Member Resources: Akamai Advantage Preferred 2014
If you’d like to make a complaint or file a grievance, call us. You can also call 1-800-MEDICARE 24 hours a day, 7 days a week. TTY users can call 1-877-486-2048. You can also submit a complaint online at the Medicare website.
For information on the Medicare Beneficiary Ombudsman, visit medicare.gov
Tools to help you get the most out of your plan
Dues Payment Service/EFT
A simple, convenient way to pay your monthly premiums and prescription drug coverage by partnering with your financial institution.
As an Akamai Advantage member, you can travel to 33 states on the Mainland and Puerto Rico and pay the same in-network costs you normally would when you're home.
HMSA Akamai Advantage members receive exclusive discounts for a variety of dental services.
Members can save on products and services like LASIK®, Lifeline®, fitness classes, hearing aids, and more!
Appoint an authorized representative
You can appoint a personal representative to act on your behalf in the event that you are too ill to make your payments or perform other matters concerning your HMSA membership.
We have free interpreter services to answer your questions about your plan. Please give us a call.
Evidence of Coverage
Use this booklet to learn about the details and rules of your plan. It also gives you important information like phone numbers, benefit charts to help you understand what's covered, and your rights and responsibilities as an HMSA Akamai Advantage member.
EOC Chapter 1, Sec. 3.1
Your HMSA membership card is your ticket to more than quality health care. You can present your card to get discounts with HMSA365 or use it to get care outside of Hawaii.
EOC Chapter 2
Whether you need to speak with someone about a claim or want to know when the next Medicare seminar is, give us a call.
EOC Chapter 9, Sec. 5.2
Also referred to as organization determinations, you can call HMSA to find out whether a medical service is covered on your plan and how much it will cost you.
EOC Chapter 9, Sec 5.3
If you disagree with us on any denied claim, we’ll take a second look at it.
EOC Chapter 9, Sec. 10
We have a process to make a complaint about quality of care, waiting times, customer service, or other concerns not related to benefits, coverage, or payment.
EOC Chapter 10
When it’s time for you or HMSA to end your coverage, you’ll want to be familiar with the process.
Organization Determinations and Appeals
Prior authorization, or precertification, is required for certain medical services. If there's a service you'd like to have and aren't sure if it's covered on your plan, give us a call and we'll find out. There are also some tips in your Evidence of Coverage.
If you need a total number of grievances, appeals, and exceptions filed with Akamai Advantage, please call HMSA Customer Relations at 808-948-6000 on Oahu or 1-800-776-4672 toll-free on the Neighbor Islands or Mainland. Telephone representatives are available seven days a week, 8 a.m. to 8 p.m. TTY users, call 711.
If you disagree with us on any denied claim, we'll take a second look at it.