Radiology Partners Hawaii Medical
The Hawaii Medical Service Association (HMSA) Comprehensive Medical (745) plan is a Preferred Provider Organization (PPO) that contracts with a network of physicians and other medical professionals from which you can select your provider. Here’s how the PPO plan works:
- You do not need to select a primary care physician.
- You do not need referrals from a physician to see other providers in the network.
- If you receive in-network care, you will only pay for copays, deductible, and/or coinsurance.
- If you receive health services out-of-network, you will pay a higher amount. In some cases you will need to pay directly and file a claim to receive reimbursement.
HMSA
CompMed 734/Drug 860
Policy/Group #: 106618001
Call: (800) 776-4672
Website: hmsa.com
Additional Resources
Pharmacy benefits
The Hawaii Medical Service Association (HMSA) pharmacy benefit plan (860) supplements your HMSA comprehensive medical plan (745). Here is how the plan works:
- There is a separate out-of-pocket maximum for your pharmacy benefits.
- Once you meet the pharmacy copayment maximum of $3,600 per person or $4,200 per family, you are no longer responsible for copayment amounts for prescription drugs and supplies.
For a detailed prescription drug list for your plan (860), please visit hmsa.com/drug-list.
Virtual Care
HMSA offers virtual health care visits, which means you can sit back and talk to board-certified doctors anywhere you’re most comfortable. It’s perfect for those times when you’re too busy to get an appointment with your primary care doctor or they are simply too far away.
You must be in Hawaii to use HMSA’s Online Care. Depending on your health plan, you may be charged a copayment.
What can be treated?
- Urgent conditions such as bronchitis or ear and sinus infections
- Common conditions such as a cold or the flu
- Chronic conditions such as diabetes, hypertension, and allergies
- Medication management
- Diabetes prevention
- Nutrition education
- Health and well-being goals
- Emotional support
- Stress and anxiety management
- Couples or family counseling
These are just some of the various symptoms and conditions HMSA’s Online Care can help you with!