State, city, and county retirees - October 2021 - HMSA is here with you
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State, city, and county retirees
October 2021
HMSA is here with you
Aloha,
As we move toward a brighter future, HMSA is here to help you live your best life.
This year’s open enrollment is Oct. 15 to 29, 2021. If you’re happy with your plan,
you don’t need to do anything to keep it. Your plan will automatically renew.
With HMSA, you have continued access to quality, reliable care. You can:
• Choose from thousands of doctors and specialists in our large network.
• Go to Hawaii’s top hospitals, including those recognized for excellence in
specialty care.
• Use telehealth to get care at home. Your doctor can help you decide the best
telehealth option for you, whether it’s a video visit, email check-in, or HMSA’s
Online Care®.
• Get care if you need to travel through the Blue Cross Blue Shield Global Core
program.
• Support your best health and well-being. Our programs and services can
help you reach your health and well-being goals.
We partner with the EUTF to offer you new benefits:
• EUTF and HSTA VB retirees will pay 10% coinsurance for the Ornish Lifestyle
MedicineTM program beginning Jan. 1, 2022. To enroll, members will need to
meet CMS eligibility requirements.
• M
edical Nutrition Therapy (MNT) is a benefit for HSTA VB retirees at 10%
coinsurance effective Jan. 1, 2022.
Please read this guide to learn more about the benefits and services available to you.
If you have questions, we’re here to help. Call or visit us at an HMSA Center or office.
Thank you for learning more about HMSA. In these uncertain times, HMSA is here with
you. For the good times. For the tough times. For lifetimes.
Mahalo,
Mark M. Mugiishi, M.D., F.A.C.S.
President and Chief Executive Officer
Amwell® is an independent company providing hosting and software services for HMSA’s Online Care platform on behalf of HMSA.
1
Top-rated hospitals and clinics
With HMSA, you have access to top-rated hospitals.
We’re part of the Blue Cross and Blue Shield Associa-
tion, which recognizes Hawaii hospitals for expertise in
delivering high-quality, cost-effective specialty care.
Blue Distinction Centers are hospitals recognized for
their expertise in delivering specialty care and Blue
Distinction Centers+, which are indicated with a +, are
hospitals recognized for their expertise and efficiency
in delivering specialty care
• Bariatric surgery
Adventist Health Castle (adventisthealth.org)
• Cardiac care
Straub Medical Center (straubhealth.org)+
• Knee and hip surgery
Adventist Health Castle+
Straub Medical Center+
Wilcox Medical Center (wilcoxhealth.org)
• Maternity care
Kapi‘olani Medical Center for Women & Children+
(kapiolani.org)
Wilcox Medical Center+
• Spine surgery
Adventist Health Castle
Pali Momi Medical Center (palimomi.org)
The Queen’s Medical Center (queens.org)+
Straub Medical Center
• Substance use treatment and recovery
The Queen’s Medical Center
We’re proud to work with these health care providers to offer you quality care:
2
It’s easy to get the care you need
The choice is yours
With HMSA, you can choose your primary care
provider (PCP), the doctor at the center of your
health care team. You can see your PCP for
general and preventive care needs, including
health concerns and questions.
If you’re happy with your PCP, you don’t have to
do anything differently. You can continue to see
the doctor you know, trust, and rely on in times
of need.
Want to choose or change your PCP? Use the
Find a Doctor tool at hmsa.com/eutf to search
for a doctor by name, location, or specialty. Just
remember to choose your plan before starting
your search.
How to use HMSA’s Online Care
You can also use the Find a Doctor tool to search
for other health care providers in HMSA’s network. With Online Care, you have access to health care
Or call us at (808) 948-6499 or 1 (800) 776-4672 providers 24 hours a day, seven days a week from
and we can help you find a doctor based on your anywhere in Hawaii through video chat. Online
location and needs. Care providers can help with:
• Common conditions like
headaches, colds, or the flu.
• Sudden or acute conditions
like bronchitis or ear and
sinus infections.
• Improving your emotional
health and well-being.
This service is available to EUTF and HSTA VB
retirees for a $0 copayment. Online Care is avail-
able for most Apple and Android devices and
tablets. To sign up, search for HMSA Online Care
in the App Store or Google Play. Or sign up at
hmsaonlinecare.com.
