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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.

• Services that are Reconstructive, Corrective, or Cosmetic

  Reconstructive or corrective services are a benefit of your plan when they're required to restore, reconstruct, or correct a bodily function that was lost, impaired, or damaged due to an illness or injury.

• Durable Medical Equipment

  HMSA covers renting and purchasing durable medical equipment. Learn how the process works and what you need to do.

• Prior Approval For Medical Services (Precertification)

  For some services, you or your physician must get approval from HMSA to make sure the services meet our payment guidelines.

• Ambulance Services

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

• HMSA Medicare Advantage Member Appeals

  You can ask us to recheck a decision about your health plan or prescription drug coverage for services or benefits you've received.

• HMSA Medicare Advantage Coverage Determination Request

  Fill out this form if you have Medicare Part D and want to know if HMSA will cover a prescription drug and how much it will cost you.

• Organization Determination (Request for Prior Authorization)

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

• Improved Access to Claim Information Available in My Account

  HMSA's My Account now offers a better way to view your in-state and out-of-state claims information for most plans.

• Filing Medical Claims for Services from Nonparticipating Providers

  Providers will usually submit claims for you. If they don't, you can submit a claim yourself by following these steps.

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