HMSA - RCUH · 2020. 5. 16. · Please refer to the back page of the Guide to After-hours Care and...

RCUH Benefits

FY 2020 - 2021

HMSAMedical Benefits

1

Enjoy your life in good health.

July 2020 Open Enrollment

Aloha! Today we will be talking about your HMSA health plan options for RCUH

employees. Whether you’re a current HMSA member, or thinking of switching, HMSA

will be there every step of the way to support you and your family with the benefits and

tools to help you improve your health and well-being at every stage of your life.

2

Access to Hawaii’s top hospitals

SLIDE -- HOSPITALS

Making sure you have the access you need when it comes to health care is essential.

With HMSA, you never have to worry because you have access to nearly every full-

service and specialty hospital in Hawaii.

These hospitals are more than medical facilities. They are our partners in your care

and are experts in delivering quality specialty care.

Adventist Health Castle is a full-service hospital that has the windward side’s only

emergency room. They also have an award-winning weight loss surgery program and

have earned national honors for constantly improving the delivery of care for patients.

The Hawaii Pacific Health hospital system has more than 70 facilities and clinics

throughout the state, including: Kapiolani Medical Center for Women & Children, the

state’s only full-service specialty hospital for women and children, Straub, Pali Momi,

and Wilcox Medical Centers.

The Queen’s Health Systems hospitals and clinics which includes the Queen’s Medical

Center in Honolulu, the state’s only Level One emergency department and trauma

center, meaning, they provide the highest level of ER care in Hawaii.

3

We also work closely with the state hospitals on the Big Island, Maui, and Kauai that are

staffed with skilled doctors and nurses who are dedicated to serving their communities.

So no matter where you are in your health journey, HMSA is with you every step of the

way.

3

• Financial assistance for travel to another island for

specialty care

• For example, you may qualify if:

• The specialty care you need isn’t available on your

home island

• The specialty care you need is available on your

home island, but you can’t get an appointment

soon enough

• Call:

• Neighbor Islands: 1 (844) 357-0726 toll-free

• Oahu: 948-5440

Care Access Assistance Program (CAAP)

SLIDE – CAAP

For members needing to travel to another island for medical treatment or to see a

specialist, you may be eligible for financial assistance for your interisland flight through

our Care Access Assistance Program, or CAAP. HMSA’s CAAP assists members to pay

for their travel to another island for specialty care.

For example, you may qualify if your care isn’t available from a participating provider

on your home island or you can’t get an appointment soon enough.

For more information, please call 1 -844 -357-0726 toll-free

Or, 948-5440 if you’re on Oahu.

4

Travel freely and confidently

Blue Cross Blue Shield Association (bcbs.com)

• 96% of hospitals

• 95% of doctors

• 190 countries around the world

• 68,000 pharmacies

SLIDE – BCBS Network

With HMSA, you not only have access to the best care in Hawaii, you have peace of

mind when you travel. Even when you visit friends and family on the Mainland and

around the world, we’re with you.

Nationwide, 96% of hospitals and 95% of doctors accept HMSA because of our

relationship with the Blue Cross Blue Shield Association.

When you travel overseas, you don't have to worry because HMSA will be there with

you in nearly 190 countries and territories around the world.

You can also get prescriptions filled at an affordable cost whenever you travel. More

than 68,000 pharmacies around the nation accept HMSA, from national chains like

CVS, Walgreens, and Walmart and more.

No health plan in Hawaii can give you this much peace of mind when you travel. To find

a provider on the Mainland or overseas, visit bcbs.com, or download the BCBS

GlobalCore app to your smartphone.

For more information, please refer to the HMSA Travel Brochure found in your RCUH

Policy 3.520 Health Plans.

5

Convenient after-hours care

HMSA’s Online Care®Urgent care providers

Save time and

money by choosing

the right care

options.

AmericanWell® is an independent company providing hosting and software services for HMSA’s Online Care platform on behalf of HMSA .

SLIDE – ER Alternatives/ After Hours Care

We understand life happens and sometimes you need care outside of the usual

doctor's office hours. With HMSA, you have options beyond the emergency room for

urgent and after-hours care.

