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• Your Health Center

  As an HMO member, you'll need to choose a health center and primary care provider to coordinate your care.

• Who Should Get the MMR Vaccine?

  The Hawaii Department of Health (DOH) has issued an advisory recommending an additional measles, mumps, and rubella (MMR) vaccine for at-risk individuals.

• Where to Mail Your Claim for Medical Services and Supplies

  Learn where to send your claims for medical services and supplies.

• When to Use the Emergency Room

  Emergency services are for sudden and serious injuries or illnesses. If you have a condition that requires emergency care, call 911 or go to the nearest emergency room.

• What's an Annual Deductible?

  The annual deductible is a fixed dollar amount you pay for covered services each calendar year or plan year before HMSA will pay for certain services.

• 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.

• Seeing Specialists and Other Providers When You’re an HMO Member

  As an HMO member, your primary care provider coordinates your medical care and will refer you to specialists when needed.

• 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.

• Physical Exams

  Your physical exam benefits will cover a checkup and any vision, hearing, or other recommended screening tests appropriate for your age and gender.

• 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.

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