hmsa quest integration

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STAY WITH HMSA QUEST INTEGRATION Thank you for choosing HMSA as your QUEST Integration plan. From Oct. 1 to 31, you’ll have the chance to review your plan and decide if you want to make any changes. If you want to stay with HMSA QUEST Integration, you don’t need to do anything and you’ll automatically keep your plan in 2022. Why stay with HMSA QUEST Integration? Choice. Choose the right doctor for you from HMSA’s large network of doctors. Convenience. Need care right away? Visit an urgent care clinic or speak to a doctor from the comfort of home with HMSA’s Online Care ® . Quality. Get the quality medical care, prescription drugs, and support you need. Discounts. Save money on health services with HMSA365 and on CVS Health Brand health- related items with CVS ExtraCare ® Health. If you have questions about your HMSA QUEST Integration plan, call (808) 948-6486 or 1 (800) 440-0640. TTY users, call 1 (877) 447-5990. Learn more at hmsa.com/QUEST or scan the QR code with your mobile device’s camera. CVS Caremark ® is an independent company providing pharmacy benefit management services on behalf of HMSA. Amwell ® is an independent company providing hosting and software services for HMSA’s Online Care platform on behalf of HMSA. HMSA QUEST Integration Enjoying Good Health Member Newsletter October 2021

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Page 1: HMSA QUEST Integration

STAY WITH HMSA QUEST INTEGRATION Thank you for choosing HMSA as your QUEST Integration plan.

From Oct. 1 to 31, you’ll have the chance to review your plan and decide if you want to make any changes. If you want to stay with HMSA QUEST Integration, you don’t need to do anything and you’ll automatically keep your plan in 2022.

Why stay with HMSA QUEST Integration?

Choice. Choose the right doctor for you from HMSA’s large network of doctors.

Convenience. Need care right away? Visit an urgent care clinic or speak to a doctor from the comfort of home with HMSA’s Online Care®.

Quality. Get the quality medical care, prescription drugs, and support you need.

Discounts. Save money on health services with HMSA365 and on CVS Health Brand health-related items with CVS ExtraCare® Health.

If you have questions about your HMSA QUEST Integration plan, call (808) 948-6486 or 1 (800) 440-0640. TTY users, call 1 (877) 447-5990.

Learn more at hmsa.com/QUEST or scan the QR code with your mobile device’s camera.

CVS Caremark® is an independent company providing pharmacy benefit management services on behalf of HMSA.

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

HMSA QUEST IntegrationEnjoying Good Health • Member Newsletter

October 2021

Page 2: HMSA QUEST Integration

MEDICAL TRAVEL DURING THE COVID-19 PANDEMICWe care about your health and well-being and will do everything we can to help you stay safe especially during the pandemic.

• Telehealth is a good option for care. You can see a health care provider online or by phone without even leaving the house. It’s safe and convenient. Ask your primary care provider (PCP) if they offer telehealth services.

• If you don’t have a PCP and want to use telehealth, you can use HMSA’s Online Care.

• If you need specialty care that isn’t available on your home island, your PCP may refer you to a specialist on another island. If this happens, your PCP will work with us to arrange your care.

Most medical offices and facilities are requiring either proof of the COVID-19 vaccination and/or COVID-19 testing within 72 hours of travel. Some require COVID-19 testing on the day of your visit. If you test positive while on another island for medical services, you won’t be able to fly back to your home island. Please be aware that there are no isolation resources available on Oahu and you’ll need to have your own contingency plan. Please check with the Hawaii Department of Health for current COVID-19 guidelines (https://health.hawaii.gov).

HMSA Akamai Advantage® is a PPO plan with a Medicare contract. Enrollment in HMSA Akamai Advantage depends on contract renewal.

HMSA AKAMAI ADVANTAGE DUAL CARE If your 65th birthday is coming up, you may qualify for HMSA Akamai Advantage® Dual Care (PPO SNP). You can start planning three months before your special day. Here are some tips:

• Enroll in Medicare Part A and Part B. Call the Social Security Administration at 1 (800) 772-1213, Monday through Friday, 7 a.m. to 7 p.m., or visit ssa.gov.

• Let Med-QUEST know about any changes to your financial situation or respond to any requests to verify your eligibility.

• To take advantage of the benefits highlighted below, we may automatically enroll you in HMSA Akamai Advantage Dual Care in the upcoming months if you’re confirmed eligible.

HMSA Akamai Advantage Dual Care coordinates your Medicare and QUEST Integration (Medicaid) benefits, so you get more benefits at no additional cost:

• $2,500 in dental services, including exams, cleanings, X-rays, fillings, and more.

• $200 every three months to spend on health and wellness products.

