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• Prior Approval For Medical Services (Precertification)

  For some services, you or your physician must get approval from HMSA to make sure the services meet our payment guidelines.

• 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.

• Services Involving New Technology

  HMSA requires precertification for any treatment involving new technology. The service won't be covered if your treatment doesn't meet HMSA's payment guidelines.

• Screening and Diagnostic Tests

  HMSA plans cover a variety of tests that can fall under one of two categories: screening or diagnostic. The reason you are taking a test determines the category.

• Physical Exams

  Your physical exam benefits will cover a checkup and any vision, hearing, or other recommended screening tests appropriate for your age and gender.

• Physical and Occupational Therapy FAQs

  HMSA covers short-term physical and occupational therapy that's been diagnosed and ordered by a physician, physician's assistant, or advanced practice registered nurse.

• Physical and Occupational Therapy Benefits

  Physical therapy treats disease or injury using therapeutic exercises and other interventions to restore range of motion, improve posture and strength, and more.

• Medical Evacuation

  The UH/Chaminade Student Plan is the only HMSA plan that includes medical evacuation benefits that can get you home from outside the U.S.

• Managing Chronic Disease and Catastrophic Illness

  Case management services supplement care from your primary care provider.

• How to Get Copies of the Drug Claim Form

  You can print the Prescription Reimbursement Claim Form from My Account on hmsa.com. You can also request copies by mail or in person.

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