Oral Health for Total Health - Program Overview

Dental health can influence conditions such as diabetes, oral cancer, coronary artery disease (CAD) and low birth weight and premature babies. A relationship exists between a healthy mouth and overall good health. That means it’s important to get regular preventive dental care to help maintain your good oral health and overall health.

HMSA is committed to our community and the health of its members. That’s why we support a multifaceted approach to optimum oral care called Oral Health for Total Health. Because we offer medical and dental coverage, we’re able to analyze claims information and identify members who can benefit from focused attention and additional dental education.

Benefits of Oral Health for Total Health program include:

  • Delivering an oral health education campaign to members, providers and employers.
  • Identifying members with diabetes, heart disease, oral cancer, and those who are pregnant for more specific education.
  • Working with members who are not actively maintaining their oral health, through focused communication that encourages members to see their dentist.
  • Removing financial barriers through Enhanced Dental Benefits, a program that provides at-risk members with condition-specific benefits beyond their dental benefits.
    • No copayment.
    • No deductible.
    • Covered outside the annual maximum.
  • Multifaceted Approach

    HMSA is committed to our community and the health of its members. That’s why we support a multifaceted approach to optimum oral care called Oral Health for Total Health. Because we offer medical and dental coverage, we’re able to analyze claims information and identify members who can benefit from focused attention and additional dental education.

    Education

    Our program education activities may focus on at risk individuals, but the benefits of understanding oral health and its association with overall health and wellbeing is for everyone in Hawaii.  Information on HMSA’s Oral Health for Total Health program can be found in brochures, oral health articles on hmsa.com or throughout this website.

    Encouraging optimum oral health for everyone includes regular visits to a dental professional and proper care of teeth and gums.  But for at risk members with specific conditions, it’s especially important to strive for better oral health.  Studies have shown a correlation between conditions such as diabetes, coronary artery disease, oral cancer and pre term low birth weight babies (pregnancy) with the oral health of members with these conditions. 

    Better oral health can help individuals improve or manage these medical conditions.  Research has also shown improvement with oral health can not only lead to better overall health but positively impact an individual’s cost of care by reducing medical costs.

    Program Enrollment

    The Oral Health for Total Health program identifies HMSA membership enrolled in both the medical and dental plans that are at risk members and automatically enroll these identified individuals into the Enhanced Dental Benefits. The automatic enrollment conditions currently include diabetes and coronary artery disease.

    For members diagnosed with oral cancer or those who are pregnant, there are two ways to enroll into the program.  Members can go to the Enroll Online link and submit their enrollment form through this website or they can print the Enhanced Benefits Enrollment Form which is available at the bottom of the Enroll Online page and mail in their enrollment request.

    Enrollment forms take approximately 10 to 12 days to be evaluated and enrolled into the program.  Once a member is enrolled they will receive a Welcome Letter that includes a reference card identifying their condition specific benefits. 

    Engagement & Outreach

    HMSA has a strong commitment to members and the communities of Hawaii which includes concern for oral health as well as overall health.  An important part of that commitment it to not only provide additional condition specific benefits to at risk members, but to reach out to participating program members for continued encouragement toward optimum oral health.

    The Oral Health for Total Health program includes two outreach activities which are focused on keeping better oral health in the fore front of program participant’s minds.  The first outreach consists of reminder letters mailed out to enrolled program members to not only remind them of their additional condition specific benefits, but to encourage them to see their dental provider more frequently.  At risk members are encouraged to use their additional dental benefits as a way to maintain, manage or even improve their oral health which is connected to improvement in their overall health.

    The second outreach activity included in the program consists of reviewing program membership dental claims to identify program enrolled individuals who have not taken advantage of their enhanced dental benefits.  Once identified, we will then actively engage these members through letter campaigns, telephone calls or possibly electronic communication such as email or text messaging to actively engage with these members.  Through active engagement, we hope to encourage these members to see their dental professional and continue the path toward optimum oral health and wellbeing.

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