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• Prior Approval For Medical Services (Precertification)

  For some services, you or your physician must get approval from HMSA to make sure the services meet our payment guidelines.

• Ambulance Services

  Find out if your benefits cover air and ground ambulance services across the state or while you travel on the Mainland.

• Submitting a Precertification Request

  Learn the steps you need to take to submit a precertification request by yourself or through a provider.

• HMSA Medicare Advantage Member Appeals

  You can ask us to recheck a decision about your health plan or prescription drug coverage for services or benefits you've received.

• HMSA Medicare Advantage Coverage Determination Request

  Fill out this form if you have Medicare Part D and want to know if HMSA will cover a prescription drug and how much it will cost you.

• Organization Determination (Request for Prior Authorization)

  Some services and medical care require a coverage decision by HMSA before they can be covered.

• 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.

• 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.

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