For non-emergencies that can't wait until you can see your PCP, you can visit a

participating urgent care clinic or a CVS/minuteclinic in selected Longs Drugs stores

on Oahu.

Please refer to the back page of the Guide to After-hours Care and circle or take a

picture of the urgent care clinics that are closest to your work and home. This

document can be located in your RCUH Health Policy 3.520.

You can even talk to a doctor 24/7 from your smartphone from anywhere in Hawaii

using HMSA's Online Care. Video chat with a doctor who can diagnose a condition or

prescribe medication to the participating pharmacy of your choice.

HMSA's Online Care can also connect you to behavioral health providers from the

privacy of your home or wherever you may be in the state.

The best part is that there's no cost for you to use Online Care.

6

To sign up simply,

1. Download the HMSA Online Care free app in the Apple or Android app store.

A. Or, if logging in from a desktop, visit hmsaonlinecare.com

2. Click Sign Up and enter your information as it appears on your HMSA membership

card.

3. Enter your email address and create a password.

4. Select your health plan, enter your subscriber ID number, and click Continue.

If you need help finding your HMSA subscriber ID number, please give us a call and our

customer service representative will retrieve that for you.

We highly recommend downloading the Online Care app and creating your account

today so it's ready to use when you need it.

6

Stay on top of your game

Preventive Care

• Annual preventive health evaluation

• Screenings and immunizations

Health and wellness discounts

• HMSA365

• The ChooseHealthy® program

• Hmsa.com

The Active&Fit Direct program is provided by American Specialty Health Fitness, Inc. and the ChooseHealthy program is provided by ChooseHealthy, Inc.,

both subsidiaries of American Specialty Health Incorporated (ASH), a national provider of fitness, health education, musculoskeletal provider networks

and health management programs. Active&Fit Direct and ChooseHealthy are trademarks of ASH and used with permission herein.

SLIDE – Preventive Care & Well-Being discounts

Preventive care is the foundation of good health, which is why all plans include

preventive care benefits, such as an annual checkup, screenings, and immunizations

at little to no cost. Preventive care is also available to keiki up to age 21.

Not only is preventive care imperative for your health, but it is also a key component in

helping to keep the costs of medical plans down because health issues can be

identified before they cause serious problems.

If you don’t already have a Primary Care Provider or “PCP”, we highly encourage you to

choose one because your PCP will help you with all your preventive and general health

care needs.

Caring for your health goes beyond the doctor’s office. With HMSA365, you have

access to hundreds of discounts on local health and fitness products, including

discounts on selected gym memberships.

The ChooseHealthy program is another way for you to save. This program provides

discounts of up to 25% on services and products from popular health and fitness

brands.

Please visit hmsa.com and hmsa.com/wellbeing to learn more about preventive care

7

and member discounts.

7

Get back on track

HMSA Diabetes Prevention Program

• $0 copayment

• 16 sessions

Ornish Lifestyle MedicineTM

• $20 copayment for each session

• 18 sessions

Health coaching

• Call 1 (855) 329-5461 toll-free

SLIDE – Disease Management Program

If you need support managing a health condition, HMSA is here for you.

Our Diabetes Prevention Program is for those at risk for type 2 diabetes. The goal of

this program is to focus on making lifestyle changes through diet and exercise.

In the first six months, participants attend 16 core sessions. After that, they can attend

monthly meetings to help them stay on track.

The Ornish Lifestyle Medicine program is a nine-week program that has been

scientifically proven to stop and even reverse the effects of heart disease.

Classes are conducted in a supportive group setting. Members eligible for this program

pay a $20 copayment for each session and there are 18 total sessions.

If you're interested in these programs, talk to your PCP about eligibility and referrals.

Our health coaching program is another way HMSA supports you with a team of

registered nurses, dietitians, and other health care professionals. They can provide

personalized tips and guidance to help you manage chronic conditions.