When you register for Online Care, have your
HMSA membership card handy – you’ll need your
HMSA subscriber ID number. Once you’re regis-
tered, it’ll be easy to use Online Care when you
need it.
3
A Guide to Your Care Options
Save time and money
by choosing the right care. Remember that
emergency room visits are expensive and
aren’t necessary for illnesses or injuries that
aren’t life threatening.
Use this guide to help you get the right
care when you need it.
Primary care Urgent care
HMSA’s Online Care® Emergency room
provider (PCP) providers
See your PCP for routine Connect with doctors Go to an urgent care Go to the emergency
and preventive care and specialists online provider if you have room if you need
that isn’t an emergency. from anywhere in a health concern that immediate care in a
Your PCP may offer Hawaii, 24 hours a day, isn't an emergency but hospital setting and/
telehealth options such seven days a week. needs attention sooner or you're experiencing
as a video visit or email There's no copayment than you can see your a life-threatening
check-in. for Online Care visits. doctor. symptom.
For example, your ankle Use Online Care for the For example, your knee For example, you think
is swollen but isn't painful. same reasons you'd see is swollen and painful you’re having a heart
your PCP. but you can walk with attack.
some assistance.
More tips
✔ Use the directory on the next page to find an urgent care provider
near you. Services vary at each location, so call ahead to make sure
they can provide the services you need.
✔ Register for HMSA’s Online Care now so it’s easy to log in when you
need it. Go to hmsaonlinecare.com to register and download the
app on your smartphone.
✔ Follow up with your PCP after an urgent care or Online Care visit.
4Urgent Care at Poipu All Access Ortho Queen's Island Urgent Care
Participating 2829 Ala Kalani Kaumaka St.
Suite B-201
4850 Kapolei Parkway, Bldg. F
Kapolei Ph. (808) 356-5699
400 Keawe St.
Honolulu Ph. (808) 735-0007
Urgent Care Koloa Ph. (808) 742-0999
Monday-Friday: 8:30 a.m.-7 p.m.
Monday-Friday: 8 a.m.-8 p.m.
Saturday-Sunday: 9 a.m.-5 p.m.
Daily: 8 a.m.-8 p.m.
Straub Kapolei Clinic &
Clinics Saturday-Sunday:
8 a.m.-4:30 p.m. All Access Ortho
95-1830 Meheula Parkway,
Urgent Care
91-5431 Kapolei Parkway,
Maui Suite C10-11 Suite 1706
Mililani Ph. (808) 356-5699 Kapolei Ph. (808) 426-9300
Doctors On Call
Hawaii Island 3350 Lower Honoapiilani Road,
Monday-Friday: 8 a.m.-8 p.m. Daily: 10 a.m.-8 p.m.
Saturday-Sunday: 9 a.m.-5 p.m.
Aloha Kona Urgent Care Suite 211 Straub Doctors On Call
75-5995 Kuakini Highway, Lahaina Ph. (808) 667-7676 Braun Urgent Care Kailua 2255 Kalakaua Ave., Manor Wing
Suite 213 Monday-Friday: 8 a.m.-3 p.m. 130 Kailua Road, Suite 111 Shop No. 1
Kailua-Kona Ph. (808) 365-2297 Kailua Ph. (808) 261-4411 Honolulu Ph. (808) 971-6000
Monday-Friday: 11:30 a.m.-9 p.m. Doctors On Call Monday-Friday: 8 a.m.-8 p.m. Daily: 10 a.m.-8 p.m.
Saturday-Sunday: 1-9 p.m. 3750 Wailea Alanui Dr., Suite B34 Saturday-Sunday: 8 a.m.-5 p.m.
