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• Changing Your Health Center

  To change your health center, contact HMSA's Customer department at 808-948-6372 on Oahu or 1-800-776-4672 toll-free. You can also mail us.

• Your HMSA Card

  Your HMSA membership card identifies you as an HMSA member and lets providers determine your plan benefits.

• Your Health Center

  As an HMO member, you'll need to choose a health center and primary care provider to coordinate your care.

• Patient Centered Medical Home: A Path to Quality, Affordable Health Care

  A patient-centered medical home is not a building, it's a model of care designed to better coordinate your care with an emphasis on your overall well-being.

• When You Don't Recognize a Provider on Your Report to Member

  Don't worry if you see a name you don't recognize on your report to member. The provider may have asked for laboratory, diagnostic, anesthesia, or other service with no direct contact with you.

• What's an Eligible Charge?

  The eligible charge is the lower of the participating provider's actual charge or HMSA's maximum allowable fee.

• What's a Report to Member?

  The Report to Member is an explanation of benefits. It is not a bill for services or supplies.

• What if I Need Medical Care on the Mainland?

  Depending on your medical plan, you can receive services such as emergency and urgent care, or see a physician for a covered benefit while traveling on the Mainland.

• Using Nonparticipating Providers for Physical or Occupational Therapy

  If you're currently seeing a provider outside Hawaii or a nonparticipating provider for therapy services, ask the provider to submit a precertification request for any services.

• Seeing Specialists and Other Providers When You’re an HMO Member

  As an HMO member, your primary care provider coordinates your medical care and will refer you to specialists when needed.

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