• Convenience of telehealth visits, including HMSA’s Online Care.

• The care you need from doctors you choose.

• Dependable, local customer service on the phone or in person.

• Support from health coordinators.

Not sure if you qualify for HMSA Akamai Advantage Dual Care?

Visit an HMSA office. Call us, our office hours are Monday through Friday, 7:45 a.m. to 4:30 p.m., but you can reach us by phone 24 hours a day.

• (808) 948-6486 • 1 (800) 440-0640 • TTY: 1 (877) 447-5990 toll-free

• Scan the QR code with your mobile device’s camera to learn more.

Page 3: HMSA QUEST Integration

IMPORTANT INFORMATION ABOUT YOUR HEALTH PLAN

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HMSA QUEST Integration • (808) 948-6486 • 1 (800) 440-0640 • TTY: 1 (877) 447-5990 • hmsa.com/quest

90-DAY MEDICATION REFILLSAs part of HMSA’s response to the COVID-19 pandemic, we’re allowing 90-day refills of maintenance medications at both retail and mail-order pharmacies. This new benefit will help you save valuable time when managing your health.

You’ll continue picking up your medication at your current pharmacy. Instead of a one-month supply, you’ll have a three-month supply plus peace of mind knowing that you’ll have less chance of running out of medication and missing a dose. You’ll also save time because you’ll be making fewer trips to the pharmacy.

Talk to your doctor and pharmacist about scheduling your 90-day refills. Then, you’ll pick up your medications only four times a year.

Please note that specialty drugs and controlled substances (e.g., oxycodone, fentanyl, hydrocodone, diazepam, zolpidem, etc.) are limited to a 30-day supply.

PREGNANT? EARN GIFT CARDS!Congratulations on your upcoming bundle of joy! If you haven’t already done so, be sure to enroll in the HMSA Pregnancy and Postpartum Support Program. At no cost, you’ll get:

• Gift cards for taking care of you and your baby during and after your pregnancy.

• Support from a maternity nurse to complement the care you get from your ob-gyn.

• Referrals to trustworthy resources and services.

• Help with your doctor’s instructions and answers to your questions about care.

• Postpartum support for six months after delivery.

• A free book on pregnancy and childbirth written by women’s health experts.

To enroll in the HMSA Pregnancy and Postpartum Support Program or if you have any questions, call 1 (855) 329-5461. TTY users, call 1 (877) 447-5990. Or visit hmsa.com/help-center/pregnancy-support.

HMSA complies with applicable federal civil rights laws. We don’t discriminate on the basis of:

• Race. • Age.• Color. • Disability.•Nationalorigin. • Sex.

ATTENTION: If don’t you speak English, language assistance services, free of charge, are available to you. Call 1 (800) 440-0640. TTY: 1 (877) 447-5990.(Ilokano, Ilocano) PAKDAAR: NoIlocano,tiusarenapagsasaoyo,addadagitiawanbayadnaaserbisyoatulongitilengguaheamabalinyongausaren. Tumawagiti1(800)440-0640awanbayadna (TTY: 1 (877) 447-5990).(繁體中文, Chinese)

Cantonese 注意:如果您講粵語,您可免費獲得語言協助服務。請致電免費電話 1 (800) 440-0640 (TTY: 1 (877) 447-5990).Mandarin 注意:如果您讲普通话,您可免费获得语言协助服务。请致电免费电话 1 (800) 440-0640 (TTY: 1 (877) 447-5990).

(한국어, Korean) 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1 (800) 440-0640 (TTY: 1 (877) 447-5990) 번으로 전화해 주십시오.(Tiếng Việt, Vietnamese) CHÚ Ý:NếubạnnóiTiếngViệt,cócácdịchvụhỗtrợngônngữmiễnphídànhchobạn.Gọisố1(800)440-0640(TTY:1(877)447-5990).(Tagalog, FilipinoTagalog) PAUNAWA: Kung nagsasalita kayo ng Tagalog, maaari kayong gumamit ng mga serbi-syong tulong sa wika nang walang bayad. Tumawag sa 1 (800) 440-0640 walang bayad (TTY: 1 (877) 447-5990).

Page 4: HMSA QUEST Integration

P.O. BOX 3520Honolulu, HI 96811-3520

PRESORTEDSTANDARD

U.S. POSTAGE PAIDHONOLULU, HIPERMIT NO. 6

TIPS FOR A LIFETIME OF GOOD HEALTH AND WELL-BEINGIN THIS ISSUE

Stay with HMSA QUEST Integration HMSA Akamai Advantage Dual Care (PPO SNP)Medical Travel During the COVID-19 Pandemic

90-day Medication Refills Pregnant? Earn Gift Cards!