Wailea Ph. (808) 470-9400 Straub Kahala Clinic &
Hilo Urgent Care Center Monday-Saturday: 8 a.m.-4 p.m. Doctors of Waikiki Urgent Care
670 Kekuanaoa St. 120 Kaiulani Ave., Wing 10 & 11 4210 Waialae Ave., Suite 501
Hilo Ph. (808) 969-3051 Kihei-Wailea Medical Center Honolulu Ph. (808) 922-2112 Honolulu Ph. (808) 462-5300
Monday-Friday: 221 Piikea Ave., Suite A Daily: 8 a.m.-midnight Daily: 10 a.m.-8 p.m
8:30 a.m.-6:30 p.m. Kihei Ph. (808) 874-8100
Saturday-Sunday: Monday-Friday: 8 a.m.-8 p.m. Kalihi Kai Urgent Care Straub Ward Village Clinic &
8:30 a.m.-4:30 p.m. Saturday-Sunday: 8 a.m.-5 p.m. 2070 N. King St., Suite A1 Urgent Care
Honolulu Ph. (808) 841-2273 1001 Queen St., Suite 102
Keaau Urgent Care Center Minit Medical Urgent Care Clinic Monday, Wednesday-Friday: Honolulu Ph. (808) 462-5200
16-590 Old Volcano Road 270 Dairy Road, Suite 239 8 a.m.-4 p.m. Daily: 10 a.m.-8 p.m.
Keaau Ph. (808) 966-7942 Kahului Ph. (808) 667-6161 Tuesday: 8 a.m.-1 p.m
Monday-Friday: Monday-Friday: 8 a.m.-7 p.m. Saturday-Sunday: 9 a.m.-1 p.m. Urgent Care Hawaii
8:30 a.m.-6:30 p.m. Saturday: 8 a.m.-6 p.m 660 Kailua Road
Saturday-Sunday: Sunday: 8 a.m.-4 p.m. Kunia Urgent Care Kailua Ph. (808) 263-2273
8:30 a.m.-4:30 p.m. 94-673 Kupuohi St., Suite C201 Daily: 8 a.m.-6 p.m.
Minit Medical Urgent Care Clinic Waipahu Ph. (808) 983-1671
Waimea Urgent Care 305 Keawe St., Suite 507 Sunday-Tuesday: 8:30 a.m.-7 p.m. Urgent Care Hawaii
65-1230 Mamalahoa Highway, Lahaina Ph. (808) 667-6161 Wednesday: 8:30 a.m.-2 p.m. 890 Kamokila Blvd., Suite 106
Suite A10 Monday-Saturday: 8 a.m.-6 p.m. Thursday-Saturday: Kapolei Ph. (808) 521-2273
Kamuela Ph. (808) 885-0660 Sunday: 8 a.m.-4 p.m. 8:30 a.m.-7 p.m. Monday-Friday: 7 a.m.-6 p.m.
Monday-Friday: Saturday-Sunday: 8 a.m.-6 p.m.
Minit Medical Urgent Care Clinic Queen's Island Urgent Care
8:30 a.m.-6:30 p.m. 1325 S. Kihei Road, Suite 103 1215 Hunakai St. Urgent Care Hawaii
Saturday-Sunday: Kihei Ph. (808) 667-6161 Honolulu Ph. (808) 735-0007 1245 Kuala St., Suite 103
8:30 a.m.-4:30 p.m. Monday-Saturday: 8 a.m.-6 p.m. Daily: 8 a.m.-8 p.m. Pearl City Ph. (808) 456-2273
Sunday: 8 a.m.-4 p.m. Monday-Friday: 7 a.m.-7 p.m.
Kauai
Queen's Island Urgent Care Saturday-Sunday: 8 a.m.-6 p.m.
Hale Lea Medicine and The Maui Medical Group Inc. 98-199 Kamehameha Highway,
Urgent Care 2180 Main St. Bldg. F Windward Urgent Care
2460 Oka St., Suite 101A Wailuku Ph. (808) 242-6464 Aiea Ph. (808) 735-0007 46-001 Kamehameha Highway,
Kilauea Ph. (808) 828-2885 Monday-Friday: 8 a.m.-7 p.m. Daily: 8 a.m.-8 p.m. Suite 107
Monday-Friday: 8 a.m-5 p.m. Saturday-Sunday: 8 a.m.-4 p.m. Kaneohe Ph. (808) 247-7596
Saturday: 9 a.m.-5 p.m. Queen's Island Urgent Care Daily: 8 a.m.-7 p.m.