8

Plan ahead to get ahead

HMSA Pregnancy Support Program

• Community resources

• Pregnancy support

• Postpartum support

• hmsa.com/pregnancysupport

Advance care planning

• Recommended for everyone 18 and older

• Revisit your plan at any time

SLIDE – Pregnancy Support Program & ACP

We’ll also help you plan for the future.

Preparing for a baby can be exciting but overwhelming. With the HMSA Pregnancy

Support program, expectant mothers are matched with an experienced maternity

nurse who supports the care they receive from their ob-gyn. Their nurse continues to

support them during the first month after delivery as they transition into motherhood.

Members can call us to enroll in the program once their pregnancy is confirmed.

Advance care planning is another important benefit you have with HMSA. An advance

care plan lets your doctor know how to care for you if you’re unable to communicate

your own health care wishes because of sickness or injury. Having an advance care

plan is recommended for everyone 18 and older and you can revisit your plan at any

time to make sure it stays current.

9

What’s New for 2020?

Changes effective July 1, 2020 for 2020 RCUH HMSA Plans

All Plans:

3D Mammography

CompMED Basic Plan

* When seeing a participating provider. For a full description of your benefits, see your plan’s Guide to Benefits

SLIDE– What’s New

Now, let’s shift gears to the HMSA RCUH plan benefits.

Here is a quick summary of changes effective 7/1/2020 for 2020 RCUH HMSA plans.

The mammography benefit for all plans will now include coverage for 3D

mammography.

CompMED Basic plan changes include:

- The deductible will increase from $350 per person and $1,050 per family to $500

per person and $1,500 per family

- The Annual maximum out-of-pocket limit will increase from $3,000 per person

and/$9,000 per family to $4,600 per person and $12,000 per family.

- Most Covered services will be a 25% coinsurance

For plan details, please refer to your Guide to Benefits found in your MyAccount at

hmsa.com or in your RCUH Health Policy 3.520.

10

Deductible• Single - Increase from $350/person to $500/person*

• Family - Increase from $1,050/family to $1,500/family*.

Maximum Out-of-Pocket Limit• Single - Increase from $3,000/person to $4,600/person.*• Family - Increase from $9,000/family to $12,000/family*.

Coinsurance increase from 20% to 25%* (for most covered services)

RCUH PPO Medical Plans

*Annual deductible applies.

Medical Plan Preferred Provider Plan CompMED CompMED Basic

Annual maximum Out-of-Pocket

Limit

$2,500 per person,

$7,500 per family

$2,500 per person,

$7,500 per family

$4,600 per person,

$12,000 per family

Annual deductible None None$500 per person/

$1,500 per family

Office visit/urgent care $12 / visit $14 /visit 25% coinsurance

Annual Preventive Health Evaluation $0 copayment $0 copayment $0 copayment

Emergency room 20% coinsurance 20% coinsurance 25% coinsurance*

Hospitalization facility fee 10% coinsurance 20% coinsurance 25% coinsurance*

This is only a summary. For complete information, see

your plan’s Guide to Benefits, found in RCUH Policy

3.520 Health Plans. All benefits are for services from a

participating provider.

SLIDE – PPO Plans

Here is a brief summary of benefits of the three HMSA RCUH PPO health plan options

available to you.

Many of you are probably most familiar with PPO plans.

These plans give you the freedom to choose your own doctors– whether they are in or

out of HMSA’s network, and you don’t need a referral to see most specialists. But keep

in mind, seeing a doctor in our network– a participating provider– will have a lower

out-of-pocket cost because they can only charge up to the negotiated, eligible charge.

If you see an out-of-network provider, they can charge you whatever they wish, and you

will be responsible for the difference of that total charge and the negotiated rate, plus

your coinsurance or copayment. We highly recommend you see a participating

provider when possible to get the most out of your plan.

PPO members, or dependents of PPO plan members may use their plan benefits on

the Mainland as they would in Hawaii for emergent, urgent, and routine care. Please

see a preferred Blue Cross Blue Shield provider or facility to maximize your plan

benefits. As mentioned in the travel slide, you can visit bcbs.com or download the

BCBS GlobalCore app to find a preferred BCBS provider or facility nearest you. You can

also call 1 – 800 – 810 – BLUE, also located on the back of your ID card.

