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• How to Get Health Insurance

  Learn the different ways you can get health insurance.

• Breast Feeding Support and Counseling

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

• Transparency in Coverage: Machine-readable Files

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

• 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.

• 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.

• Access Your Claims Information Online

  To reduce costs and support green practices, HMSA provides claims information online through My Account.

• 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.

• What's a Report to Member?

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

• Physical Exams

  Your physical exam benefits will cover a checkup and any vision, hearing, or other recommended screening tests appropriate for your age and gender.

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