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2026 HMSA Individual Plan Application Instructions
Get the application for 2026 HMSA Individual Plan Application here.
Orofacial Anomalies
Benefit maximum for treatment of orofacial anomalies per treatment phase
Planning for Medicare
We can help you get ready for Medicare. Learn about health plan options, enrollment details, and more.
Health Assessment
One of the unique features of your Dual Care plan is the health assessment, a questionnaire that you’ll need to fill out.
Organization Determination (Request for Prior Authorization)
Some services and medical care require a coverage decision by HMSA before they can be covered.
HMSA Medicare Advantage Plans Automatic Payments Form
Have your HMSA Medicare Advantage premiums paid automatically each month when you fill out and submit this form. Most local banks, savings and loans, and credit unions participate.
HMSA Individual Plan Automatic Payments Form
You can avoid the stress of mailing your premiums to HMSA by signing up for automatic payment.
HMSA Medicare Advantage Disenrollment Request Form
This form is for current HMSA Medicare Advantage members who want to disenroll from Akamai Advantage.
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.
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.

Planning for Medicare

HMSA’s My Account

HMSA Neighborhood Centers

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