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What is the phone number for HMSA prior authorization?

Instructions. To request an organization determination for a medical service, call HMSA Customer Relations at 808-948-6000 or 1-800-660-4672 seven days a week, 8 a.m.to 8 p.m. For TTY users, call 711. Or you can submit the HMSA Pre-certification Request Form, which well use in our formal review.

What does HMSA PPO stand for?

PPO (preferred provider organization) PPO plans let you see any provider you prefer in HMSAs network of participating providers . You can also see nonparticipating providers , but they may charge more than participating providers.

How do I change my doctor at HMSA?

How do I Change my Primary Care Provider? If you need to change your HMO primary care provider (PCP), call HMSA Customer Relations at 808-948-6372 on Oahu or 1-800-776-4672 toll-free. As an HMO member, your primary care provider coordinates your medical care and will refer you to specialists when needed.

What is the meaning of HMO insurance?

A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally wont cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage.

Why would a person choose a PPO over an HMO?

PPOs Usually Win on Choice and Flexibility If flexibility and choice are important to you, a PPO plan could be the better choice. Unlike most HMO health plans, you wont likely need to select a primary care physician, and you wont usually need a referral from that physician to see a specialist.

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Whats the difference between HMSA PPO and HMO?

HMOs dont offer coverage for care from out-of-network healthcare providers. The only exception is for true medical emergencies. With a PPO, you have the flexibility to visit providers outside of your network. However, visiting an out-of-network provider will include a higher fee and a separate deductible.

How do I contact HMSA Hawaii?

Customer Service: For help or information, please call HMSA Customer Service or go to our Plan Web site at .hmsa.com. Calls to these numbers are free: Current members may call 1 (800) 776-4672. Prospective members may call 1 (800) 618-4672.

What is a PPO plan?

A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plans network.

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