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• 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.

• 2025 HMSA Akamai Advantage Dual Care (PPO D-SNP) Application Instructions

  Fill out this form if you've just become eligible for HMSA Akamai Advantage Dual Care or are enrolling during the open enrollment period.

• 2025 HMSA Individual Plan Application Instructions

  Get the application for 2021 HMSA Individual Plan Application here.

• 2025 HMSA Medicare Advantage Application Instructions

  Fill out this form if you've just become eligible for HMSA Medicare Advantage or are enrolling during the open enrollment period.

• HMSA Medicare Advantage Coverage Determination Request

  Fill out this form if you have Medicare Part D and want to know if HMSA will cover a prescription drug and how much it will cost you.

• HMSA Medicare Advantage Member Appeals

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

• Payment Determination Criteria

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

• HMSA Medicare Advantage Disenrollment Request Form

  This form is for current HMSA Medicare Advantage members who want to disenroll from Akamai Advantage.

• Organization Determination (Request for Prior Authorization)

  Some services and medical care require a coverage decision by HMSA before they can be covered.

• 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.

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