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• 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.

• Who Qualifies as an Eligible Dependent?

  Generally, a subscriber's spouse and children are eligible dependents. Check with your plan administrator or Guide to Benefits for more information.

• Where to Mail Your Claim for Medical Services and Supplies

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

• What Are Generic Drugs and When Does a Drug Become Generic?

  Generic drug versions may be introduced after the patent for the brand-name drug expires, which is usually 20 years.

• When to Enroll Dependents in Your Health Plan

  There are several things you may have to consider if you want to add an eligible dependent to you plan.

• What's an Eligible Charge?

  The eligible charge is the lower of the participating provider's actual charge or HMSA's maximum allowable fee.

• What's a Report to Member?

  The Report to Member is an explanation of benefits. It is not a bill for services or supplies.

• 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.

• What's an Annual Copayment Maximum?

  The annual copayment maximum is a fixed limit or cap to your total out-of-pocket expenses for most covered services in a calendar year or plan year.

• What's a Lifetime Maximum?

  A lifetime maximum is the maximum dollar amount that will be paid on your behalf under your HMSA plan.

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