Dental Benefit Changes for Medicare Advantage 2022 Plans

December 16, 2021

Oral health problems can contribute to various conditions and diseases that seniors are at higher risk for, such as endocarditis, cardiovascular disease, and pneumonia. Prescription drugs and conditions such as diabetes, osteoporosis, and Alzheimer's disease can also affect a senior’s oral health. That’s why we’ve added a comprehensive dental benefit offering to all our Medicare Advantage (MA) plans. 

• Each 2022 Premera Medicare Advantage plan has an annual member benefit allowance for preventive and comprehensive services.
  • Classic HMO, Total Health HMO, and Alpine HMO: $1,500
  • Sound + Rx HMO, Classic Plus HMO, and Charter + Rx HMO: $1,300
  • HMO $0 and Peak + Rx HMO $0: $1,000
    
• Eligible preventive and comprehensive services paid at 100% up to the annual maximum with an in-network provider. 
• Routine comprehensive services have $75 annual deductible on all plans except Alpine, which is $25.

For more information:

• Review our MA dental enhanced benefit document for details about what’s covered. 
• Check our MA utilization review document prior to delivering dental services. Predetermination reviews are standard protocol.

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