Request HMSA Medicare Advantage Plan Materials

If you’d like us to send you any materials, fill out the form below. We’ll mail you materials within three business days.

If you need the materials in an accessible format, call 808-948-6235 or 1-800-693-4672 daily, 8 a.m. to 8 p.m. For TTY, call 711.

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What materials would you like sent to you?
Select a year
Information Kits

  • You’ll receive a brochure about our plans and an application.

  • You’ll receive a Planning Guide and a Quick Guide to Medicare & Medicaid.
Evidence of Coverage

Oahu plans

Neighbor Island plans

Statewide plan

You may qualify for HMSA Akamai Advantage Dual Care (PPO D-SNP) if you’re eligible for both Medicare and HMSA QUEST (Medicaid).

Prescription Drugs List (Formulary)
Provider Directories
Where would you like your materials sent?






Please provide a phone number or email address so we can contact you in case we have questions about your request.