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2026 HMSA Individual Plan Application Instructions
Get the application for 2026 HMSA Individual Plan Application here.
Organization Determination (Request for Prior Authorization)
Some services and medical care require a coverage decision by HMSA before they can be covered.
2026 HMSA Akamai Advantage Dual Care (PPO D-SNP) Application Instructions
Fill out this form if you've just become eligible for HMSA Akamai Advantage Dual Care or are enrolling during the open enrollment period.
2026 HMSA Medicare Advantage Application Instructions
Fill out this form if you've just become eligible for HMSA Medicare Advantage or are enrolling during the open enrollment period.
HMSA’s Care Access Assistance Program
HMSA's Care Access Assistance Program makes it easier for HMSA members to see an HMSA participating specialist on another island.
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.
HSTA Travel Reimbursement Benefit Request Form
Find out if you qualify for HSTA travel reimbursement by filling out this form.