you are receiving the best quality care.
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    		•  Each member of your family can choose their own dentist.
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    		•  Our unique 24-Hour Emergency Hotline.
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    		•  Our standing as a local company, founded in Dade County and an active participant in local affairs.
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    		•  We have a highly qualified Customer Care Department. The majority of our representatives are bilingual, understand dental terminology and have a customer service background.

    Specialty Care

    In making your decision about which plan is best for you, keep in mind one important detail. The Enriched Plan S-400 is a Specialty plan. This means that if you should require the care of a specialist, you pay the same amount as you would pay to a general dentist. The co-payments listed for the Standard Plan 200 only apply in a general dentist's office. If you should need to see a specialist with this plan, you receive a 25% discount off the specialist's usual and customary fees.

    Family Choice

    The Family Choice benefit will allow each member to select his/her own OHS dental facility. If members have children living in separate households or a spouse who wants to choose a dentist closer to his/her workplace, this new benefit was designed with them in mind.

    At OHS we know that every family has individual needs, and one dentist may not satisfy all of them. OHS gives members the choice to select the dentist that best satisfies the need of each individual family member.

    Family Care Pedodontist

    Primary Care Pedodontist are available for children 10 and under. Pedodontist are dentists that treat children. As a member of Miami-Dade County and Jackson Health System, you have the option to select a pedodontist for your child or may choose to have your child or may choose to have your child see a general dentist.

    How You Will Save

    The example given below will show you how much you will save with an OHS plan. As you will see, it pays to have OHS even when you just need routine dental care. Should you require more complicated procedures, having OHS can make an enormous difference.

    Savings you can expect with OHS.

    Procedure Standard Plan 200 Enriched Plan S-400 Without OHS
    Office visit No Charge No Charge $35.00
    Cleaning (Adult or child) No Charge No Charge $60.00
    Silver filling
    (Permanent, 2 surfaces)    		 $11.00 No Charge $85.00
    Root canal (1 canal) $90.00 $45.00 $325.00
    Total $351.00 $220.00 $1,055.00
    Your savings $704.00 $835.00 $0.00

    Note:
    Members enrolled in the Plan 200 may have their dependents assigned to any OHS provider in the state of Florida. Those enrolled in the Plan S-400 may select a provider from OHS' South Florida network, in Dade and Broward counties.

    Upon request Oral Health Services, Inc. shall provide written information about the terms and conditions of the plan to prospective enrollees.

    Oral Health Services, Inc. is licensed and approved by the State of Florida Department of Insurance as a prepaid limited health service organization under Chapter 636 of the Florida Statutes.