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HAP Medicare Advantage dental coverage with Delta Dental

Medicare Advantage Dental

Individual HAP Medicare Advantage HMO, HMO-POS* or PPO** plans include preventive dental services coverage of two exams, two cleanings, two fluoride treatments, one brush biopsy and a set of bitewing x-rays per year. Also included is coverage for comprehensive services such as root canals, fillings, extractions and crown repairs.

As a member with a HAP Medicare Advantage HMO, HMO-POS or PPO Plan, you have access to Delta Dental’s Medicare Advantage PPO™ and Medicare Advantage Premier networks. You may be eligible for coverage when traveling outside of Michigan. Please contact the HAP customer service team to find out more!

Visiting the dentist? Remember to use your HAP ID Card and your 11-digit HAP ID number when you visit the dentist.

Your Medicare Advantage plan from HAP provides preventive dental coverage and if you are looking for additional coverage, HAP and Delta Dental partnered to provide three great options, starting at $20 per month. Review them below and choose which is best for you. Call the customer service number on the back of your HAP insurance card to learn more.

Optional Medicare Advantage Dental Packages for Purchase

 

Delta Dental 50

Delta Dental 70 Delta Dental 100

Monthly premium

$20.00

$39.30 $46.60
Individual annual maximum coverage $1,000 $1,500 $2,500
 Diagnostic and Preventive Services Coverage
  • Emergency palliative treatment
  • Brush biopsy

100%

100% 100%
  •  Fluoride
Covered in embedded dental plan
 Basic Services Coverage
  • Other x-rays
  • Simple extractions
  • Repairs to bridges
Covered in embedded dental plan
  • Fillings, including white fillings on back teeth
  • Root canals
 50% 50% 50%
  • Treatment of gum disease
  • Denture relines
  • Repairs to crowns or dentures
50% 70% 100%
 Major Services Coverage
  • Crowns and onlays
50% 50% 50%
  • Bridges, dentures or implant services
 50% 50% 50%

Download the 2023 Optional Medicare Advantage Dental Packages Guide

Optional HAP Medicare Flex PPO Dental Package for Purchase

 

Delta Dental Flex Plan 50

Delta Dental Flex Plan 70 Delta Dental Flex Plan 100

Monthly premium

$25.40

$44.70 $52.00
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
  • Crown repairs
50% 50% 50%
  • Perio surgical & non-surgical procedures
  • Occlusal guards & occlusal adjustments
50% 70% 100%
Major Services Coverage
  • Crowns and onlays
  • Bridges, dentures or implant services
50% 50% 50%
  • Denture relines/repairs
50% 70% 100%

Download the 2023 Optional HAP Medicare Flex (PPO) Dental Package Guide

Medicare Supplement Dental / Vision Packages 

Our dental buy-up packages to include a $180 eyewear allowance. If you purchased this buy-up package you will receive a separate ID card from Delta Dental and EyeMed in the coming weeks.

If you didn’t purchase this buy-up package but would like to learn more, you can call Customer Service within 30 days of your effective date to add it.

You have three great options for dental/vision benefits. Review them below and choose which is best for you. Call the customer service number on the back of your HAP insurance card to learn more.

Optional Add-On Dental Benefits

 

Delta Dental MS 50

Delta Dental MS 70 Delta Dental MS 100

Bundled Dental/ Vision Premium

$32.70

$57.90 $56.40
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)

100%

100% 100%
  •  Fluoride
100%
 Basic Services Coverage
  • Other x-rays
  • Fillings, including white fillings on back teeth
  • Root canals
  • Treatment of gum disease
  • Simple extractions
  • Denture relines
  • Repairs to bridges, crowns or dentures
50% 70%
  • Other x-rays: 100%
  • Fillings: 50%
  • Root canals: 50%
  • Gum disease: 100%
  • Extractions: 100%
  • Denture relines: 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%

*MS 100 must use PPO Narrow network.

Download the 2023 Medicare Supplement Dental Coverage Guide

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

Each dental option comes with 1 vision exam covered at 100% and $180 hardware allowance + additional discounts above allowance.

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.

HAP medicare member

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* 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.

** PPO Plan disclaimer: 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.

*** 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.

Have Medicare questions?

(800) 868-9885 (TTY:711)

Monday-Friday; 8 am to 8 pm