Member Resources

No matter where you are in your health and well-being journey, learning more about the resources available to you can help you make the most of your health plan. Explore the tools that offer you convenience and more for your well-being.

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Find a doctor

Choose from more than 7,500 doctors and specialists close to where you live or work.

Urgent Care

Get easy access to quality care when your primary care physician’s offices are closed.

Find an Urgent Care facility5

A Guide to Your Care Options [PDF]6

My Account

Access all of your plan information in one place.

  • Learn more about your plan benefits.
  • See the services you’ve received.
  • Connect to HMSA’s Online Care®.
  • Request another HMSA membership card.

 

Login7 Register8

Take care of your well-being

Looking for ways to support a healthier and happier life? Our tools and programs can give you a boost.

Covered preventive services

See a list of recommended services that can help you stay healthy and strong.

HMSA’s Online Care®

Download the app to see a doctor 24/7/365 and get professional advice, diagnoses, and prescriptions sent right to your pharmacy.

Island Scene

Live your best life every day. See local stories and videos about all the things that make life worth living.

Screening saves lives

In Hawaii, so many things were missed this past year. Don’t let your cancer screening be one of them. Talk to your primary care provider (PCP) and schedule your screenings.

Health education workshops

Attend workshops on a variety of well-being topics, like Family Fitness, Diabetes 101: Understanding Diabetes, Season’s Eatings, and more.

HMSA 365

Get discounts on products and services related to health and well-being, including discounted gym memberships with the Active &Fit® Program.

Tobacco cessation

Quit tobacco (including cigarettes, smokeless, and e-cigarettes) for good with help from your doctor, trained coaches, tailored quit plans, and online support.

Virta helps patients with type 2 diabetes

Virta is a provider-led, research-backed treatment that reverses type 2 diabetes, meaning that patients can lower their blood sugar and A1c, all while reducing diabetes medications and losing weight. HMSA’s Federal Plan 87 fully covers the cost of Virta for you and your eligible family members with type 2 diabetes.*

Watch Walter's testimonial

Diabetes Prevention Program

Are you at risk for type 2 diabetes? This 24-month program can help you change your lifestyle so you can prevent it.

Federal Plan Members – Are you at risk for diabetes? [PDF]

Learn about TrumpRx

TrumpRx helps consumers find discounted cash prices for select prescription medications. If you're considering using TrumpRx, compare the available cash price with your HMSA prescription drug coverage to determine which option is most affordable for you. A prescription from your doctor is required.

Health Coaching

Certified coaches help you create a plan to take control of your well-being and offer support as you work toward your goals.

Medication Therapy Management Program [PDF]

Do you have questions about your medications? Do you know the best time of day to take them? Do you have difficulty paying for them?

This program is available to eligible members at no cost to help them take their medications safely and effectively. A pharmacist will review your medications and provide recommendations.

Opioids: Risks and Alternatives [PDF]

Learn about the side effects and risks of prescription opioids and pain treatment alternatives.

Make the most of your plan

Learn how to stay informed and involved in your health care.

Nurse caring for patient

Member Rights and Responsibilities [PDF]


Find out your rights and responsibilities about your health care.

Know Your Rights: Reproductive Health Care

Consumer Protections

Information on Claims and Appeals to the Office of Personnel Management [PDF]

Estimated Costs of Common Medical Procedures

Here are average costs for some common medical procedures. Hospitalization and facility costs aren’t included.

For more information about your benefits, please review your 2027 Plan Brochure.

Click Member Login to access the medical cost calculator and get a personalized estimate based on your plan benefits.

