Search

Results

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.
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.
Improved Access to Claim Information Available in My Account
HMSA's My Account now offers a better way to view your in-state and out-of-state claims information for most plans.
Filing Medical Claims for Services from Nonparticipating Providers
Providers will usually submit claims for you. If they don't, you can submit a claim yourself by following these steps.
Ambulance Services
Find out if your benefits cover air and ground ambulance services across the state or while you travel on the Mainland.
Determining PPO Cost for Care Outside Hawaii
Find out how much PPO services may cost when you travel to the U.S. Mainland.
Your Travel Benefits
HMSA members have access to the largest health provider network in Hawaii and more than 500,000 preferred Blue Cross and Blue Shield providers nationwide and across the globe.
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.
Identity Theft Protection Services
HMSA has partnered with IDX™ to offer eligible HMSA members identity theft protection services at no out-of-pocket cost.
Need a Form?
Access HMSA forms for health plan enrollment, claims, payments, and requests quickly and easily in the Help Center.

Planning for Medicare

HMSA’s My Account

HMSA Neighborhood Centers

Search

Results

Article tags