Plan Description
HMSA’s mission is to support a health care system worthy of our families, friends, and neighbors. Today, Hawaii’s health care system is facing rising costs, workforce shortages, administrative burden, and other pressures that affect providers and members.
To help address these challenges and support our members, HMSA is launching a new HMO plan for Medicare Advantage members on Oahu for 2027. The new plan is called HMSA Akamai Advantage® Select Plus (HMO).
MA HMO Network Criteria
To be included in the network for HMSA’s new Medicare Advantage HMO plan (MA HMO Network) , providers must be participating with HMSA’s Medicare Advantage line of business and HMSA must determine that the provider, at the pay-to level, meets the MA HMO Network Criteria (Criteria). The Criteria is also available through HHIN+ under the Quick Links menu.
HMSA will notify pay-to entities who met the Criteria that they are included in the MA HMO Network. To participate in the MA HMO Network under a pay-to entity’s applicable participating provider agreement and be considered a “network provider” under the terms of an HMSA member’s MA HMO plan document, pay-to entities must meet the Criteria and have received a notice from HMSA that they are in-network for the MA HMO Network. Any pay-to entity that did not receive such notice is not included in the MA HMO Network for Plan Year 2027.
After Plan Year 2027, HMSA will evaluate providers periodically and notify pay-to entities of any changes to their network status. Provider may be added or removed from the MA HMO Network based on HMSA’s application of the Criteria.
Unless HMSA has approved a request for a referral to an out-of-network provider, and subject to the exceptions and requirements stated in a member’s MA HMO plan document, HMSA will not reimburse services provided to HMSA’s MA HMO members by providers who are not in the MA HMO network.Evidence of Coverage (EOC)
2027 Select Plus (Oahu – HMO) [PDF]
Benefits and Copayments
2027 Plan Comparison for Providers [PDF]
Summary of Benefits with Copayment Tables:
2027 Select Plus Summary of Benefits (HMO) [PDF]
Medicare Advantage Plan Formularies and PA/ST Criteria
Precertification/Prior-authorization
Services that Require Precertification
HMSA Akamai Advantage Select Plus Member ID Card:
Revision History
| Date | Nature of Revision |
|---|---|
| 09/30/2026 | First published |