Member resources

  • Welcome to the HMSA family

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  • All about HMO and PPO plans

    1:33

  • Do you have a PCP?

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There’s always something new to learn, and your membership with HMSA is no different. Whether you’re a new member or you’ve been with us for a while, we have some important information to share with you.

HMSA User’s Manual

HMSA Health Plan Guide [PDF]1

Your go-to resource for navigating your health plan. This manual has a lot of important information to help you understand HMSA, health plan basics, and health insurance in general. For complete details about your plan benefits, see your Guide to Benefits.

HMSA’s Drug Formulary List

HMSA’s Drug Formulary List2

HMSA’s formulary, or drug list, is a list of prescription medications that are covered under a health plan that provides prescription drug coverage. For complete details about your drug benefits, see your Plan Certificate.

The Basics - What you need to know

What are my benefits?

Understand your benefits 3

The Guide to Benefits has important information about your plan benefits, limitations, and exclusions. Ask someone in your human resources department if you need a copy.

What’s on your membership card?

Keep your membership card close 4

Your HMSA membership card shows what kind of coverage you have, your provider group, and more. Make sure you always have it on you to receive services.

Are you getting the most out of your health plan?

Manage your plan online 5

See your paperless reports, manage your health plan information, or request new HMSA membership cards easily through My Account5.

Will health care reform affect me?

Health care reform 6

Learn more about this complex subject and how it affects you.

What plan do I have?

Understand your plan type 4

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.

Who’s my doctor?

Find a doctor you trust 7

It’s nice to have someone who knows you and your health situation inside and out. If you don’t have a primary care provider, we can help you find one.

Where can I get care immediately?

See a provider online anytime 8

If you want to speak to a doctor now, use HMSA’s Online Care. You can talk to a physician online anytime.

Where can I get care immediately?

See what you owe for services 3

You may have to pay part of the costs for the covered services you receive. To learn more, go to your Guide to Benefits in My Account5 or Contact Us9 to talk to us directly.

Like our Facebook Page!

Stay in touch with HMSA

Like our Facebook page for information and discussions on health, well-being, health plan benefits, and more.

Forms you may need

Authorized representative form10

Designates a person or organization to act on your behalf on HMSA matters or to get specific medical information about you.

Coordination of benefits questionnaire11

To make your life easier, HMSA will coordinate with other insurance companies that provide similar services.

Other HMSA forms12


HMSA Perks

Discounts13

Being healthy is its own reward, but it’s nice to get a little something back. As a member, you can save money on local products and services such as gym memberships through Active&Fit®.

Island Scene14

HMSA’s award-winning magazine is mailed to members at no cost and offers insightful, informative articles on health, well-being, and more.

Drug Coverage

Have your prescription drugs sent to your home15

Avoid the line at the drug store and save a little cash by having your regular prescriptions mailed directly to you.

Generic drugs cost less16

There are many generic versions of brand-name drugs on the market that are often much cheaper. Ask your doctor or pharmacist if your medications are offered in a generic form.

Dental Coverage

Your HMSA dental plan17

Visit the dental website to learn about your plan benefits and our programs. A wide range of resources and tips will help you make the most of your dental plan.