HMSA Individual Dental PPO Gold – PPO

Network type: PPO
Coverage tier: High
Basic Dental: 30%
Major dental care: 50%
Orthodontics: Not covered
Exams: No charge

SKU: 18350HI0920002 Categories: Aiea, Anahola, Captain Cook, Eleele, Ewa Beach, Fort Shafter, Haiku, Hakalau, Haleiwa, Hana, Hanalei, Hanapepe, Hauula, Hawaii, Hawi, Hilo, Holualoa, Honaunau, Honokaa, Honolulu, Honomu, Hoolehua, Jbphh, Kaaawa, Kahuku, Kahului, Kailua, Kailua Kona, Kalaheo, Kalaupapa, Kamuela, Kaneohe, Kapaa, Kapaau, Kapolei, Kaumakani, Kaunakakai, Keaau, Kealakekua, Kealia, Kekaha, Kihei, Kilauea, Koloa, Kualapuu, Kula, Kunia, Kurtistown, Lahaina, Laie, Lanai City, Laupahoehoe, Lawai, Lihue, Makawao, Makaweli, Maunaloa, Mcbh Kaneohe Bay, Mililani, Mountain View, Naalehu, Ninole, Ocean View, Ookala, Paauilo, Pahala, Pahoa, Paia, Papaaloa, Papaikou, Pearl City, Pepeekeo, Princeville, Schofield Barracks, Tripler Army Medical Center, Volcano, Wahiawa, Waialua, Waianae, Waikoloa, Wailuku, Waimanalo, Waimea, Waipahu

Description

Description

Health Care Plan Details

Network type	PPO
Deductible	See brochure See brochure
Out-of-pocket max	N/A per person N/A per family
Metal tier	High

Adult Dental

Basic Dental: 30%
Major dental care: 50%
Orthodontics: Not covered
Exams: No charge