Healthy Smiles, Healthy Lives (HSHL) Benefits

Healthy Smiles, Healthy Lives (HSHL) Benefits

State of Missouri employees can take advantage of the Healthy Smiles, Healthy Lives (HSHL) Benefits that are part of the MCHCP Delta Dental benefits plan. HSHL benefits mean added preventive care, healthier smiles and healthier lives. These benefits include:

up to four dental and/or periodontal cleanings each benefit year for people with certain health conditions.

Why? Because science is discovering that additional preventive cleanings and care may help some people better manage their personal health. With HSHL benefits, those eligible for added cleanings include: people with periodontal disease; pregnant women; people with diabetes, people with a suppressed immune system from cancer treatment, or an organ, bone marrow or stem cell transplant; people with HIV; and those with kidney failure or who are undergoing dialysis.

In order to obtain extra cleanings you will need to file a simple, confidential Self-Report Form on your qualifying health condition with Delta Dental. Your dentist can also file for you. NOTE: if you have already received periodontal therapy and claims for those services are on file with Delta Dental, you will not need to file a Self-Report Form. Your benefits will automatically be updated.

The conditions on the form include:

  • Diabetes
  • Kidney failure or dialysis
  • Periodontal disease (remember, no need to file the Self-Report Form if you have periodontal claims already on file with Delta Dental)
  • Pregnancy (please enter your anticipated due date)
  • Suppressed immune system (this category includes: radiation or chemotherapy treatment for cancer; organ, stem cell or bone marrow transplant; or HIV)

Here's how to file your Self-Report Form:

New Members Effective January 1, 2011
If you are enrolling in the dental plan for the first time this year, you can file your confidential Self-Report Form on or after January 1, 2011. You can file online or download the form and mail or fax it to Delta Dental.

IMPORTANT: Already a Member - Already Enrolled
If you already enrolled with Delta Dental in a prior year, you do not need to re-enroll in the dental plan, but you, just as new members do, will need to file a confidential Self-Report Form in order to obtain extra cleanings for your health condition, except when you have periodontal therapy claims already on file with Delta Dental. You can file your Self-Report Form any time by fax, mail or online.

The new HSHL benefits also include improvements for everyone:

Full coverage for sealants for children and adults to help reduce cavities, as well as full coverage for brush biopsy, an early diagnostic test for oral cancer, and a benefit allowance for implants.

To learn more about HSHL benefits and to review more oral health information, click here. Of course, all the other good things about Delta Dental benefits remain the same. You have the opportunity to see any dentist you choose and receive benefits. And because over 94 percent of the dentists in Missouri participate with Delta Dental's Premier Network, and 41 percent participate in the Delta Dental PPO Network, there's a Delta Dental dentist near you. No other dental plan offers you this much choice, access, service and value.