Maintaining a healthy lifestyle
This plan is designed for HMSA members age 50 through 64 to help you maintain overall
good health with services to complement basic medical benefits.
Seamless transition
Converting from a group-sponsored plan to an individual health plan should be a
stress-free experience. HMSA’s 50 Plus allows you to enjoy the benefit of
a seamless transition because your coverage begins the day after your previous HMSA group
plan ends.
Benefits that bridge the gap
50 Plus is an HMO plan that offers:
- A comprehensive plan that includes medical, dental, vision, and limited prescription
drug benefits for you and your eligible dependents.
- Your choice of a network
health center
and personal
care provider (PCP) to coordinate your medical needs.
- Coverage until you are eligible for Medicare.
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.
Peace of mind
As you prepare for retirement, we understand that every dollar counts.
- Fixed copayments
for doctor office visits, so you’ll always know how much to pay up front.
- Preventive dental services are provided at no charge.
Taking care of loved ones
50 Plus allows you to continue taking care of your family by allowing eligible dependents
to be covered under this plan as long as they continue to meet eligibility requirements.
Coverage that travels with you
HMSA provides you with peace of mind if you need medical attention while traveling
outside Hawaii. HMSA belongs to the Blue Cross and Blue Shield network of health
care providers, so you can rely on the BlueCard®
Program for access to the nation’s largest network. BlueCard offers you coverage
coast to coast with access to more than 500,000 providers nationwide. Outside the
United States, you have access to providers in more than 200 countries and territories
around the world through the BlueCard Worldwide Program.
