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• Dental Plan Information

  Get help managing your dental plan, finding your benefits, and learning how to get the most for your health care dollars.

• Essential, Optimal, and Metallic Formulary Coverage Determination Request

  Need a prescription drug that’s not on your formulary? Get instructions on how to start the request process with your doctor.

• Finding a Participating Pharmacy on the Mainland

  You can still get your prescriptions filled while traveling on the Mainland. Log in to My Account and select Find a Pharmacy for help.

• How to Appeal an HMSA Decision as a Commercial Member

  An appeal is a formal way of asking HMSA to review a decision on a denied claim. Learn more about the process.

• Instructions For Completing the Drug Claim Form

  Use the Prescription Reimbursement Claim Form to request reimbursement for prescription drugs.

• If You're Injured in an Accident

  Get answers to your questions about who will pay for your medical services if you're injured in an accident.

• How to Submit a Drug Claim

  Submit a drug claim to HMSA by completing the Prescription Reimbursement Claim Form and then mail it to HMSA's pharmacy benefit manager.

• QUEST Integration Formulary Exception Request

  Need a prescription drug that's not on your formulary? Get instructions on how to start the request process with your doctor.

• Enrolling an Adopted Child in Your Plan

  Enroll children within 31 days of their birthdate or within 31 days of their adoption.

• Emergency and Urgent Care Outside Hawaii

  Find out what you should do if you need emergency or urgent care when you travel outside Hawaii.

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