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• Appointment of Medicare Representative

  As a Medicare beneficiary, you can appoint a representative to act on your behalf when requesting appeals or prescription drug coverage.

• Coordination of Benefits Form

  If you have more than one health care insurer, HMSA will work with them to figure out what your benefits and payments for services are.

• HMSA Individual Plan Automatic Payments Form

  You can avoid the stress of mailing your premiums to HMSA by signing up for automatic payment.

• HMSA Medicare Advantage Plans Automatic Payments Form

  Have your HMSA Medicare Advantage premiums paid automatically each month when you fill out and submit this form. Most local banks, savings and loans, and credit unions participate.

• How to Update Your Address with HMSA

  It's important to let us know when you change addresses to avoid any interruptions in your coverage. There are different steps depending on what plan you have.

• If You Have More than One Medical Plan

  If you have another health plan or insurance coverage similar to an HMSA plan, we'll coordinate benefits with your other coverage.

• How to Update Your Name with HMSA

  All name changes must be submitted to HMSA as a signed request in writing with by documentation of the new name, such as a marriage certificate.

• How Do I Change My Primary Care Provider?

  If you need to change your HMO primary care provider (PCP), call HMSA Customer Relations at 808-948-6372 on Oahu or 1-800-776-4672 toll-free.

• Calculating Your PPO Plan Coinsurance

  Learn how HMSA calculates your coinsurance for covered services with participating and nonparticipating providers.

• HMSA’s Care Access Assistance Program

  HMSA's Care Access Assistance Program makes it easier for HMSA members to see an HMSA participating specialist on another island.

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