11

All plans come with an annual maximum out-of-pocket limit, which is your safety net.

Once you’ve reached the limit in copayments or coinsurances in a calendar year for

covered services, HMSA will pay 100% of the eligible charges for covered services,

excluding tax, for the remainder of the calendar year.

For the Preferred Provider Plan and the CompMed Plan, there is no annual deductible

when you visit a participating HMSA provider.

CompMED Basic features an annual deductible. This is the amount you must pay out-of-

pocket in a calendar year, before your benefits pay out for select services. For members

currently enrolled in the CompMED Basic plan, please be aware of the changes to this

plan effective July 1, 2020. The CompMED Basic plan’s annual deductible will increase

to $500 per person, and $1,500 per family. The deductible does not apply to routine

care such as doctor’s office, urgent care or preventive care services. It does apply for

services such as emergency room and hospitalization facility fee.

For example, if you have never used your plan and you end up at the ER, you must first

pay $500 per person of the ER fee, before you can pay just 25% of the remaining cost of

service. Once you have satisfied the deductible, you will only be responsible for the

coinsurance listed in your plan.

For a full listing and details of your plan benefits, including information on services

where deductible is applicable, please refer to your Guide to Benefits found in your

RCUH Policy 3.520 Health Plans, or login to your HMSA MyAccount. You can also

request one by visiting or calling HMSA.

11

How the HMO plan worksRCUH HMO plans are for Hawai’i residents only

SLIDE – HOW THE HMO PLAN WORKS

Now, I’d like to spend a moment going over the key differences of HMO plans.

Friendly reminder, the HMO plan options are only for RCUH members residing in

Hawaii.

If you have dependents residing outside Hawaii, we highly recommend considering one

of the three PPO plan options as not all states on the mainland have Guest

Membership of affiliated Blue Cross Blue Shield HMO plans. If the particular state does

not have Guest Membership, dependents will need to go through their PCP’s

administrative review process to obtain approval for non-emergent or urgent services.

Therefore, to avoid delays and maximize cost savings, selecting a PPO plan is

suggested. For more information on the Away From Home Care, please call our

Customer Relations team. You can also refer to the Travel Brochure found in your RCUH

Policy 3.520 Health Plans.

For HMO plan members, you’ll need to start by selecting a PCP and a health center

that your doctor belongs to. All your care will be coordinated in that health center. You

can change your PCP at any time, but make sure they are still in your selected heath

center. You can also change your health centers if you’d like. Just be sure you select a

PCP within that health center.

12

If you need specialty care outside of your health center, your PCP will refer you to a

specialist.

But you won’t always need a referral. For example, you don’t need a referral to see a

specialist in your own health center, but please always let your PCP know if you do. You

can go to urgent care clinics in our network and to CVS/minuteclinic in selected Longs

Drugs stores. You also don’t need a referral for an annual well-woman exam, routine eye

exams, and of course, for emergencies.

Should you experience a medical emergency while traveling on the Mainland, please go

to the nearest emergency facility and show your HMSA card.

12

RCUH HMO Medical PlansThis is only a summary. For complete information, see





Medical Plan Health Plan Hawaii Plus Health Plan Hawaii Basic

Annual maximum Out-of-Pocket Limit$2,500 per person,

$7,500 per family

$3,000 per person,

$9,000 per family

Annual deductible None $350 per person,

$1,050 per family

Office visit/urgent care $20 /visit $20 /visit

Annual Preventive Health Evaluation $0 copayment $0 copayment

Emergency room $100 /visit 20% coinsurance*

Hospitalization facility fee 10% coinsurance 20% coinsurance*

For Hawai'i residents only

SLIDE – HMO Plans

Here are the benefit summary comparisons for the most commonly used services for

the two HMO plans offered to RCUH employees. Again, quick reminder, the HMO plan

options are for Hawaii residents only.

