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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.

• Organization Determination (Request for Prior Authorization)

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

• Preparing For Your Newborn

  Are you an expecting mother? Take time during your pregnancy to prepare for your newborn's arrival.

• 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.

• 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.

• 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.

• Emergency and Urgent Care Outside Hawaii

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

• Continuing Your Medical Coverage with COBRA

  If your employer-sponsored group coverage ends, you may be able to continue your group coverage for a limited time through COBRA.

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