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Creditable Drug Coverage for HMSA Affordable Care Act and Individual Plan Members
FAQs About Creditable Drug Coverage for HMSA Affordable Care Act and Individual Plan Members
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 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.
Appointment of Medicare Representative
As a Medicare beneficiary, you can appoint a representative to act on your behalf when requesting appeals or prescription drug coverage.
2026 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.
2026 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.
Dual Care Extra Benefits: Eligible Chronic Conditions
This benefit is only available to members who have certain long-term health conditions. Some of the most common conditions that qualify include diabetes, high blood pressure (hypertension), high cholesterol (hyperlipidemia), cardiovascular disorders and other heart problems, and stroke.
Provider Directories
Download a PDF version of your plan’s provider directory to view offline or print.

Planning for Medicare

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