ProcedureEstimated Fee
Office visits 
New patient visit, level 2$99
New patient visit, level 3$151
New patient visit, level 4$224
New patient visit, level 5 (high severity)$282
Office visits (preventive) 
Well-baby office visit, new patient (under 1 year)$129
Well-child office visit, new patient (1 to 4 years)$139
Well-child office visit, new patient (5 to 11 years)$139
Well-child office visit, new patient (12 to 17 years)$150
Well-adult office visit, new patient (18 to 39 years)$174
Well-adult office visit, new patient (40 to 64 years)$174
Well-adult office visit, new patient (65 and older)$174
Psychotherapy visits 
Group psychological therapy$46
Individual psychotherapy, 60 minutes$167
Eye examinations 
Eye exam, routine visit, new patient$106
Eye exam and treatment, new patient$196
Vision screening test$4
Hearing services 
Comprehensive audiometry evaluation$67
Ear cleaning$75
Eardrum test$14
Hearing screening test (pure tone, air only)$15
Physical therapy services 
Electric stimulation therapy, treatment only$20
Physical therapy evaluation$89
Physical therapy exercises, treatment only (each 15-minute segment)$34
Physical therapy, hot and cold application, treatment only$6
Physical therapy, ultrasound, treatment only (each 15-minute segment)$15
Manual therapy techniques, each 15 minutes$31
Neuromuscular reeducation$38
Therapeutic activities$39
Vaccines and other injections 
Immunization administration$22
Immunization administration through 18 years of age$22
Immunization administration through 18 years of age, additional component$6
Allergy shot$12
Chicken pox vaccine$188
Diphtheria, tetanus booster vaccine$30
Diphtheria, tetanus, pertussis vaccine$56
Flu shot, children (3 years and older)$21
Flu shot, infants$21
Flu shot, adults (18 to 64)$70
Hepatitis B vaccine$72
Measles, mumps, and rubella vaccine$99
Polio vaccine$44
Tests and procedures 
Breathing capacity test$55
Breathing treatment$38
Colonoscopy and removal of abnormal tissue using cautery$809
Colonoscopy and removal of abnormal tissue using snare technique$757
Colonoscopy and removal of colon tissue for examination$736
Diagnostic colonoscopy$566
Diagnostic proctosigmoidoscopy$172
Diagnostic sigmoidoscopy$253
Draining fluid from around swollen joint$103
Electrocardiogram$36
Fetal monitoring$81
Incisional biopsy of skin, single lesion$181
Punch biopsy of skin, single lesion$149
Sigmoidoscopy and removal of tissue for examination$322
Stress test$129
Surgically destroying an abnormal area of skin$147
Tangential biopsy of skin, single lesion$119
Ultrasound test of heart$380
X-rays, CT scans, and other imaging studies 
CT scan of chest, including dye$459
CT scan of pelvis, including dye$441
CT scan of pelvis, without dye$387
CT scan of sinus and nasal passages$327
CT scan of stomach area, with dye$449
CT scan of stomach area, without dye$380
Mammogram (one side)$204
Mammogram (two views)$258
Mammogram (screening)$205
Breast tomosynthesis BI$74
MRI brain stem with contrast$834
MRI cardiac with, without contrast with stress$1264
MRI neck with contrast$815
Pregnancy ultrasound$179
Review of CT scan of the head or brain$308
Ultrasound of pelvis$163
Ultrasound of stomach area$193
Vaginal ultrasound$189
X-ray for osteoporosis$185
X-ray of ankle (complete)$61
X-ray of both knees$68
X-ray of chest (one view)$37
X-ray of chest (two views)$49
X-ray of finger$63
X-ray of foot (complete)$54
X-ray of hand (complete)$59
X-ray of knee (complete)$77
X-ray of stomach area (complete)$78
X-ray of wrist (complete)$68
Laboratory tests 
Albumin test$10
Alkaline phosphatase test$9
Allergy test$6
In vitro allergen specific IgE testing$9
ALT test$10
Amylase test$12
AST test $9
Bilirubin test (total)$9
Blood antibody test$26
Blood clotting test$7
Blood sugar test, diagnostic$7
Blood sugar test, monitoring$23
Calcium test (total)$9
Cholesterol level test$8
Complete blood count$14
Comprehensive metabolic panel$19
Creatinine test$9
Hemoglobin A1C$18
Hepatitis B surface antigen test$19
Hepatitis C test$26
Kidney function test$16
Laboratory chemistry test for creatine kinase$12
Lipid panel test$24
Magnesium test$12
Pap test, cervical cancer screening$39
Phosphorus test$9
Routine venipuncture$9
ProcedureEstimated Fee
Office visits 
New patient visit, level 2$99
New patient visit, level 3$151
New patient visit, level 4$224
New patient visit, level 5 (high severity)$282
Office visits (preventive) 
Well-baby office visit, new patient (under 1 year)$129
Well-child office visit, new patient (1 to 4 years)$139
