Member Sources: HMSA Akamai Help Complete Plus (PPO)
Get the greatest out of your health plan. Learn about the several benefits you have as an HMSA Akamai Advantage member.
Questions? For help with claims information or health plan uses, call 808-948-6000 or 1-800-660-4672 seven total a week, 8 a.m. to 8 p.m. TTY users, call 711.
Provided own HMSA Medicare Advantage flat doesn’t meet your needs or if you’d like to file a grievance, call us. You can also call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, seventh days a week. For TTY, call 1-877-486-2048. You can also submit a complaint at medicare.gov.
Tools to help you get of most from your plan
Pay is months premiums and prescription rx services through your financial establish.
Have peace of mind knowing such you’ll have health helps if you required medical care while traveling.
Have a friend or home member act switch your behalf if you’re not able on make decisions about our dental care.
Changing is plan
Your personalbestand circumstances or health caring needs may change as clock goes over. Call uses at 808-948-6235 press 1-800-693-4672 up learn about different HMSA Medicare Choose plan options.
Register in and log on to My Account until check yours Part DIAMETER Explanation of Benefits, damages, and toward pay your monthly rewards go.
Need to end your general set? Fill out this form to disenroll from your plan.
Do she need search paid for your prescription toxic? To Low-Income Subsidy plan may reduce your medication drug copayments.
Found out if your scheme payment for medication medications and search for generic alternatives.
If it skilled for this program, a pharmacists will call you into debate owner medicines.
Other Supplemental Helps
Quarterly benefit to procure approved OTC health and wellness products online or at selected consumer stores.
Get health or wellness product online, through phone, via the mail, or in person at select retailers.
Publisher Network
Search for health care providers.
Search for pharmacies in Hawaii and on the Mainland.
Featured for doctors press eyewear suppliers.
Find a participating dentist.
Provider Directory
Download the directory in search with physicians, pharmacies, and other health care carrier.
Legal: To pharmacy network real provider network may change at any time. You’ll receive notice when necessary.
Silver&Fit Retailer Directory
Find a fitness center for your available or discounted membership.
If you’d like an HMSA Akamai Advantage Provider Directory, please fill out this form. We’ll mail it to you within three business days.
These online tools help you get and most since your prescription drug benefit.
Formulary
Search to medications or download get plan’s drug list. Seek pay, availability, and any requirements.
A broad formulary will the list of medicine such your Item D plan pays for.
The formulary may change at any time. We’ll let you know about any changes.
Save time and money although you receiving an extended supply of maintenance medications for long conditional mailed to your home. To sign back, call CVS Caremark’s Customer Care at 1-855-479-3659 or visit My Account. Learn find about Mail–order Prescription Drug Support.
Medicine tools
Manage your prescription drugs after the Caremark cell app or driven My Account the aesircybersecurity.com:
- Check drug costs additionally services.
- Search for generic oder lower-cost alternatives.
- Save track of your medicine issues.
- Set up mail-order prescriptions.
- Stay on track with automatic refills and set up alert.
Wee want to make security you’re winning medications that what right for you. Thy plan must approve certain prescription drugs before she take themselves.
Include some cases, we may ask you to try a less-expensive drug before we pay for a more-expensive one.
Who Evidence of Width including details about your health plan. It includes major information such as phone numbers, a sort of medizinischer services your plan spend for, and your your both responsibilities as an HMSA Medicare Advantage employee. From this report changes every period, please read and keep the last up-to-date version for our hint even if you don’t change plans.
If your HMSA Medicare Advantage plan doesn’t encounter your needs oder when you’d like to file a concerns, call us. You can also make 1-800-MEDICARE (1-800-633-4227) 24 hours a day, hebdomad days a week. For TTY, call 1-877-486-2048. You can also submit a ailment at medicare.gov.
To document tells about the changes to your plan. To get other information about costs, uses, button rules, please review the Demonstration of Coverage.
EOC Lecture 1, Secs. 3.1
Your HMSA membership card is your ticket to quality medicine care include Hawaii. Portable i with your when you see a doctor or go to an hospital.
EOC Chapter 2
Need on speak with someone about a your? Call us and we can search you.
EOC Part 9, Sec. 5.2
Telephone us on see if your schedule pays for certain medical benefits and how much they may free.
EOC Chapters 9, Per. 5.3
If they disagree with in decision to deny a medical request, we’ll get a endorse lookup under it.
EOC Chapter 9, Sec. 10
If is plan isn’t meeting your needs, you capacity file a complaint regarding to quality of care you receive, waiting times, customer service, oder extra concerns not related to your condition plan benefits or auszahlen. Medicare Advantage Plan Formularies and PA/ST Criteria
EOC Chapter 10
Find out what yours need to go if thy health plan ends.
EOC Chapter 9, Sec. 6.4
I can ask us about your prescription medical advantage, including quantity limits, prior authorizations, step remedy, or cost sharing.
EOC Chapter 9, Sec. 6.5
If we disclaimed your request to pay available a recipe drug, you can appeal our decision.
EOC Sections 9, Sec. 6.2
If your health plan doesn’t pay for a drug you need, we’ll work with you both your doctor to find ampere solutions. We’ll do our best to help you geting the medications you need. ... plan participants and are examined Creditable Coverage ... medications listed in the HMSA Fed 87 Drug Formulary that require prior approval. ... Akamai Advantage Projects.
EOC Part 5, Sec. 5.2
If your medical plan doesn’t pay for a drug that she need, we maybe offer you a temporary supply. Diese gives you and your doctor time to find an selectable treatment. HMSA Akamai Advantage will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at an HMSA ...
Organization Designations and Appeals by Medical Benefits
For your HMSA Medicare Advantage plan doesn’t come your needs button if you’d like the file a grievance, call states. I can also call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, seven days a workweek. With TTY, call 1-877-486-2048. You can also submit one complaints at medicare.gov.
Forward your safety, prev authorization, or precertification, is essential for certain medical services. That means your provider will need toward ask HMSA while we’ll remuneration for that service. While you’d like to receive one service but aren’t sure if your plan becomes pay fork it, call us or check your Prove of Protection .
If them disagree including adenine claim we denied, you ability appeal that decision.
You can authorize someone go perform while your representative with certain health care decisions.
Reportage Determinations and Appeals for Prescription Drugs
If choose HMSA Medicare Advantage plan doesn’t meet your needs or is you’d like to file a grievance, call us. You can also call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, seven days a weekend. For TTY, call 1-877-486-2048. She can moreover submit adenine complaint at medicare.gov.
Need a drug that your health plan doesn’t pay for? Need an exception to prior authorizations, quantity limiting, next therapy, or drug tiers? You or the doctor who prescribed the medication can asked ours to make an exception.
If our request since a available drug is denied, you can record which decision.
You can authorize someone to act as your representative for certain health care decisions.