Both plans come with an annual maximum out-of-pocket limit. Reminder, this is your

safety net. Once you reach this amount in copayments and coinsurances in a calendar

year, HMSA will pay 100% of eligible charges, excluding tax for the remainder of the

calendar year for covered services.

The Health Plan Hawaii Basic plan has an annual deductible of $350 per person and

$1,050 per family. Like the CompMED Basic plan, the deductible applies to non-

routine services such as ER visits and hospitalizations fees. The deductible does not

apply to routine and preventive care services such as the Annual Preventive Health

Evaluation, office visits, or urgent care visits. For services applicable to the deductible,

you must first satisfy the deductible in out-of-pocket costs before your plan pays. Health Plan Hawaii Basic also features more coinsurances versus copayments for

covered services , which is the percentage of the service you are responsible for.

Copayments, reflected more in the Health Plan Hawaii Plus, are fixed dollar amounts

making it easier to budget for services.

For full details and specifics on your plan benefits– including deductible information–

13

please refer to your Guide to Benefits located in the RCUH Policy 3.520 Health Plans, or

visit HMSA.com and log in to your HMSA MyAccount. You can also call or visit HMSA and

request a hard copy.

13

• Freedom to choose

• No referrals required to see specialists

• Wider network – do not need to elect a PCP or health center

• In-network and out-of-network

• PCP and health center election required

• You must get referrals from your PCP to see specialists or stay within your selected health center

• Only for Hawai’i residents.

Still not sure which plan is best suited for you and your family’s needs?

Here is a high-level summary of PPO and HMO plan differences.

If you prefer having your care coordinated for you by a PCP within one Health Center,

then one of the HMO plans may be the plan for you. If you value the freedom to choose

or have dependents living on the Mainland, then one of the PPO plans may be better

suited for you.

When narrowing down plan options even further, consider your plan utilization. Do you

or your dependents often go to the doctor? Anticipate surgeries? See a doctor for more

than just the ordinary preventive care?

For example:

• If you see providers only a few times a year just for the annual preventive health evaluation, preventive screenings, and maybe the occasional office visit for a cold or minor injury, then a leaner plan may be best suited for you. These plan options generally feature a deductible and higher coinsurances and/or copayments. Meaning

you may pay less in monthly premiums, but pay more at the time of service.

• If you or your dependents regularly use your plan benefits to manage a chronic

14

condition, or need services through out the year beyond preventive care and the

occasional flu or cold, a richer plan without a deductible, and with lower coinsurances

and copays may be best suited for you. Meaning, you may higher monthly premiums,

but you are paying for the convenience of paying a little less at the time of service.

Remember, plans with lower premiums have higher out-of-pocket plan cost shares. So,

when choosing a plan, in addition to the monthly premiums, consider all factors such as:

• Do I want my care coordinated through one PCP and Health Center? Or, do I want to

choose my own doctors and specialists?

• Will my dependents be moving to the Mainland before the next open enrollment

period?

• How often do all my covered dependents and I use our health plan benefits? What

types of services do we normally use?

Everyone’s health care needs are different, and HMSA is here to support you with the

freedom to choose a plan that best suits your ever changing needs.

14

RCUH Prescription Drug Benefits

Drug PlanPPO Plans (Preferred Provider Plan,

CompMed, & CompMED Basic)

HMO Plans(Health Plan Hawaii Plus & Health Plan Hawaii Basic)

Annual Maximum out-of-pocket limit $3,600 per person, $4,200 per family

30-day supply

Tier 1 - Mostly generic drugs $7 copayment/prescription

Tier 2 - Mostly preferred drugs $30 copayment/prescription

Tier 3 - Mostly other brand-name drugs $30 copayment/prescription plus $45 Tier 3 cost share

Tier 4 - Mostly preferred specialty drugs $100 copayment/prescription

Tier 5 - Other brand-name specialty drugs $200 copayment/prescription

90-day supply

Tier 1 - Mail service – mostly generic drugs $11 copayment/prescription

Tier 2 - Mail service – mostly preferred drugs $65 copayment/prescription

Tier 3 - Mail service – mostly other brand-name

drugs $65 copayment/prescription plus $135 Tier 3 cost share

SLIDE – Drug Plans

Here is a snapshot of your drug benefits.

