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• Ambulance Services

  Find out if your benefits cover air and ground ambulance services across the state or while you travel on the Mainland.

• Your Health Plan Benefits Outside the U.S.

  HMSA members, except those covered by The HMSA Children's Plan, have benefits for medical services outside the U.S. through the BlueCard Worldwide network.

• Order Your Prescription Drugs through the Mail

  You can save money with mail-order drugs because copayments are generally lower than when you buy a smaller supply from retail pharmacies.

• Organization Determination (Request for Prior Authorization)

  Some services and medical care require a coverage decision by HMSA before they can be covered.

• ACA Plan Resources

  This transparency in coverage will tell you how to submit claims, get preauthorization, and see if a prescription drug is covered.

• Guest Membership on the Mainland for HMO Members

  If you're an HMSA HMO member living away from Hawaii for more than 90 days, you may have access to participating Blue Cross and Blue Shield providers through the Guest Membership program.

• Breast Feeding Support and Counseling

  Health care reform now includes breastfeeding counseling for new mothers and reimbursement for a breast pump.

• Calculating Your PPO Plan Coinsurance

  Learn how HMSA calculates your coinsurance for covered services with participating and nonparticipating providers.

• Payment Determination Criteria

  HMSA applies payment determination criteria to determine if a service or supply is covered by your plan.

• 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.

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