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Who can enroll?
You’re eligible to enroll in HMSA Akamai Advantage Dual Care if you:
- Are enrolled in Medicare Part A (hospital insurance), Medicare Part B (medical insurance), and are enrolled or will be enrolled in full benefit HMSA QUEST (Medicaid). Only people who are Qualified Medicare Beneficiaries Plus or Specified Low-Income Medicare Beneficiaries Plus meet eligibility requirements for HMSA Akamai Advantage Dual Care.
- Pay your Part B premium (if Medicaid or another source doesn’t already pay for it).
- Are a U.S. citizen or lawfully present in the United States.
- Are a permanent resident of the state of Hawaii.
When to enroll
You may enroll once per month. Your plan will start on the first day of the month after your completed application is received and approved by the Centers for Medicare & Medicaid Services (CMS).
If you submit an application during the Medicare annual enrollment period, which runs from Oct. 15 to Dec. 7, your plan will start on Jan. 1, 2025. All enrollments are subject to CMS approval.
What you’ll need
- Your HMSA QUEST ID number. To be enrolled in this Dual Special Needs plan, you must be enrolled in HMSA QUEST (Medicaid).
- Your Medicare number (the number on your red, white, and blue Medicare card).
- Your HMSA subscriber ID number, if you have one.
- Your primary care provider's (PCP's) name. If you don't have a PCP, let us know and we can help you find one.
- Know when you’d like your coverage to start.
- If you (the applicant) are unable to sign, your legal representative may sign by filling in their name, mailing address, telephone number, and their relationship to you (the applicant).
Before you send
Complete all sections of the form accurately and write legibly so we can process your application without any delays.
It’s important that the forms submitted are complete and accurate to avoid delays in starting your benefits.
Please do not send payment with your application.
Where to send
Please mail your completed form to:
HMSA Akamai Advantage Sales
P.O. Box 3500
Honolulu, HI 96811-9983
You can also fax the completed application to 808-948-6343.