Just like your medical plans, HMSA is with you even when you travel. You’ll have access to

68,000 participating pharmacies nationwide with the same drug plan benefits as if you

were in Hawaii.

Your drug plan also comes with an annual maximum out-of-pocket, which is your safety

net for the calendar year.

Your copayment amounts will vary depending on the type of drug you’re prescribed

and the tier the drug falls in. As you can see, generics are the cheapest option.

Generics contain the same main ingredients and are just as effective. Therefore, to

reduce your out-of-pocket costs, ask your doctor if there’s a generic or preferred brand

available for your condition.

You’ll also notice there is a 90-day supply option. Many prescription drugs are available

through mail service, and we encourage our members who are on maintenance

medications to take advantage of this service, as it can save you both time and money.

To ensure your mail-order supply is properly packaged and handled, and delivered on

time, we mail-out from our local warehouse located in Mapunapuna on the island of

Oahu.

15





Of course, if you’d rather pick up your 90-day supply medication in person, you can do so

at a participating 90-day retail pharmacy.

If you would like to take advantage of mail service talk to your prescribing physician,

request it directly through the pharmacy, or log onto your HMSA MyAccount to set it up.

Visit hmsa.com and log into your MyAccount to manage your prescriptions.

15

RCUH Vision Benefits

Vision PlanPPO Plans

(Preferred Provider Plan, CompMED, and CompMED Basic)

HMO Plans(Health Plan Hawaii Plus & Health Plan

Hawaii Basic)

Annual Eye Exam $10 copayment $20 copayment

Basic lenses $10 copayment

Basic frames $15 copayment/

24 months

Contact lenses $25 copayment,

Up to $130 maximum

SLIDE – Vision plans

Under your vision plan, you’re covered for one annual eye exam per calendar year.

For the PPO plans, your copayment will be $10.

For the HMO plans, your copayment will be $20.

You’re also covered for one corrective lens per calendar year, either eyeglasses or

contacts.

For glasses:

• Basic set of lenses at a $10 copayment. This benefit excludes enhancements such as tinting, scratch proofing, and invisible bifocals. You may select any enhanced lenses, but please keep in mind that additional out-of-pocket costs apply.

• Frames are covered every 24 months after a $15 copayment. Ask your provider to show you options from HMSA’s select frame group to see which styles are available at this copayment. For frame selections outside of this selection group, additional out-of-pocket costs apply.

For contact lenses:

• HMSA will pay for up to $130 of your contact lens fee after a $25 copayment.

For more details, please review your Guide to Benefits located in your RCUH Policy

16





3.520 Health Plans, or log into your My Account at hmsa.com.

16

RCUH Chiropractic Care

Chiropractor Care Preferred Provider

PlanCompMED CompMED Basic

Health Plan Hawaii

Plus

&

Health Plan Hawaii

Basic

Office Visit (24 medically necessary visits per calendar year)

$12 copayment $14 copayment 25% coinsurance* (deductible applies)

$10 copayment

Radiology(e.g. X-Ray)

20% coinsurance 20% coinsurance25% coinsurance*(deductible applies)

$0 copayment


PPO plans administered through HMSA Medical Plans

HMO plans administered through American Specialty Health (ASH)

SLIDE – Chiro Rider

All RCUH health plan options include Chiropractic Care benefits. You have up to 24

medically necessary visits per calendar.

For PPO plan members, chiropractic services are covered under your medical plan

and will correspond to your medical plan’s copayment and/or coinsurance benefit

categories for a doctor’s office visit, physical therapy, and X-ray.

- For those on the CompMED Basic plan, the deductible will apply for these services.

For HMO plan members, chiropractic services will be administered through American

Specialty Health (ASH) at a $10 copayment.

