HMSA Active Benefits

What’s New?
Effective July 1, 2025:

  1. 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.
  2. Removed the postpartum visit limitation (of one per birth) for maternity care under the HMSA HMO plan.
  3. Removed the developmental delay exclusion for physical, occupational, and speech therapy under the EUTF and HSTA VB active plans.
  4. Added coverage for cardiac rehabilitation at the same benefit level as physical and occupational therapy under the EUTF and HSTA VB active plans.
  5. 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.
  6. 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.
For EUTF Members
HMSA PlanJuly 1, 2025 - June 30, 2026July 1, 2024 - June 30, 2025
EUTF HMSA 90/10 PPO PlanSummary of Benefits and Coverage

HMSA Guide to Benefits
Summary of Benefits and Coverage

HMSA Guide to Benefits
EUTF HMSA 80/20 PPO PlanSummary of Benefits and Coverage

HMSA Guide to Benefits
Summary of Benefits and Coverage

HMSA Guide to Benefits
EUTF HMSA 75/25 PPO PlanSummary of Benefits and Coverage

HMSA Guide to Benefits
Summary of Benefits and Coverage

HMSA Guide to Benefits
EUTF HMSA HMO PlanSummary of Benefits and Coverage

HMSA Guide to Benefits
Summary of Benefits and Coverage

HMSA Guide to Benefits
For HSTA VB Members
HMSA PlanJuly 1, 2025 - June 30, 2026July 1, 2024 - June 30, 2025
HSTA VB HMSA 90/10 PPO PlanSummary of Benefits and Coverage

HMSA Guide to Benefits
Summary of Benefits and Coverage

HMSA Guide to Benefits
HSTA VB HMSA 80/20 PPO PlanSummary of Benefits and Coverage

HMSA Guide to Benefits
Summary of Benefits and Coverage

HMSA Guide to Benefits