At HMSA, we deliver innovative health plans and programs to people in the communities we serve. Because of our commitment to the people of Hawaii and the health of our members, HMSA provides Oral Health for Total Health, a program that connects medical and dental plans to improve the total health of participating members. For employers who offer their employees HMSA medical and dental plans, we’re able to review claims information to identify members with health conditions who can benefit from additional dental services. These members are automatically enrolled in the program.
While research is ongoing, the connection between oral health and total health is well established. The enhanced dental benefits that Oral Health for Total Health provides can have a significant impact on a member’s health and well-being.
HMSA members who are enrolled in Oral Health for Total Health receive condition-specific, enhanced dental benefits that are valued at more than $1,000. These benefits are covered 100% with no out-of-pocket expenses when members see a participating provider. The benefits don’t count toward the calendar year maximum and there are no waiting periods. The program includes member education and ties dental into HMSA care coordination programs.
|Covered Medical Conditions & Benefits||Automatic Program Enrollment||Two Additional Cleanings or Periodontal Maintenance Visits per Year||Oral Cancer Screenings Once Every 6 Months & Fluoride Treaments Once Every 3 Months||Perdiodontal Scaling* Covered 100% with No Out-of-Pocket Expense|
|Coronary Artery Disease|
|Head and Neck Cancers|
|*A member’s plan must include periodontal coverage to receive periodontal scaling under OHTH.|
Our goal is to partner with you to ensure that those who need dental care the most are able to get it. Oral Health for Total Health can help your employees achieve improved total health and quality of life.
Employees who have qualifying health conditions and have both HMSA medical and dental plans are automatically enrolled in Oral Health for Total Health. Employees who have only an HMSA dental plan and those who are pregnant must self-enroll. Help your employees understand the value of this program and encourage them to enroll when applicable.
Once your employees are enrolled, we reach out to them with reminders and educational information. Our outreach includes:
Dental health tips and other educational information on our website.
Whether employees and their family members are enrolled in the program or not, everyone should see their dentist on a regular basis. Encourage your employees to find a dentist and pursue better dental—and total—health.