The Maui Medical Group Inc. 449 Kapahulu Ave., Suite 104
Sunday: 9 a.m.-4 p.m.
130 Prison St. Honolulu Ph. (808) 735-0007
Kauai Urgent Care Lahaina Ph. (808) 249-8080 Hours and locations may
Daily: 8 a.m.-8 p.m. change. Please call the clinic
4484 Pahee St. Monday-Friday: 8 a.m.-5 p.m.
Lihue Ph. (808) 245-1532 Saturday-Sunday: 9 a.m.-1 p.m. Queen's Island Urgent Care for the latest information.
Daily: 8 a.m.-7 p.m. 91-6390 Kapolei Parkway
Oahu Ewa Beach Ph. (808) 735-0007 For a current list of partici-
Makana North Shore All Access Ortho Daily: 8 a.m.-8 p.m. pating urgent care providers,
Urgent Care 1401 S. Beretania St., Suite 102
4488 Hanalei Plantation Road Queen's Island Urgent Care visit hmsa.com/urgentcare.
Honolulu Ph. (808) 356-5699
Princeville Ph. (808) 320-7300 377 Keahole St., Suite E108
Monday-Friday: 8 a.m.-8 p.m.
Daily: 7 a.m.-5 p.m. Honolulu Ph. (808) 735-0007
Saturday-Sunday: 9 a.m.-5 p.m.
Daily: 8 a.m.-8 p.m.
Most urgent care clinics are closed on Thanksgiving Day, Christmas Day, and New Year’s Day.
5Get care when you travel
Covered Not covered by HMSA
by HMSA
PUERTO RICO
How it works
Care Access
HMSA is part of the Blue Cross and Blue Assistance Program
Shield network, which includes 95% of Subscribe
If you need to travel
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doctors and 96% of hospitals on the
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medical treatment,
territories around the world. you may be eligible for
financial assistance if
Looking for a doctor or hospital on the your care isn’t available
Mainland? Go to bcbs.com. from a participating
provider on your home
Traveling internationally? Download the Blue Cross Blue island or you can’t get
Shield Global Core mobile app for Apple and Android an appointment soon
devices. Use the app to search for providers when you enough. Call us at
travel. To learn more, go to bcbsglobalcore.com. 1 (844) 357-0726
Be prepared to learn more about
this program for EUTF
• Before you go, make sure you have your current
retiree PPO plan
HMSA membership card with you. Your card will help providers file
members.
your claims.
• You can also call 1 (800) 810-BLUE (2583) for the names of
participating doctors and hospitals in the area you’ll be visiting.
The number is also on the back of your HMSA membership card.
6hmsa.com/eutf
Use the EUTF portal to:
• Search for a doctor.
• Find health and fitness discounts
with HMSA365, the Active&FitDirect™
program, and the ChooseHealthy®
program.
• View helpful videos for EUTF and
HSTA VB members.
• Learn more about well-being programs
available to you and your family.
• Find information and resources related
to COVID-19.
My Account
As an HMSA member, you can view all your health
plan information and member benefits online on
My Account at hmsa.com/eutf.
Use My Account to:
• View your claims.
• Use an annual maximum out-of-pocket calculator
to see the most you’ll pay for benefits in a plan year.
• Download your plan’s Guide to Benefits for details
about your HMSA plan.
• Print or request another HMSA membership card.
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.
7Your plan benefits
EUTF HMSA 90/10 PPO Plan HSTA VB HMSA 90/10 PPO Plan
Summary Summary
(A plan for HSTA members who enrolled before 3/1/2006.)
$100 per person None (when seeing a
Annual Deductible Annual Deductible
$300 per family participating provider)
Annual Copayment $2,500 per person Annual Copayment $2,000 per person
Maximum $7,500 per family Maximum $6,000 per family
Services by Services by
MEMBER PAYS MEMBER PAYS
participating provider participating provider
Office Visits 10%* Office Visits 10%
Advance Care Planning $0* Advance Care Planning $0
Plan pays up to:
Physical Exams $0* • $90 ages 7-12
Physical Exams • $115 ages 13-18
Outpatient Surgery 10%* • $180 ages 19-39
• $245 ages 40+
Outpatient Diagnostic Outpatient Surgery 10%
Testing , Laboratory, and 20%*
X-ray Services Outpatient Diagnostic
Testing , Laboratory, and 10%
Emergency Room1 10%* X-ray Services
Ambulance 20% Emergency Room1 10%
Hospital Stay 10%* Ambulance 10%
Inpatient Mental Health 10%* Hospital Stay 10%
Outpatient Mental Health 10%* Inpatient Mental Health 10%
Outpatient Mental Health 10%
*Deductible doesn’t apply.
