Complex Case Management

HMSA’s Case Management Program provides personalized support to help you understand and manage your health conditions and helps you get timely, coordinated access to the care you need.

We work closely with your doctors to help coordinate your treatment, medication, and other services. Our goal is to ensure that you have access to the care you need to achieve your best health and well-being.

This program is voluntary and available at no cost to eligible HMSA members.

How will I work with my case manager?

You have access to a team of Hawaii-based registered nurses who’ll connect with you or your caregiver by phone, virtual visit, or in person. You can meet or talk with them from your home, in your provider’s office, or at an HMSA Center.

Your case manager can:

Collaborate with your health care team to:

Coordinate your care plan.
Discuss your health needs with your care team and caregiver(s).
Help you understand and follow instructions from your health care team.

Help you understand your medications and treatment plan.
Reinforce an action plan that includes steps to take if your symptoms worsen and when to contact your doctor.
Make sure that you understand discharge instructions if you’re hospitalized.
Help you set and achieve health goals.
Connect you with resources to support your health and well-being.
Discuss an advance health care directive, living will, or power of attorney.
Help coordinate out-of-state care.

For more information about this program, call HMSA Health and Well-being Support at 1-855-329-5461, option 1.

Below are links to instructions and forms that you may need.

HMSA Coordination of Benefits
This form will help coordinate your health plan benefits.

Advance Health Care Directive
An Advance Directive is a written statement about your future medical care.

HMSA Authorized Representative form [PDF]
This form is to appoint or revoke a family member, friend, or others who need access to your health information.

Mail Service Order Form
Mail-order prescription medications are available to most HMSA drug plan members. You can save money with mail-order drugs because copayments are generally lower than when you buy from retail pharmacies. Check your drug plan certificate to see if you have mail order as a benefit.

Disclaimer

The information you obtain from the sources on this site or any other service offered by or through this site should not substitute for or be used instead of a relationship with a health care professional. We encourage you to seek the advice of and regularly consult with physicians and other health care providers.

What HMSA members are saying

"My case manager is a true professional and we were so lucky to have her and experience her warmth, kindness, and vast knowledge. She’s very sincere and really cared for my well-being. I wish she were my daughter — I'd be set for life and live my years of retirement and old age in comfort, love, and confidence. Thank you very much!"

"Nurse went above and beyond what’s expected of a case manager. She persistently called my attending oncologist to make sure they received all forms necessary to get an appointment and made sure my mom received the best care possible!"

"My nurse directed and shared information I needed. I would have been lost without her services. She helped me find what I needed and did it in a very caring and compassionate way."

"The program showed me that I was not alone outside of the doctor’s office. The help that was given in contacting my doctors when I was in trouble and resistant in contacting the doctors by myself and also that help in when to call 911 to go to the hospital ER. Mahalo! Mahalo! Mahalo!"

"My nurse was responsive, kind, easy to talk to, and so helpful! I really appreciated knowing I had someone who had my back through all the ongoing coordination in the system at HMSA."

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Complex Case Management

How will I work with my case manager?

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