- The HMSA HMO plan will be closed to new subscribers effective July 1, 2025. Enrollment will be limited to those enrolled on June 30, 2025 and if you disenroll, you will not be allowed to re-enroll in the HMSA HMO plan. Those enrolled as of June 30, 2025 may still add or remove dependents during Open Enrollment or if you experience a qualifying event.
- Removed the postpartum visit limitation (of one per birth) for maternity care under the HMSA HMO plan.
- Removed the developmental delay exclusion for physical, occupational, and speech therapy under the EUTF and HSTA VB active plans.
- Added coverage for cardiac rehabilitation at the same benefit level as physical and occupational therapy under the EUTF and HSTA VB active plans.
- Removed the member cost share (up to the eligible charge) and application of the deductible for out-of-network immunizations under the HSTA VB active HMSA 90/10 PPO plan.
- Aligned the benefit maximum for orthodontic treatment of orofacial anomalies with the State mandated benefit maximum, rounded to the nearest $10 (from $6,900 to $6,930 in 2025) under the EUTF and HSTA VB active plans.
HMSA Active Benefits
What’s New?
Effective July 1, 2025:
For EUTF Members
| HMSA Plan | July 1, 2025 - June 30, 2026 | July 1, 2024 - June 30, 2025 |
|---|---|---|
| EUTF HMSA 90/10 PPO Plan | Summary of Benefits and Coverage HMSA Guide to Benefits | Summary of Benefits and Coverage HMSA Guide to Benefits |
| EUTF HMSA 80/20 PPO Plan | Summary of Benefits and Coverage HMSA Guide to Benefits | Summary of Benefits and Coverage HMSA Guide to Benefits |
| EUTF HMSA 75/25 PPO Plan | Summary of Benefits and Coverage HMSA Guide to Benefits | Summary of Benefits and Coverage HMSA Guide to Benefits |
| EUTF HMSA HMO Plan | Summary of Benefits and Coverage HMSA Guide to Benefits | Summary of Benefits and Coverage HMSA Guide to Benefits |
For HSTA VB Members
| HMSA Plan | July 1, 2025 - June 30, 2026 | July 1, 2024 - June 30, 2025 |
|---|---|---|
| HSTA VB HMSA 90/10 PPO Plan | Summary of Benefits and Coverage HMSA Guide to Benefits | Summary of Benefits and Coverage HMSA Guide to Benefits |
| HSTA VB HMSA 80/20 PPO Plan | Summary of Benefits and Coverage HMSA Guide to Benefits | Summary of Benefits and Coverage HMSA Guide to Benefits |