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Prior Authorization Metrics for Medical Items and Services (Excluding Drugs)
View HMSA’s annual prior authorization metrics for medical items and services (excluding drugs), including approval and denial data, to meet CMS transparency requirements.
Important Updates to ACA Individual Health plans for 2026
Important updates to ACA Individual health plans for 2026.
Important Updates and FAQs
Important information and FAQs for HMSA members
Member resources
Explore HMSA member resources to understand your health plan, benefits, coverage, and tools to help you manage your care.
Hawaii’s One-time QUEST (Medicaid) Reassignment: FAQs New federal requirement for Dual Eligible plan members
Starting Jan. 1, 2026, federal law requires Dual Eligible Special Needs Plan (DSNP) members to receive their DSNP and QUEST benefits from the same health insurer. This is to ensure better coordinated care and services.
Ambulance Services
Find out if your benefits cover air and ground ambulance services across the state or while you travel on the Mainland.
Your Health Plan Benefits Outside the U.S.
HMSA members, except those covered by The HMSA Children's Plan, have benefits for medical services outside the U.S. through the BlueCard Worldwide network.
Need a Form?
Access HMSA forms for health plan enrollment, claims, payments, and requests quickly and easily in the Help Center.
Information For Employers About COVID-19
Find COVID‑19 updates for HMSA employers, including benefit changes, coverage information, and guidance to support your employees.
Appeals & Grievances
If you disagree with us on a claim decision or simply had a bad experience with us, we want to know about it.

Planning for Medicare

HMSA’s My Account

HMSA Neighborhood Centers

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