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/  Employers Guide to Oral Health for Total Health

Employer’s Guide to Oral Health for Total HealthSM

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.

Enhanced dental benefits at no additional cost

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 & BenefitsAutomatic Program EnrollmentTwo Additional Cleanings or Periodontal Maintenance Visits per YearOral Cancer Screenings Once Every 6 Months & Fluoride Treaments Once Every 3 MonthsPerdiodontal Scaling* Covered 100% with No Out-of-Pocket Expense
Coronary Artery Disease
Oral Cancer
Head and Neck Cancers
Sjogren's Syndrome
*A member’s plan must include periodontal coverage to receive periodontal scaling under OHTH.

Your partnership with HMSA

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.

  • Improved health can lead to greater employee productivity and reduced absenteeism.
  • Better health can result in lower medical costs for members.
  • When you offer your employees medical and dental plans from HMSA, we’re able to automatically enroll employees who would otherwise not enroll.

Encourage your employees

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:

  • A welcome letter sent to new program members. It recommends that they schedule dental appointments and reminds them that the benefits are covered 100% and don’t count toward their calendar year maximum when they see a participating provider.
  • A follow-up letter sent at six months. In addition to reminding them that program benefits are covered 100%, the letter recaps the risks that gum disease poses to their health.
  • A letter sent to members who haven’t used program benefits in the last 12 months. It reiterates the importance and advantages of the enhanced dental benefits.
  • An engagement letter sent to all program members once a year. This is an annual reminder to program participants to see their dentist.

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.