Dental HMO

Dental Network

With Dental HMO, you receive all your dental care from Hawaii Family Dental Centers (HFDC). Dental HMO members are not required to select a primary dentist and have the freedom to choose any dentist at any HFDC location. If you choose to see a dentist outside of the HFDC network without a referral, you will have to pay the total cost.

Cost Savings

HMSA’s Dental HMO provides you with a wide array of dental care benefits. Some are fully covered and others have a special member rate.

• No deductibles or annual maximum.
• No copayment for covered preventive services.
• Low, fixed copayments on other dental services.
• No claim forms to file.

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 oral health.
• 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 will be added to the Oral Health for Total Health program. Enhanced Dental Benefits will 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 for 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 for 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.

Convenience

Hawaii Family Dental Centers offers 10 centers conveniently located on four islands.

Eligibility: Dental HMO is available through an employer group health plan. For more information, check with your employer regarding your health plan benefits.