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• QUEST Integration Formulary Exception Request

  Need a prescription drug that's not on your formulary? Get instructions on how to start the request process with your doctor.

• Durable Medical Equipment: Renting, Buying, and Buying Online

  Most HMSA plans cover durable medical equipment such as hospital beds, wheelchairs, and insulin pumps.

• When Prior Approval (Precertification) is Denied or Not Requested

  If your precertification request is denied and you disagree with HMSA's decision, you or your provider may submit an appeal.

• Using Nonparticipating Providers for Physical or Occupational Therapy

  If you're currently seeing a provider outside Hawaii or a nonparticipating provider for therapy services, ask the provider to submit a precertification request for any services.

• Services Your Plan Doesn't Cover

  Our benefits are designed to keep you safe, promote correct use of services, and keep health care costs down.

• Services Involving New Technology

  HMSA requires precertification for any treatment involving new technology. The service won't be covered if your treatment doesn't meet HMSA's payment guidelines.

• Screening and Diagnostic Tests

  HMSA plans cover a variety of tests that can fall under one of two categories: screening or diagnostic. The reason you are taking a test determines the category.

• Physical and Occupational Therapy FAQs

  HMSA covers short-term physical and occupational therapy that's been diagnosed and ordered by a physician, physician's assistant, or advanced practice registered nurse.

• Physical and Occupational Therapy Benefits

  Physical therapy treats disease or injury using therapeutic exercises and other interventions to restore range of motion, improve posture and strength, and more.

• Medical Evacuation

  The UH/Chaminade Student Plan is the only HMSA plan that includes medical evacuation benefits that can get you home from outside the U.S.

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