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HAP Medicare Advantage dental coverage with Delta Dental

Medicare Advantage dental

As a member with a HAP Medicare Advantage HMO1, HMO-POS1 and PPO2 plans, the following preventive dental services are covered 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. 

You have access to Delta Dental’s Medicare Advantage PPO™ and Medicare Advantage Premier networks. You may also be eligible for coverage when traveling outside of Michigan. Call the customer service number on the back of your HAP insurance card April 1 through Sept. 30: Monday - Friday, 8 a.m. to 6 p.m. Oct. 1 through March 31: seven days a week, 8 a.m. to 8 p.m. to learn more.

1 HAP 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.

2 HAP Medicare Advantage PPO Plans: 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. 

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

Optional Medicare Advantage dental packages for purchase

If you are looking for additional dental coverage, HAP and Delta Dental partnered to provide options. Call the customer service number on the back of your HAP insurance card 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
 Basic Services Coverage
  • Emergency palliative treatment
100% 100%  100% 
  • Fillings, including white fillings on front and back teeth
  • Root canals
  • Crown repairs
 50% 50% 50%
  • Treatment of gum disease
  • Relines and repairs to dentures
  • Occlusal guards
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 

You have three great options for additional dental/vision coverage – MS50, MS70 and MS100. 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.  

If you didn’t purchase this buy-up package but would like to, you can add it within 30 days of your effective plan date by calling customer service

If you purchased this buy-up package you will receive a separate ID card from 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/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

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. 

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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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.