HMSA Individual Dental PPO Silver

HMSA · 2026 plan year

Low
Ind. deductible
—
Family deductible
Not listed
Ind. OOP max
$450
Family OOP max
$900

More HMSA plans in HI

Monthly premiums by age

Rating Area 1

AgeIndividual
Under 15$31
21$28
30$28
40$28
50$28
60$28
64 and over$28

Live premium estimate

$

Benefits & cost sharing

Other

BenefitIn-network
Accidental DentalNot covered
Basic Dental Care - Adult50.00% Coinsurance after deductible
Basic Dental Care - Child70.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo charge
Major Dental Care - Adult60.00% Coinsurance after deductible
Major Dental Care - Child70.00% Coinsurance after deductible
Orthodontia - AdultNot covered
Orthodontia - Child50.00%
Routine Dental Services (Adult)No charge

Plan rules

Service area

This plan covers 1 geographic area.

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