$12 per visit
1
Physician visits are covered separately from facility services. Chiropractic Treatments
(limit 20 per year)
This comparison is a condensed explanation of in-network plan benefits. Certain limitations, restrictions, and exclusions
may apply. Please refer to the plan Guide to Benefits or certificate, which may be obtained from your employer, for complete
information on benefits and provisions. If there’s a discrepancy between this comparison and the Guide to Benefits or certificate,
the Guide to Benefits or certificate will take precedence. Cost shares shown are for services received from network providers.
Cost for services received from out-of-network providers may be higher.
8Coordination of Medicare Benefits Example
For retirees with Medicare Part A and Part B who are enrolled in the EUTF HMSA 90/10 PPO Plan,
coordination of benefits (COB) is available when services are received from an HMSA participating
provider who also accepts Medicare assignment.
To help with the coordination, show your providers your Medicare and EUTF plan membership cards
whenever you receive services.
Here are examples of how EUTF’s medical plans coordinate with Medicare.
Example 1: Medicare/HMSA Coordination
with Medicare Part B Annual Deductible
Claim #1: Member received services from an HMSA participating provider who accepts
Medicare assignment. There will be no payment by Medicare as Medicare will apply $203
toward the annual Medicare Part B deductible*. HMSA will process the office visit claim at
90% of eligible charge and the outpatient diagnostic test claim at 80% of eligible charge.
The member will owe the 10% balance of the office visit claim and the 20% balance of the
outpatient diagnostic claim plus any noncovered charges such as taxes.
HMSA
Medicare
Date of 90/10 Member
Claim Service Charge Part B
Service PPO Plan Owes
Payment
Payment
#1 Office Visit 01/03/2022 $105 $0 $94.50 $10.50
DiagnosticTest
01/03/2022 $98 $0 $78.40 $ 19.60
(Outpatient)
$203*
deductible $0 $172.90 $30.10
met
#2 Office Visit 02/03/2022 $105 $84 $21 $0
Claim #2: The annual Medicare Part B deductible was met with the previous claim (claim
#1), therefore Medicare will apply plan benefits and HMSA will coordinate payment of the
remaining balance of eligible charges. Although member owes a zero balance in eligible
charges, the member may be responsible for any noncovered charges such as taxes.
9Example 2: Medicare/HMSA Coordination
with Medicare Part A Hospital Deductible
Claim #3: Member received services from an HMSA participating facility that accepts
Medicare assignment. Member has not had any previous inpatient visits in the last 60
days. Medicare Part A will process 100% of facility charges less the Medicare Part A
deductible of $1,484*. HMSA will coordinate payment of the remaining balance of eligible
charges. Although member owes a zero balance in eligible charges, the member may be
responsible for any noncovered charges such as taxes.
HMSA
Medicare
Date of 90/10 Member
Claim Service Charge Part B
Service PPO Plan Owes
Payment
Payment
Inpatient
Hospital
#3 02/20/2022 $15,000 $13,516 $1,484 $0
Room &
Board
Example 3: Medicare/HMSA Coordination
with HMSA Annual Deductible
Claim #4: Member received services from an HMSA participating provider who accepts
Medicare assignment. The annual Medicare Part B deductible was met with the previous
claim (claim #1), therefore Medicare will apply plan benefits. Durable medical equipment
benefits under the EUTF HMSA 90/10 PPO plan is subject to a $100 annual deductible*
and therefore $100 is applied to the HMSA deductible. Member owes $100 in addition to
any noncovered charges such as taxes.
