A convenient, affordable dental choice
HMSA’s Dental Plus Plan offers you and your family all the
dental services you need at an affordable price.
Under this plan, preventive, routine, and major services are covered up to a maximum
of $1,000 per calendar year.
- $0 copayment for exams and cleanings.
- 20 percent for routine care.
- 50 percent for major services.
Healthy teeth and gums
Proper dental care is essential to your well-being. It can also
reduce strain on your immune system, helping to prevent other diseases.
Oral Health for Total Health
HMSA has a four-tiered approach to help at-risk members get proper dental care.
With Oral Health for Total Health, integrated medical and dental claims information
allows us to:
- Identify at-risk members who would benefit from our oral health program through
medical claims data and member self-enrollment.
- Educate our members who have coronary artery disease, diabetes, or oral cancer,
as well as pregnant women, about the benefits of good oral health.
- Engage in targeted intervention for select members who are not maintaining their
- Remove financial barriers through Enhanced Dental Benefits, a program that provides
at-risk members with condition-specific services beyond their regular dental benefits.
- No copayment for in-network providers.
- No deductible.
- Covered outside the annual maximum.
Enhanced Dental Benefits
On January 1, 2013, Enhanced Dental Benefits were added to the Oral Health for
Total Health program. Enhanced Dental Benefits provide additional support for
HMSA members who have specific medical conditions at no charge with no deductible
or coinsurance for in-network services when they visit an HMSA participating provider.
If you have been diagnosed with diabetes or coronary artery disease, you are automatically
enrolled in Enhanced Dental Benefits. If you are pregnant or diagnosed with oral
cancer, you are eligible for these benefits as well, but you will need to enroll in Enhanced
Dental Benefits. For detailed information on your benefits under Oral Health for
Total Health and Enhanced Dental Benefits, simply log on to My Account at hmsa.com
and click Benefits on the Welcome page, then click the View Dental Benefits button.
On My Dental Coverage page, click the Oral Health for Total Health link at the bottom.
Your mouth is the gateway to a healthier you. Keep your teeth and gums healthy for
overall better health.
As a member of the Dental Plus Plan, you’ll receive quality dental
care from the dentist of your choice. Under this plan, you can select any provider,
participating or nonparticipating, for your dental services. HMSA suggests choosing
provider to save money.
Your dentist’s staff will take care of your paperwork -– there are no claims
for you to file when using a participating provider. If your dentist determines
additional care is necessary, you will receive a written treatment plan with the
costs of the services your dentist recommends.