Looking for a dentist in Arlington who works with Humana? Madison Square Dental at 803 Washington Dr, Arlington, TX 76011 sees patients from Arlington, Grand Prairie, Pantego, Mansfield and the rest of the Mid-Cities, Monday through Friday, 9 AM to 5 PM. Here is what to know about using your Humana benefits with us.
Understanding Humana Dental
Humana offers dental coverage through employers, individual plans and Medicare Advantage. Its product lineup includes dental PPO plans, DHMO plans (Humana Dental HMO) and dental benefits built into many Humana Medicare Advantage plans.
For Medicare members, dental benefits depend on the specific Medicare Advantage plan. Some include preventive care only, while others include an allowance for comprehensive services like dentures.
Using Humana at Madison Square Dental
Madison Square Dental’s insurance listing shows us in-network for Humana dental PPO plans. The page also notes we work with Humana Medicare Advantage dental benefits. Because Medicare Advantage dental networks vary by plan, we’ll confirm yours before your visit. If your card says Humana Dental HMO, please call first.
We never promise coverage: your plan decides what it pays, and we’ll show you an estimate before treatment.
How Humana Plans Usually Pay
Like most large carriers, Humana groups services into three tiers. Preventive care (exams, cleanings, routine X-rays) is usually covered most generously. Basic care (fillings, simple extractions, and often root canals) is shared after your deductible. Major care (crowns, bridges, dentures, and implants when included) usually has the highest out-of-pocket share and counts most heavily against your annual maximum. Your exact levels depend on your employer’s design.
Services Humana members ask about most
- Dentures and partials — Dentures usually fall under major services and can have replacement-frequency rules.
- Tooth and wisdom tooth extractions — Simple and surgical extractions are often classified differently, which changes how your plan pays.
- Dental implants — Implant coverage differs more than almost any other benefit, so a predetermination is worth requesting first.
- Cleanings and exams
- Root canal treatment
- Same-day emergency care
Claims, Estimates and EOBs
We send Humana PPO claims electronically. Medicare Advantage dental benefits may have their own annual allowance, and some plans use a separate dental network. We’ll confirm the rules before planning dentures or other major work.
- Call (817) 275-2229 with your member ID and date of birth.
- We check eligibility, deductible, remaining maximum, frequency limits and waiting periods.
- You get an estimate before treatment, and a predetermination for major work if you want one.
- We file the claim; you pay your estimated share at the visit and we reconcile once the EOB arrives.
Your Checklist
- Your Humana ID card (Medicare Advantage members: your plan card)
- Your plan name or plan number
- A list of medications if you’re a new patient
- Photo ID and a list of current medications
Humana FAQs
Is Madison Square Dental in-network with Humana?
Our insurance page lists us as in-network for Humana dental PPO plans. Call (817) 275-2229 to confirm your plan.
Does Humana Medicare Advantage cover dental?
Many plans include dental benefits. Coverage varies by plan. We’ll check yours.
Do Humana Medicare plans cover dentures?
Some include an allowance for dentures. See our dentures page.
What is Humana Dental HMO?
A managed-care plan with an assigned dentist. Please call to confirm whether it pays here.
Does Humana cover extractions?
Usually as basic or oral surgery services. We’ll check.
Book Your Visit
Ready to use your Humana benefits? Call Madison Square Dental at (817) 275-2229 or book online. We’re open Monday through Friday, 9 AM to 5 PM, at 803 Washington Dr, Arlington, TX 76011. Have questions first? Our team can check your plan before you ever sit in the chair.
Coverage varies by individual plan. Call (817) 275-2229 to verify your specific benefits before scheduling.