17





RCUH Chiropractic Care

• Medically necessary

• For PPO plans, chiropractic care will be administered through your medical plans

• HMSA or ASH participating provider

• Office Visits: Evaluation & Management (limited to one per calendar month) and chiropractic manipulative therapy

• Physical Therapy: Modalities

• Radiology: X-Rays

• For HMO plans, chiropractic care will be administered through ASH Chiropractic Care.

• Do not need a PCP referral

• ASH in-network provider

• To find an ASH provider, visit Ashlink.com/ash/hmsa

SLIDE – How to use chiro benefit

A medical necessity review or Pre-Authorization completed by the chiropractor may be

required to determine medical necessity for continuation of services beyond the initial

evaluation.

• For PPO plan members, it is encouraged to see an in-network HMSA provider to maximize your plan benefits. You may also see an ASH participating provider.

• Your copayments or coinsurances will depend on your Medical plan coverage. Please note, if your plan has an annual deductible, deductibles may apply for applicable services such as x-rays.

• Depending on the type of treatment, you will pay an office visit, physical therapy, and/or radiology copayments or coinsurances.

• For example, evaluation and management, limited to one per calendar month, and chiropractic manipulations will be an office copayment. Treatment using modalities, such as health or ice application, ultrasound, or muscle stimulation, would be a physical therapy copayment. X-Rays ordered by your chiropractor, will be a radiology coinsurance or copayment.

• For HMO plan members, you do not need a PCP referral to receive the service. This is an exception to the HMO referral rule. You must however, see an ASH participating

provider for services to be covered.

18

For a listing of available ASH participating chiropractors, please visit

ashlink.com/ash/hmsa

18

hmsa.com

• Annual out-of-pocket maximum calculator

• Deductible calculator (CompMED Basic & HPH Basic)

• View your claims and health plan details

• View, print, or request your HMSA membership card

• Learn more about well-being programs

• Find a doctor

Your Online Portal

SLIDE – hmsa.com & MyAccount

We’ve covered a lot of information today, but it can all be found on hmsa.com

Click Member Login to view your health plan details and manage your prescriptions

online. You can also use tools such as an annual out-of-pocket maximum and

deductible calculator. If you don’t have an account, sign up using a personal email

address and your HMSA subscriber ID number.

Prospective HMSA members, can find plan information such as the Guide to Benefits,

benefit summaries, and Travel Brochure, by visiting your RCUH Policy 3.520 Health

Plans.

Click the Member Resources tab for more information on well-being programs.

Last but not least, you can use our Find a Doctor tool to search for all types of health

care providers. This is a perfect resource for those of you who need to find a new PCP.

Or you can always call us and we’ll be happy to help you find a doctor or get you a

copy of your HMSA membership card.

19

We’re here for you

Call us

Preferred Provider Plan & CompMED (PPO)

• 948-6111

Health Plan Hawaii (HMO)

• 948-6372

Neighbor Islands

• 1 (800) 776-4672 toll-free

Visit us

HMSA Centers and offices in Hilo,

Honolulu, Pearl City, Kahului, Kailua-Kona,

and Lihue

SLIDE – Closing & Contact

Wherever your journey through life takes you, we’ll be there to support you and your

health. Whether you’re starting a family, raising kids, getting ready for retirement, or

traveling around the world, we have quality plans to improve your health and well-

being.

When you choose HMSA, we are committed that we’ll be there for you at every stage

of your life.

Thank you for the opportunity to talk about HMSA. If you have any questions, please

call us or visit us at an HMSA center or office.

20

If you have any questions regarding Open

Enrollment, eligibility, or assistance with forms,

please contact RCUH Benefits at:

Email: [email protected]

Phone: (808) 956-2326 or (808) 956-6979

Relevant Policies/Form:• 3.520 RCUH Health Plans

• 3.520A Addendum: RCUH Health Plans

• RCUH Group Health Plan Enrollment Form (B-5Ha)

21

HMSA - RCUH · 2020. 5. 16. · Please refer to the back page of the Guide to After-hours Care and...

Documents

Transcript of HMSA - RCUH · 2020. 5. 16. · Please refer to the back page of the Guide to After-hours Care and...