Request HMSA Medicare Advantage Plan Materials

If you’d like any material sent to you, please fill out the form below. We’ll mail it to you within three business days. 2019 material will be available and mailed out starting on October 15, 2018.

What materials would you like sent to you?
Select a year
Information Kit

  • You’ll receive a brochure about our plans and an application
Prescription Drugs List (Formulary)
Provider Directories
Evidence of Coverage

Oahu plans

Neighbor Island plans

Dual Care Plan Materials (Statewide)

You may qualify for HMSA Akamai Advantage Dual Care (PPO SNP) if you are eligible for both Medicare and Medicaid (Hawaii QUEST Integration).

Where would you like your materials sent?