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.

Find your doctor

Choose from more than 5,000 doctors and specialists close to where you live or work.

Find your doctor

Looking for a doctor on the Mainland?

HMSA's find a doctor video thumbnail

HMSA’s Find a Doctor 

Urgent Care

Get easy access to quality care when your primary care provider’s office is closed.

Choose the right care to save time and money.
Your guide to after-hours care [PDF]

Find an ASH chiropractor

ASH and HMSA are partnering to provide you with access to caring providers whose goal is to serve your health needs.

Find an ASH chiropractor

Need help making the right decision?

How to choose a chiropractor for active EUTF members [PDF]

How to choose a chiropractor for active and retired HSTA VB members [PDF]

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.
  • View estimated costs for services.

Register Login

Health care simplified

Understanding your plan type

Know the difference between PPO and HMO plans.

What’s included in your plan

What to know about your plan’s Guide to Benefits.

Choose the right provider

See a participating provider whenever possible.

FAQs

What plan do I have?

Find the coverage code on the back of your HMSA membership card. Then use this table to see which plan you have:

Your Coverage Code Your HMSA Plan
Medical 562 90/10 PPO Plan
690 80/20 PPO Plan
852 75/25 PPO Plan
XG HMO Plan
667 EUTF Retiree Plan without Medicare
563 EUTF Retiree Plan with Medicare
823 HSTA VB 90/10 PPO Plan
693 HSTA VB 80/20 PPO Plan
668 HSTA VB Retiree Plan with Medicare
449 HSTA VB Retiree Plan without Medicare

Am I covered when I travel?

Yes! You can see Blue Cross and Blue Shield doctors on the Mainland and in 170 countries and territories around the world. If you’re planning a trip, call HMSA at 808-948-6499 to find out your health plan benefits while traveling and where to go for medical care at your destination.

How do I add or remove my dependent from my plan?

Submit a request for enrollment, termination, or other changes to your designated EUTF personnel officer. If you’re a DOE employee, submit your request to the DOE-HBAU office. You can also email your inquiry to eutf@hawaii.gov or call the EUTF Customer Service Call Center at 808-586-7390 or 1-800-295-0089.

What’s the difference between HMSA’s PPO plans?

The numbers in the plan name indicate the percentage of eligible charges HMSA pays for most network services and the amount you’re responsible for.

  HMSA Pays You Pay
90/10 PPO Plan 90% 10%
80/20 PPO Plan 80% 20%
75/25 PPO Plan 75% 25%

Can I still add my kids to my plan?

Yes, you can add your children by birth, marriage (stepchild), adoption, or placement for adoption up to age 26 to your plan. If you have a child who’s turning 26 soon, check with the EUTF and HMSA, respectively, to see if your child is eligible to enroll in the EUTF COBRA plan or an HMSA individual plan.

If your child isn’t married and isn’t self-sufficient because of a mental or physical incapacity that existed before age 19, you can continue to cover that child regardless of their age.

The Affordable Care Act, including the dependent eligibility provisions extending coverage to age 26, does not apply to retiree-only plans such as the EUTF retiree plans. For more information, refer to HealthCare.gov.

Why is my premium higher this year? Can I change my plan?

Many factors contribute to higher premiums, including poor health, the aging population, brand-name drugs, and over-used medical services. You can change your plan during open enrollment or when you have a qualifying event such as getting married or enrolling a newborn.

Are eyeglasses a benefit of my plan?

Eyeglasses are covered through EyeMed Vision Care, HMSA’s vision plan administrator. If you have certain medical conditions, HMSA will pay for vision appliances, which include eyeglasses and contact lenses. This benefit is subject to special limits. Call us at 808-948-6499 for details.

I received mail from a vendor saying they’re subcontractors of HMSA. How can I be sure?

HMSA members may receive mail from these vendors [PDF] , which are legitimate HMSA subcontractors.

Will I get reimbursed for travel when flying to another island for medical treatment?

If you need to travel to another island for medical treatment because care isn’t available from a participating provider on your home island or you can’t get an appointment soon enough, you may be eligible for financial assistance through HMSA‘s Care Access Asssistance Program (CAAP). Call us at 1-844-357-0726 for details.

Are specialty medications a benefit of my HMSA plan?

Specialty medications are a benefit of either the EUTF HMSA medical plan or CVS Caremark prescription drug plan when your health care provider considers it medically appropriate. We encourage you to review the FAQs [PDF] for details about your specialty medication benefits.

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By phone:

Monday – Friday: 7 a.m.-7 p.m.
Saturday: 9 a.m.-1 p.m.
808-948-6499
1-800-776-4672