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• 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.

• Authorization to Request, Use, or Release Member Psychotherapy Notes Form

  This form is used to instruct HMSA to send or receive your psychotherapy notes that we may have to or from an individual or organization.

• 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.

• 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.

• Attestation Regarding Protected Health Information Potentially Related to Reproductive Health Care

  Attestation regarding a requested use or disclosure of protected health information potentially related to reproductive health care.

• Safely Accessing Your Health Information

  Safely Accessing Your Health Information

• Suicide Prevention Resources

  According to the American Foundation for Suicide Prevention, an average of 123 people commit suicide every day.

• HSTA Travel Reimbursement Benefit Request Form

  Find out if you qualify for HSTA travel reimbursement by filling out this form.

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