Search

Search

Edit tags: coverage

Results

• Acknowledgement of Group Life and AD&D Coverage under Student Plan 19

  This form will help you appoint a beneficiary in the event of your accidental death or dismemberment.

• Dental Claim Form

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

• Coordination of Benefits Form

  If you have more than one health care insurer, HMSA will work with them to figure out what your benefits and payments for services are.

• Transparency in Coverage: Machine-readable Files

  This transparency in coverage will tell you how to submit claims, get preauthorization, and see if a prescription drug is covered.

• If You Have More than One Medical Plan

  If you have another health plan or insurance coverage similar to an HMSA plan, we'll coordinate benefits with your other coverage.

• Calculating Your PPO Plan Coinsurance

  Learn how HMSA calculates your coinsurance for covered services with participating and nonparticipating providers.

• HMSA’s Care Access Assistance Program

  HMSA's Care Access Assistance Program makes it easier for HMSA members to see an HMSA participating specialist on another island.

• 2025 HMSA Akamai Advantage Dual Care (PPO D-SNP) Application Instructions

  Fill out this form if you've just become eligible for HMSA Akamai Advantage Dual Care or are enrolling during the open enrollment period.

• 2025 HMSA Individual Plan Application Instructions

  Get the application for 2021 HMSA Individual Plan Application here.

• 2025 HMSA Medicare Advantage Application Instructions

  Fill out this form if you've just become eligible for HMSA Medicare Advantage or are enrolling during the open enrollment period.

• Prev
• 1
• 2
• 3
• 4
• 5
• Next