A convenient, affordable dental choice
Do you currently have an HMSA medical plan but don’t have dental coverage? HMSA’s
Individual Dental Plan – PPP offers you and your family the dental services
you need at an affordable price.
Healthy teeth and gums
Proper dental care is essential to your overall health and well-being. It can also
reduce strain on your immune system, helping to prevent other diseases. Under this
plan, all preventive services are covered:
- Fluoride applications.
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 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.
As a member of the Individual Dental 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 a
participating provider to save you 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.