HMSA
Medicare
Date of 90/10 Member
Claim Service Charge Part B
Service PPO Plan Owes
Payment
Payment
#4 Prosthesis 02/20/2022 $500 $400 $0* $100
*Note: Assumptions are used for illustrative purposes only since Medicare deductibles and benefits are subject to change.
10Coordination of Benefits Form
If you and your dependents are covered under multiple
health plans, this form will help us process your claims
quickly and accurately. (You can also fill this form out
by logging into members.hmsa.com)
✁
If you, your spouse, and your dependents are only covered by your HMSA plan, complete section 1.
If you, your spouse, or any of your dependents are covered by your HMSA plan and: Complete sections:
Another health insurance plan............................................................................. 1 and 2
Medicare.................................................................................................................. 1 and 3
Another health insurance plan and Medicare.................................................. 1, 2, and 3
PLEASE PRINT
Section 1 – HMSA Subscriber Information
HMSA subscriber’s name:______________________________________________ Birth date: _______________________
Employment status: Active Retired
Retirement date (if applicable): _______________________________
CUT HERE
HMSA subscriber ID: ______________________________________ _Social Security number:_ __ __ __-__ __-__ __ __ __
Phone number: (_______ )__________________________________
I certify that the information I’ve provided on this form is true and correct. I agree to inform HMSA of any changes.
HMSA subscriber’s signature:___________________________________________ Date:___________________________
Section 2 – Other Coverage Information
Policyholder’s name:__________________________________________________________________________________
Sex: Male Female
Birth date: _______________________________________________ _Social Security number:_ __ __ __-__ __-__ __ __ __
Relationship to you:___________________________________________________________________________________
✁
Other health plan’s name:______________________________________________________________________________
Policyholder identification number:_______________________________________________________________________
Other health plan’s address:____________________________________________________________________________
Phone number: (_______ )__________________________________
Employment status: Active Retired
Employer’s name:_____________________________________________________________________________________
Retirement date (If applicable): ______________________________
Type of coverage Medical Drug Dental Vision
Effective date
Cancellation date
11Please list any other dependents who are on this other plan.
1. First and last names:________________________________________________________________________________
Relationship to you:________________________________________________________________________________
2. First and last names:________________________________________________________________________________
Relationship to you:________________________________________________________________________________
3. First and last names:________________________________________________________________________________
Relationship to you:________________________________________________________________________________
4. First and last names:________________________________________________________________________________
Relationship to you:________________________________________________________________________________
5. First and last names:________________________________________________________________________________
Relationship to you:________________________________________________________________________________
6. First and last names:________________________________________________________________________________
Relationship to you:________________________________________________________________________________
7. First and last names:________________________________________________________________________________
Relationship to you:________________________________________________________________________________
8. First and last names:________________________________________________________________________________
Relationship to you:________________________________________________________________________________
Section 3 – Medicare Coverage Information
Medicare beneficiary’s name: Medicare beneficiary’s name:
_________________________________________ _________________________________________
Social Security number: __ __ __-__ __-__ __ __ __ Social Security number: __ __ __-__ __-__ __ __ __
Medicare number:___________________________ Medicare number:___________________________
Type of coverage Effective date Type of coverage Effective date
Part A (Hospital) Part A (Hospital)
Part B (Medical) Part B (Medical)
Part D (Drug) Part D (Drug)
Medicare eligibility due to: Medicare eligibility due to:
Age Age
Disability Disability
End-stage renal disease End-stage renal disease
- Initial dialysis - Initial dialysis
_ date:_________________________________ _ date:_________________________________
Please return your completed Coordination of Benefits Form to:
HMSA
MS Primacy
P.O. Box 860
Honolulu, HI 96808-0860
12ADULTS AGE 65 AND OLDER
PERSONAL SCREENING CHECKLIST
Here are preventive health screening recommendations for:
Member’s name:___________________________________________________________
Note: If you’re under 65, check hmsa.com/eutf for a personalized screening checklist. This checklist isn’t a substitute for
your doctor’s advice. Your doctor may recommend more or less frequent screenings based on your individual needs.
Recommended Screening Details
If you have hypertension (high blood pressure) or diabetes and your last
blood pressure reading was too high.
Blood pressure If you don’t have high blood pressure, every one to three years
depending on your last blood pressure reading.
