Is BCBS a HMSA?

Asked by: Walker Cole I  |  Last update: February 11, 2022
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The Hawaii Medical Service Association (HMSA) is a member of the Blue Cross Blue Shield Association, an association of independent medical insurance providers. A nonprofit, mutual benefit association founded in 1938, HMSA covers more than half of the state's population.

Is HMSA Blue Cross Blue Shield?

The Hawaii Medical Service Association (HMSA), an independent licensee of the Blue Cross and Blue Shield Association, is a reliable name in Hawaii health care. Established in 1938, we are the largest and most experienced provider of health care coverage in the state.

What type of insurance is HMSA?

It combines hospital (Medicare Part A), medical (Medicare Part B), and sometimes drug (Medicare Part D) benefits. Insurance companies contract with the federal government to offer Medicare Advantage plans. Most of these plans also offer extra benefits like discounts for hearing aids and fitness centers.

Is Blue Cross Blue Shield in Hawaii?

Blue Cross and Blue Shield of Hawaii is a licensee of the Blue Cross and Blue Shield Association, an association of independently, locally operated Blue Cross and Blue Shield companies.

Is HMSA part of Anthem?

The Blue Cross and Blue Shield system

HMSA works with Anthem to administer certain aspects of your health plan. You and other members who received health care services in the past 10 years in any of the areas that Anthem's Blue Cross and Blue Shield companies serve are affected by the cyber attack.

PPO Vs. HMO: What's the Difference and Which is Better?

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What is HMSA blue card?

BlueCard is a national program that enables most HMSA PPO members to obtain health care services while traveling or living in another Blue Cross or Blue Shield company's service area.

Can you use HMSA out of state?

Note: The HMSA Children's Plan covers emergency care outside of Hawaii, but doesn't cover other services outside of Hawaii, including urgent and routine care. If you experience a medical emergency while traveling outside Hawaii, go to the nearest emergency facility.

Where can I find my HMSA number?

Print a Copy of Your HMSA Membership Card through My Account

Register and/or log on to My Account . HMSA members age 18 and older must create their own My Account. Click Profile and then click View ID.

What does HMSA cover?

Medical benefits

Few plans cover 100 percent of the cost of any medical service, and copayments and deductibles can add up. Some plans limit the number of visits or tests they'll pay for each year. Others may require that you pay all your costs on your own until you reach a limit when the plan kicks in.

How do I know my HMSA plan?

You can find out what plan you have simply by looking at your HMSA membership card. Consult your Guide to Benefits to find out what your plan covers.

Is HMSA a HMO or PPO?

Get care when you travel. Your plan gives you access to care on the Mainland and in many locations worldwide. Maintain a healthy smile. HMSA has comprehensive PPO and HMO dental plans that work with your medical plan to support your needs.

Is HMSA quest HMO or PPO?

Welcome to HMSA QUEST Integration . We're proud to be part of the Hawaii QUEST Integration program . Your plan is a health maintenance organization (HMO) plan .

Do I have HMSA?

Do you have your HMSA membership card handy? Find out what kind of medical plan you have by looking at your membership card. Your HMSA membership card identifies you as an HMSA member and lets providers determine your plan benefits. You may request duplicate HMSA membership cards through My Account on hmsa.com.

How many members does HMSA have?

At HMSA, healthy communities are our foundation. A group of social workers established a nonprofit health plan 80 years ago to help 671 members in their community pay for medical care. Every day since, we've had the privilege of being our members' partner in health. Today we serve more than 720,000 members statewide.

Can you use HMSA quest outside of Hawaii?

If you're an HMSA HMO member living away from Hawaii for more than 90 days, you may have access to participating Blue Cross and Blue Shield providers through the Guest Membership program. It's important to let us know when you change addresses to avoid any interruptions in your coverage.

What is Akamai Advantage?

Plan Description

HMSA Akamai Advantage® is a Medicare Advantage plan to help members live well. It has all the benefits of Original Medicare and much more to help them be at their best health and well-being.

What is HMSA PPP plan?

HMSA's Preferred Provider Plan (PPP) has the largest network of health care providers in Hawaii, including all major hospitals. You may select any participating provider in the network to manage your care, or you may choose a non-participating provider.

What does HMSA stand for?

Hawaii Medical Service Association (HMSA) is a nonprofit health insurer in the state of Hawaii. HMSA was founded in 1938, is an independent licensee of the Blue Cross Blue Shield Association, and is the largest insurer in the state of Hawaii serving more than 700,000 people.

How does HMSA deductible work?

The annual deductible is a fixed dollar amount you pay for covered services each calendar year or plan year before HMSA will pay for certain services. To determine if your deductible maximum is based on calendar or plan year, please review your Guide to Benefits .

What is HMSA member ID?

Your HMSA membership card identifies you as an HMSA member and enables providers to determine your plan benefits. ... If you lose your card, My Account on hmsa.com provides the most convenient way to request a new one. Just log in to My Account and select Request ID Card.

How do I get a HMSA card?

Just log onto My Account , hover over Profile, and click Request card. If you need your subscriber ID to register for My Account, please call HMSA Customer Relations for help. You may also request your duplicate card when you call. You'll receive a duplicate card in five to seven business days.

What is the policy on insurance card?

Policy number

When you get a health insurance policy, that policy has a number. On your card, it is often marked “Policy ID” or “Policy #.” The insurance company uses this number to keep track of your medical bills.

How do I file a HMSA claim?

You can print the Prescription Reimbursement Claim Form from My Account on hmsa.com. You can also request copies by mail or in person. Use the Prescription Reimbursement Claim Form to request reimbursement for prescription drugs. Your dental claims information is accessible online through My Account on hmsa.com.

Whats better PPO or HMO?

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.

How do I know if I have HMO or PPO?

The key difference between HMOs and PPOs is that a PPO plan is more flexible and allows you to see healthcare providers both inside and outside your plan's network, while an HMO plan only covers in-network treatment (with exceptions detailed below).