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.
The UH/Chaminade Student Plan is the only HMSA plan that includes medical evacuation benefits that can get you home from outside the U.S.
Services Involving New Technology
HMSA requires precertification for any treatment involving new technology. The service won’t be covered if your treatment doesn’t meet HMSA’s payment guidelines.
Durable Medical Equipment: Renting, Buying, and Buying Online
Most HMSA plans cover durable medical equipment such as hospital beds, wheelchairs, and insulin pumps.
Durable Medical Equipment
HMSA covers renting and purchasing durable medical equipment. Learn how the process works and what you need to do.
When Prior Approval (Precertification) is Denied or Not Requested
If your precertification request is denied and you disagree with HMSA’s decision, you or your provider may submit an appeal.
Physical and Occupational Therapy FAQs
HMSA covers short-term physical and occupational therapy that’s been diagnosed and ordered by a physician, physician’s assistant, or advanced practice registered nurse.
Services Your Plan Doesn’t Cover
Our benefits are designed to keep you safe, promote correct use of services, and keep health care costs down.
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.