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• 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.

• Calculating Your PPO Plan Coinsurance

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

• Payment Determination Criteria

  HMSA applies payment determination criteria to determine if a service or supply is covered by your plan.

• HMSA’s Dental, Prescription Drug, Vision, and Chiropractic Riders

  HMSA offers separate add-on plans outside your medical plan such as coverage for prescription drugs, vision services, dental services, and chiropractic care.

• What's the Guide to Benefits?

  Your Guide to Benefits for medical and dental plans includes important information about your plan benefits, limitations, and exclusions.

• Your Travel Benefits

  HMSA members have access to the largest health provider network in Hawaii and more than 500,000 preferred Blue Cross and Blue Shield providers nationwide and across the globe.

• Essential, Optimal, and Metallic Formulary Coverage Determination Request

  Need a prescription drug that’s not on your formulary? Get instructions on how to start the request process with your doctor.

• How to Appeal an HMSA Decision as a Commercial Member

  An appeal is a formal way of asking HMSA to review a decision on a denied claim. Learn more about the process.

• Dental Appeals

  You can ask us to recheck a decision about your health plan or prescription drug coverage for services or benefits you've received.

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