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2013 65C Plus High Option (Cost)

HMSA’s 65C Plus (Cost) is closed to new members as of Jan. 1, 2011. Current 65C Plus members can remain in 65C Plus in 2013, unless they choose to leave the plan. HMSA is offering Akamai Advantage for an effective date of Jan. 1, 2013.

Health benefits beyond traditional Medicare to provide the security of comprehensive health coverage:

  • Emergency and urgent care coverage while traveling abroad.

For more detailed explanation, please refer to the appropriate plan option Summary of Benefits  or Evidence of Coverage  brochure.

65C Plus (Cost) is easy to use. 65C Plus (Cost) contracting providers file claims for 65C Plus (Cost) members. There are no enrollment waiting periods, and you’ll never lose your coverage because of your health status.

Contact

Current 65C Plus (Cost) members with questions about their plan may contact Customer Service from 8 a.m. to 8 p.m., seven days a week

Oahu: (808) 948-6000
Neighbor Islands: 1 (800) 776-4672 (toll-free)

For the hearing- and speech-impaired:
TTY: 711

HMSA 65C Plus
P.O. Box 860
Honolulu, HI 96808-0860

Plan Materials

Member Information

Appeals & Grievances

65C Plus (Cost) has a contract with the Centers for Medicare & Medicaid Services (CMS), the government agency that runs the Medicare program. This contract renews each year. At the end of each year, the contract is reviewed, and either 65C Plus (Cost) or CMS can decide to end it. It is possible for our contract to end at some other time during the year, too. If the contract should end, HMSA will provide advance notice to all 65C Plus (Cost) members.

  • Benefits, premium, and/or copayments/coinsurance may change on Jan. 1, of each year.
  • Limitations, copayments, and restrictions may apply.
  • If you use a non-network provider without an approved referral from a network provider, the non-network provider will submit your claim for processing to Medicare first. Medicare will apply the annual Part B deductible before it pays for any services. Once Medicare processes your claim, submit the Medicare Summary Notice to HMSA for processing your plan benefits. The Medicare Part B deductible must be met first before HMSA will apply our plan benefits. You pay the non-network provider for any amount not covered by Medicare and our plan. The Plans RTM, also called the EOB, explains your financial liability. The Part B deductible is waived for a pelvic exam, Pap smear collection, PSA test, and mammography screening.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan.