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HAP Medicare Advantage dental coverage with Delta Dental

Medicare Advantage Dental

HAP Medicare Advantage HMO¹, HMO-POS¹ and PPO² plans include the following preventive dental services per year:

two dental exams
two cleanings
two fluoride treatments
one brush biopsy
a set of bitewing x-rays

Coverage for comprehensive services such as root canals, fillings, simple extractions and crown repairs is also covered.

Member have access to Delta Dental’s Medicare Advantage PPO™ and Medicare Advantage Premier networks. Members may also be eligible for coverage when traveling outside of Michigan. Call your Medicare Advantage agent or (844) 306-1066 (TYY: 711) to learn more. Medicare Experts are available April 1 through Sept. 30: Monday - Friday, 8 a.m. to 8 p.m. Oct. 1 through March 31: seven days a week, 8 a.m. to 8 p.m.

¹HAP Medicare Advantage HMO and HMO-POS Plans: Services received from a nonparticipating dentist are not covered. You will be responsible for the full cost of the services.

²HAP Medicare Advantage PPO Plan: Services received from a nonparticipating dentist may result in higher out-of-pocket costs. You will be responsible for the difference between Delta Dental’s payment and the amount charged by the nonparticipating dentist.

Check to see if your dentist is in-network here

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Optional Medicare Advantage dental packages for purchase

If you are looking for additional dental coverage, HAP and Delta Dental partnered to provide options. Call your Medicare Advantage agent or (844) 306-1066 (TYY: 711) to learn more.

Optional Plans	Delta Dental 50	Delta Dental 70	Delta Dental 100*
Monthly premium	$19.10	$29.50	$51.90
Individual annual maximum coverage	$1,000	$1,500	$2,500
Diagnostic and Preventive Services Coverage
Emergency palliative treatment	100%	100%	100%
Basic Services Coverage
Fillings, including white fillings on front and back teeth Root canals Repairs to crowns or dentures	50%	50%	50%
Treatment of gum disease Denture repairs/relines Implant Repairs	50%	70%	100%
Major Services Coverage
Crowns and onlays Bridges, dentures or implant services	50%	50%	50%

*Available with Delta Dental’s Medicare Advantage PPO network only

Download the 2024 Optional Medicare Advantage Dental Packages Guide

Medicare Supplement dental/vision packages

If you have chosen a Medicare Supplement plan, you have three great options - MS50, MS70 and MS100 - for dental/vision benefits. Our dental/vision buy-up packages includes one vision exam and $175 allowance for vision hardware such as contact lenses, frames or glasses. Download the Dental and Vision Coverage Guide to learn more about vision benefits.

You have 30 days after the effective date of your plan beginning to add a dental/vision plan.

When you purchase a buy-up package, you will receive a separate ID card from both Delta Dental and EyeMed in the coming weeks.

Optional add-on dental benefits

Optional Plans	Delta Dental MS 50	Delta Dental MS 70	Delta Dental MS 100*
Bundled Dental/ Vision Premium	$33.80	$59.90	$58.30
Individual annual maximum coverage	$800	$1,500	$2,500
Diagnostic and Preventive Services Coverage
Two exams and cleanings per year Emergency palliative treatment Brush biopsy Bitewing x-rays (one set per year) Fluoride	100%	100%	100%
Basic Services Coverage
Other x-rays Fillings, including white fillings on back teeth Root canals Treatment of gum disease Simple extractions Denture relines or repairs Repairs to bridges, crowns or dentures	50%	70%	Other x-rays: 70% Fillings: 50% Root canals: 50% Gum disease: 100% Simple extractions: 100% Denture relines/repairs: 100% Repairs to bridges and implants: 100% Repairs to crowns: 50%
Major Services Coverage
Crowns and onlays Bridges, dentures or implant services	50%	50%	50%

*Available with Delta Dental’s Medicare Advantage PPO network only

Download the 2024 Medicare Supplement Dental and Vision Coverage Guide

Find a Medicare plan Find a Medicare plan

Delta Dental’s customer service team is available to help you find a dentist and answer benefit questions. Please call 800-330-2732 (TTY: 711) Monday through Friday, between 8 a.m. and 8 p.m.

Vision services must be provided by an EyeMed Insight network provider. Please see EyeMed's online provider locator to find a EyeMed Insight network provider. For more information, please contact EyeMed at 877-287-5288.

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Fitness benefits

Take advantage of $0 gym memberships with our SilverSneakers® program.

HMO and HMO-POS Plan disclaimer: Services received from a nonparticipating dentist are not covered. You will be responsible for the full cost of the services that are not covered.

Services received from a nonparticipating dentist may result in higher out-of-pocket costs. You will be responsible for the difference between Delta Dental’s payment and the amount charged by the nonparticipating dentist.

Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. HAP Medicare Complete Duals (HMO D-SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment depends on contract renewals.

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