HMSA’s contract offer to Hawaii Pacific Health not accepted
Hawaii Pacific Health facilities may no longer participate in HMSA’s network
after Jan. 31, 2011.
Hawaii Pacific Health hospitals include:
- Kapiolani Medical Center for Women & Children.
- Straub Clinic & Hospital.
- Pali Momi Medical Center.
- Wilcox Memorial Hospital.
We sincerely regret any hardship this situation may place on you, and we will continue
to work toward a reasonable agreement. Meanwhile,
we will stand by our commitment to provide access to quality, affordable health
If you are in HMSA’s Preferred Provider Plan (PPO) or CompMed, you may have
to pay more for your hospital services at Hawaiii Pacific Health hospitals after
Jan. 31, 2011. Health Plan Hawaii (HMO) members who use Straub Clinic or
Kauai Medical Clinic would have to find a new health center and personal care provider (PCP).
Please note: Hawaii Pacific Health contracts for 65C Plus, Akamai Advantage, QUEST,
and TriWest are not affected by this situation. 65C Plus, Akamai Advantage, QUEST, and TriWest members
can continue receiving services from all participating physicians and facilities,
including Hawaii Pacific Health.
HMSA has a complete listing of participating physicians
on hmsa.com. It’s easy to access the listing and select a physician who will
work best for you.
HMSA’s Customer Service department
can also help you find a new physician.
Important changes to your health care coverage
If HMSA and Hawaii Pacific Health are not able to come to an agreement, Hawaii Pacific
Health’s contract will expire on Jan. 31, 2011. Because HMSA and Hawaii Pacific
Health would no longer have a business relationship for commercial members, it is
important to know about the potential changes in your benefits
and coverage. HMSA commercial members who continue to use Hawaii Pacific
Health hospitals would pay more out-of-pocket for care.
Consideration will be given to members with special medical needs and
pregnant women. We have updated our continuity of care guidelines to ensure
access to care for these members.
For up-to-date information on this situation, check this website, follow @AskHMSA on Twitter, or call our status line:
- Oahu: (808) 948-6218
- Neighbor Islands: 1 (800) 577-4672 toll-free
Thank you for your understanding and continued support during this period. We remain
deeply committed to the quality and continuity of your health care, and will do
our very best to provide access to the service and care you need.