Body mass index Everyone at least every two years.
If your sex at birth is female and you’re age 65 and older or if you’re a man
Bone mass density test age 70 and older, every other year to screen for osteoporosis.
If your sex at birth is female and you’re 50-74 years old, at least every
Breast cancer screening other year.
Colorectal cancer screening If you’re 50-75 years old every one to 10 years depending on the test used.
If you have diabetes:
• A blood sugar test called a hemoglobin A1c test every six months.
• A kidney disease (nephropathy) test every year.
Diabetes test • A retinal eye exam every year or every other year if there were no
problems with your last test.
If you don’t have diabetes and you’re 40 years old or older or if you’re
younger but overweight or in poor health, you should get screened for
diabetes every three years.
Your primary care provider (PCP)
We believe it’s important that you have a PCP to work with you to take care of your health.
If you have a PCP: Schedule your next appointment now.
My PCP’s name:______________________________________________________________________________
Make appointment by:________________________________________________________________________
If you don’t have a PCP:
• Visit hmsa.com and click Find a Doctor.
• If you need help, call us at at (808) 948-6499 or 1 (800) 776-4672,
Monday through Friday, 7 a.m. to 7 p.m. or Saturday, 9 a.m. to 1 p.m.
A personal screening checklist for adults age 21 to 65 is available at hmsa.com/eutf.
13Be well, be strong
With HMSA, there are many ways to take care of your health and well-being. Here are some of the benefits and
programs available to you at little or no cost. Go to hmsa.com/eutf to learn more.
This is an overview of HMSA’s well-being programs and services. Check your Guide to Benefits to confirm your plan’s specific benefits.
Lifestyle Resources Health Resources
American Specialty Health Group, Inc. (ASH Blue Cross Blue Shield Global Core gives members
Group) provides access to 20 medically necessary access to care on the Mainland and in many places
chiropractic visits per calendar year for HSTA VB around the world.
retirees when they go to an ASH Group network Caregiver resources are offered to members who are
chiropractic provider caring for a loved one.
Blue Zones Project® is a communitywide well-being MinuteClinic® are medical clinics in selected Longs
improvement initiative that helps make healthy Drugs stores on Oahu.
choices easier.
Find a Doctor on hmsa.com/eutf helps members find
Health and fitness discounts a doctor or other health care provider.
• Active&Fit Direct offers discounted fitness Hawai‘i Tobacco Quitline provides support for
center memberships and more. members who want to quit tobacco for good. Talk
• ChooseHealthy gives members discounts on to your PCP and call 1 (800) QUIT-NOW (784-8669)
health and fitness products such as apparel, to get started.
home exercise and gym equipment, smart- Health coaching is available to help members reach
watches, and more. their health goals. Call 1 (855) 329-5461 to connect
• HMSA365 is a member savings program for with an HMSA health coach.
fitness, healthy living, and well-being products HMSA’s Online Care connects members to doctors
and services. and specialists from a computer, tablet, or smartphone
Go to hmsa.com/eutf and click Member Resources from anywhere in Hawaii.
to learn more. My Account is an online portal that members can use
Island Scene is a health and well-being magazine to view their claims, details about their health plan,
for members. Read it at home or online at and more.
islandscene.com. Urgent care clinics are usually open after hours and
on the weekends. They’re recommended for treating
minor illnesses and injuries that aren’t an emergency
but can’t wait until the next day.
American Specialty Health Group, Inc. (ASH Group) is an independent company providing chiropractic, acupuncture, and/or massage therapy services on
behalf of HMSA.
Blue Zones Project® is a trademark of Blue Zones, LLC and Sharecare, Inc. All rights reserved.
14Medical Resources Preventive Care
Advance care planning is a process that documents Annual visits with a PCP
your health care wishes so that your doctors know • A physical exam is the annual health assessment
how you want to be cared for if you can’t make for all EUTF and HSTA VB retiree plan members.
decisions for yourself.
• See the personal screening checklist on page 13
Diabetes education provides information and for recommended screenings and tests for adults
resources for members living with diabetes. ages 65+.
