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• HMSA’s Dental, Prescription Drug, Vision, and Chiropractic Riders

  HMSA offers separate add-on plans outside your medical plan such as coverage for prescription drugs, vision services, dental services, and chiropractic care.

• What's the Guide to Benefits?

  Your Guide to Benefits for medical and dental plans includes important information about your plan benefits, limitations, and exclusions.

• 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.

• 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.

• Dental Appeals

  You can ask us to recheck a decision about your health plan or prescription drug coverage for services or benefits you've received.

• Save Money With Mail-order Drugs

  HMSA’s Mail-Order Prescription Drug Program is an easy way to save money and have maintenance medications sent to you.

• 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.

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