The State of Hawaii Med-QUEST Division provides health care benefits through managed care plans for adults and children who meet low-income guidelines.

• Quality care.
• Universal access.
• Efficient utilization.
• Stabilizing costs.
• Transform the way health care is provided to recipients.

To see if you and your family qualify:

• Visit medical.mybenefits.hawaii.gov/home.html
• Call 1-800-316-8005 toll-free

Med-QUEST needs the following information to process your application:

• Legal name.
• Date of birth.
• Resident address (if homeless, indicate general vicinity and ZIP code).
• Mailing address (if there’s no resident address, you need an address where you can get mail).
• Social Security number.
• Citizenship and alien status.
• Tax filing status (whether you intend to file a tax return and, if yes, whether the tax return will be joint and the number of dependents).
• Pregnancy status and expected date of delivery.
• Income.
• Any insurance or other coverage.

For more information, visit mybenefits.hawaii.gov/required-information-to-complete-an-application/.

Visit medical.mybenefits.hawaii.gov/register.html and create a user account. If you’re eligible, you’ll receive a packet in the mail. Be sure to choose HMSA and return the form by the date indicated.

HMSA QUEST offers:

• Choice. Choose the right provider for you from HMSA’s large network.
• Peace of mind. Get quality medical care and prescription drugs, including 90-day supplies and mail order for maintenance medications.
• Support. Find resources to manage your health, such as care coordination for health concerns and pregnancy/postpartum support.
• Health education. Learn more through online health classes and in-person workshops at convenient HMSA Centers in your neighborhood.
• Convenience. Need care right away? Visit an urgent care clinic or speak to a provider from the comfort of home with HMSA's Online Care.

We’re here to help you 24 hours a day, seven days a week.

• Call 808-948-6486 or 1-800-440-0640 toll-free. TTY users, call 1-877-447-5990 toll-free.
• Visit the HMSA QUEST webpage.

• The Hawaii Department of Human Services has contracted with Koan Risk Solutions to provide Ombudsman services to Hawaii Medicaid beneficiaries to help you with those issues. The ombudsman can also help you understand how the managed care system works and guide you through the grievance and appeal system.
• Call 808-746-3324 or 1-888-488-7988 toll-free.
• If you’re hearing impaired, use TTY 711.

Your handbook has important information about your HMSA QUEST health plan such as:

• The role of your primary care provider.
• Grievance and appeal procedures.
• Your rights and responsibilities.
• Advance directives.
• Health care services for children.

Please read your handbook as soon as possible.

Access your current handbook and choose a language.

If you’d like a printed copy of the HMSA QUEST (Medicaid) Member Handbook , call 808-948-6486 or 1-800-440-0640 toll-free. For TTY, call 1-877-447-5990 toll-free.

There are two easy ways to find a doctor:

1. Use Find a Doctor on hmsa.com. Start your search based on a location, specialty, health issue, or languages spoken.
2. Browse the Participating Provider Directory

• To see a list of providers who treat HMSA QUEST members:
  • Visit the HMSA QUEST webpage.
  • Scroll down and click Participating Provider Directory.
• If you’d like a printed copy of the Participating Provider Directory, call 808-948-6486 or 1-800-440-0640 toll-free. For TTY, call 1-877-447-5990 toll-free.

Search for eye doctors and eyewear suppliers at https://eyedoclocator.eyemedvisioncare.com/hmsaquest/en

Yes! It’s easy and convenient to manage your health plan online with My Account. Once you sign up on hmsa.com, you can:

• Manage your prescriptions.
• Print a duplicate HMSA membership card.
• See well-being programs available.
• Change your email preferences or password.
• Use HMSA’s Online Care to see a doctor online.
• Find out if your plan will pay for medical services you need.
• View your Report to Member that lists doctor visits, medications, and more.

Go to hmsa.com and click My Account Login.

• If you’re registering, click Create an account and follow the instructions.
• If you’re already registered, enter the email you used to create your account, enter your password, and follow the instructions.

You’ll need to sign up to get your prescription medications mailed to your home at no cost. See the instructions [PDF].

Here are some excellent resources:

• National Institute on Aging
• Kokua Mau
• Hawaii-specific laws

You can get care from the comfort, privacy, and safety of home with telehealth with HMSA’s Online Care. Get more information or sign up.

You should receive the newsletter in the mail or you can read the current and past issues on the HMSA QUEST webpage.

Log in to your account or call 808-948-6486 or 1-800-440-0640 toll-free.

Effective Jan. 1, 2023, Med-QUEST provides dental benefits for members over 21 years old.

Our partner organization, Community Case Management Corporation, can help you get dental care. Call them at 808-792-1070 or 1-888-792-1070 toll-free.