Health and well-being support provides outreach Online health education workshops are fun, inter-
and coaching for members with chronic health active ways for members to learn about health and
conditions. well-being topics.
HMSA Behavioral Health Program provides refer-
rals to providers who can assist members with their
emotional health.
HMSA’s Care Access Assistance Program provides
financial assistance for eligible members who need
to travel for specialty care that isn’t available or isn’t
available soon enough on their home island. GET STARTED
HMSA Supportive Care helps members manage the
symptoms and stresses of serious illnesses. Interested in health management programs or advance
Ornish Lifestyle Medicine™ is a nine-week program care planning? Talk to your PCP. For health and well-
that helps eligible members reverse the effects of being discounts, go to hmsa.com/eutf and log in to
heart disease and reduce risk factors for health condi- your account.
tions like hypertension, prediabetes, diabetes, and Questions? Call us at (808) 948-6499 or 1 (800) 776-4672
early-stage prostate cancer.*
or visit us at an HMSA Center or office.
*See page 1 for upcoming changes to this benefit.
To learn more, visit hmsa.com/well-being.
15Quick reference guide for preventive
screenings
Blood pressure check Colorectal cancer screening
A blood pressure check is recommended for A colorectal cancer screening is recommended
everyone. A blood pressure plan is recommended for people ages 50 to 75. This screening looks for
for people whose most recent blood pressure test abnormal cells and polyps in the colon and rectum
was high. that could lead to cancer. Since there are different
tests, your doctor can recommend which test is
Body mass index (BMI) right for you.
BMI is a number calculated from your weight and
height. It’s an indicator of body fat and is used to Diabetes checkup: Blood sugar test
screen for excess weight that may lead to health A blood sugar test is recommended for people with
problems. diabetes. High blood sugar can lead to heart attack,
stroke, nerve damage, poor circulation, sexual
Breast cancer screening dysfunction, kidney failure, and blindness.
A mammogram is recommended for women ages
50 to 74. The test looks for abnormal cells in breast Diabetes checkup: Eye exam
tissue that could lead to cancer. A dilated retinal eye exam (which is different from
a regular eye exam) is recommended for people with
Cervical cancer screening diabetes. This exam looks for damage to the eye
These tests are recommended for women ages 21 caused by high blood sugar and high blood pressure.
to 65. There are two tests. A Pap smear looks for
abnormal changes in cells in the cervix that could Diabetes checkup: Kidney function test
lead to cancer. An HPV test looks for a virus that A kidney function test is recommended for people
causes cervical cancer. with diabetes ages 18 to 75. This test looks at your
kidneys’ ability to filter blood.
16We’re here with you
hmsa.com/eutf
Call (808) 948-6499 or 1 (800) 776-4672 Monday through Friday,
7 a.m. to 7 p.m. and Saturday, 9 a.m. to 1 p.m.
Or meet with knowledgeable, experienced health plan advisers. We’ll
answer questions about your health plan, give you general health and
well-being information, and more. Hours of operation may change.
Please go to hmsa.com/contact before your visit.
HMSA Center @ Honolulu
818 Keeaumoku St.
Monday–Friday, 8 a.m.–5 p.m. | Saturday, 9 a.m.–2 p.m.
HMSA Center @ Pearl City
Pearl City Gateway | 1132 Kuala St., Suite 400
Monday–Friday, 9 a.m.–6 p.m. | Saturday, 9 a.m.–2 p.m.
HMSA Center @ Hilo
Waiakea Center | 303A E. Makaala St.
Monday–Friday, 9 a.m.–6 p.m. | Saturday, 9 a.m.–2 p.m.
HMSA Center @ Kahului
Puunene Shopping Center | 70 Hookele St., Suite 1220
Monday–Friday, 9 a.m.–6 p.m. | Saturday, 9 a.m.–2 p.m.
Customer Relations representatives are also available
Monday through Friday, 8 a.m. to 4 p.m. at:
Lihue
4366 Kukui Grove St., Suite 103 | Phone: (808) 245-3393
myhmsa @askHMSA askhmsa
Together, we improve the lives of our members and the health of Hawaii.
Caring for our families, friends, and neighbors is our privilege.
(08) 4000-350151 9:21 JRYou can also read
