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.
Member resources
Explore HMSA member resources to understand your health plan, benefits, coverage, and tools to help you manage your care.
2025 Tax Filing Information
Did you get a 1095-B tax form from HMSA? Learn what to do with it for your 2024 taxes.
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.
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 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.
Information For Employers About COVID-19
Find COVID‑19 updates for HMSA employers, including benefit changes, coverage information, and guidance to support your employees.
Finding a Participating Provider on the Mainland
Find a participating provider on the Mainland by going to BlueCard's National Doctor and Hospital Finder or by calling BlueCard directly.

Planning for Medicare

HMSA’s My Account

HMSA Neighborhood Centers

Search

Results

Article tags