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• 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.

• 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.

• Emergency and Urgent Care Outside Hawaii

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

• Access Your Claims Information Online

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

• Plan Certificates Describe Additional Coverage

  Plan certificates contain benefit information for your plan rider or add-on plans to your medical and dental coverage.

• 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 and Occupational Therapy Benefits

  Physical therapy treats disease or injury using therapeutic exercises and other interventions to restore range of motion, improve posture and strength, and more.

• Choose Generic Drugs and Save Money

  Generic drugs are safe, effective, and have the same active ingredients as brand-name drugs. Ask your doctor or pharmacist if generic drugs will work for you.