Well-child office visit, new patient (5 to 11 years)$139
Well-child office visit, new patient (12 to 17 years)$150
Well-adult office visit, new patient (18 to 39 years)$174
Well-adult office visit, new patient (40 to 64 years)$174
Well-adult office visit, new patient (65 and older)$174
Psychotherapy visits 
Group psychological therapy$46
Individual psychotherapy, 60 minutes$167
Eye examinations 
Eye exam, routine visit, new patient$106
Eye exam and treatment, new patient$196
Vision screening test$4
Hearing services 
Comprehensive audiometry evaluation$67
Ear cleaning$75
Eardrum test$14
Hearing screening test (pure tone, air only)$15
Physical therapy services 
Electric stimulation therapy, treatment only$20
Physical therapy evaluation$89
Physical therapy exercises, treatment only (each 15-minute segment)$34
Physical therapy, hot and cold application, treatment only$6
Physical therapy, ultrasound, treatment only (each 15-minute segment)$15
Manual therapy techniques, each 15 minutes$31
Neuromuscular reeducation$38
Therapeutic activities$39
Vaccines and other injections 
Immunization administration$22
Immunization administration through 18 years of age$22
Immunization administration through 18 years of age, additional component$6
Allergy shot$12
Chicken pox vaccine$188
Diphtheria, tetanus booster vaccine$30
Diphtheria, tetanus, pertussis vaccine$56
Flu shot, children (3 years and older)$21
Flu shot, infants$21
Flu shot, adults (18 to 64)$70
Hepatitis B vaccine$72
Measles, mumps, and rubella vaccine$99
Polio vaccine$44
Tests and procedures 
Breathing capacity test$55
Breathing treatment$38
Colonoscopy and removal of abnormal tissue using cautery$809
Colonoscopy and removal of abnormal tissue using snare technique$757
Colonoscopy and removal of colon tissue for examination$736
Diagnostic colonoscopy$566
Diagnostic proctosigmoidoscopy$172
Diagnostic sigmoidoscopy$253
Draining fluid from around swollen joint$103
Electrocardiogram$36
Fetal monitoring$81
Incisional biopsy of skin, single lesion$181
Punch biopsy of skin, single lesion$149
Sigmoidoscopy and removal of tissue for examination$322
Stress test$129
Surgically destroying an abnormal area of skin$147
Tangential biopsy of skin, single lesion$119
Ultrasound test of heart$380
X-rays, CT scans, and other imaging studies 
CT scan of chest, including dye$459
CT scan of pelvis, including dye$441
CT scan of pelvis, without dye$387
CT scan of sinus and nasal passages$327
CT scan of stomach area, with dye$449
CT scan of stomach area, without dye$380
Mammogram (one side)$204
Mammogram (two views)$258
Mammogram (screening)$205
Breast tomosynthesis BI$74
MRI brain stem with contrast$834
MRI cardiac with, without contrast with stress$1264
MRI neck with contrast$815
Pregnancy ultrasound$179
Review of CT scan of the head or brain$308
Ultrasound of pelvis$163
Ultrasound of stomach area$193
Vaginal ultrasound$189
X-ray for osteoporosis$185
X-ray of ankle (complete)$61
X-ray of both knees$68
X-ray of chest (one view)$37
X-ray of chest (two views)$49
X-ray of finger$63
X-ray of foot (complete)$54
X-ray of hand (complete)$59
X-ray of knee (complete)$77
X-ray of stomach area (complete)$78
X-ray of wrist (complete)$68
Laboratory tests 
Albumin test$10
Alkaline phosphatase test$9
Allergy test$6
In vitro allergen specific IgE testing$9
ALT test$10
Amylase test$12
AST test $9
Bilirubin test (total)$9
Blood antibody test$26
Blood clotting test$7
Blood sugar test, diagnostic$7
Blood sugar test, monitoring$23
Calcium test (total)$9
Cholesterol level test$8
Complete blood count$14
Comprehensive metabolic panel$19
Creatinine test$9
Hemoglobin A1C$18
Hepatitis B surface antigen test$19
Hepatitis C test$26
Kidney function test$16
Laboratory chemistry test for creatine kinase$12
Lipid panel test$24
Magnesium test$12
Pap test, cervical cancer screening$39
Phosphorus test$9
Routine venipuncture$9

* Virta is available to HMSA’s Federal Plan 87 members and eligible dependents between the ages of 18-79. This benefit is currently being offered to those with type 2 diabetes. The Virta program for eligible members will be covered for two years from initial enrollment. There are some medical conditions that would exclude members from the Virta program. Start the application process now to find out if you qualify. Virta is an independent company and health care provider providing disease management services on behalf of HMSA.

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