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How do I change my personal care provider?

Your HMO personal care provider (PCP) is responsible for providing and arranging all of your medical care. Having a continuous relationship with your PCP allows you the best possible care. 

However, if you need to change your PCP, contact HMSA Customer Service on Oahu at (808) 948-6372 or toll-free at 1 (800) 776-4672. 

You may also mail your request to:

Health Plan Hawaii
Customer Service Department
HMSA
P.O. Box 860
Honolulu, HI 96808-0860

Note: Before you contact HMSA, call the provider's office to ensure that he or she is accepting new patients.

Effective date for PCP changes

If your request to change your PCP is received by HMSA on the 1st through the 5th of the month, you may choose either the 1st of the current month or the 1st of the following month as the effective date.

If your request is received on the 6th through the 31st of the month, the earliest effective date will be the 1st of the following month.

You will receive a new HMSA membership card indicating the name of your new PCP.

Previously Arranged Services

Services previously arranged by your former PCP may need to be rearranged by your new PCP. Be sure to inform your new PCP about any previously scheduled services.

Privacy

Plan dependents age 18 or older must contact HMSA directly to change his or her health center. PCP changes for minor dependents can only be made by the plan subscriber.  

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Article Details

Article Details
  • Article ID: KB00025
  • Created:
    1/31/2011 4:58:57 PM
  • Last Modified:
    7/23/2012 4:05:02 PM

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