Open Season Member Booklet
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We’re here with you Federal plan 2021 For the good times. For the tough times. For lifetimes. Things look a little different now, but HMSA is here with you. We know your health is more important than ever and that means understanding your Federal Plan benefits. We’re proud to offer plans that give you: • The freedom to choose from thousands of high-quality doctors and health care providers. • Convenient care options that go beyond the doctor’s office and emergency room. See a doctor from the comfort and safety of home with telehealth. • Care on the Mainland and many locations worldwide if you need to travel. • A variety of health and fitness discounts from HMSA365. Save on services and products from popular health and fitness brands through the ChooseHealthy® program. This year, open season is Nov. 9 to Dec. 14, 2020. If you’re happy with your health plan, you don’t need to do anything. Your HMSA health plan will continue in 2021. If you’re not an HMSA member, this is your opportunity to enroll and see why more than 70% of federal employees choose HMSA. In the following pages, you’ll find information about the benefits and services you’ll have access to as an HMSA member. Please read on to learn more. If you have questions, we’re happy to help. See the back cover for ways to contact us. Thank you for learning more about HMSA. You can count on us to be with you every step of the way. Mahalo, Mark M. Mugiishi, M.D., F.A.C.S. President and Chief Executive Officer The ChooseHealthy program is provided by ChooseHealthy, Inc., a subsidiary of American Specialty Health, Incorporated (ASH), a national provider of fitness, health education, musculoskeletal provider networks, and health management programs. ChooseHealthy and the ChooseHealthy logo are trademarks of ASH and used with permission herein. 2 Top-rated hospitals and clinics With HMSA, you’ll have access to top-rated hospitals that have been recognized for excel- lence in specialty care: • Adventist Health Castle. • Kapi‘olani Medical Center for Women & Children. • The Queen’s Medical Center. • Straub Medical Center. HMSA is part of the Blue Cross and Blue Shield Association, which recognizes these Hawaii hospitals for expertise in delivering quality and cost-effective specialty care: • Adventist Health Castle for bariatric surgery. • Adventist Health Castle, Pali Momi Medical Center, and Straub Medical Center for knee and hip replacement. • Kapi‘olani Medical Center for Women & Children and Wilcox Medical Center for maternity care. • The Queen’s Medical Center for spine surgery. • Straub Medical Center for cardiac care. We’re proud to work with these health care providers to offer you quality care: 3 Get the care you need How to find a provider • Go to an urgent care provider if you have a health concern that isn’t an emergency but Did you know that choosing a primary care needs attention sooner than you can see provider (PCP) is an investment in your health? your doctor. It’s one of the best ways to stay healthy, get the care you need, and make the most of your plan. • Go to the emergency room if you need Your PCP is at the center of your care and can immediate care in a hospital setting or you’re help you stay on top of your health. To find one, experiencing a life-threatening emergency. go to hmsa.com/federalplan to use the Find a How to use telehealth Doctor tool. Just remember to choose the plan you have before starting your search. Need to see your doctor but rather not leave the house? Try telehealth. Get after-hours care Talk to a doctor 24 hours a day, seven days a week • See your PCP for routine and preventive care from the comfort and safety of your home. Use that isn’t an emergency. telehealth to connect with a therapist or coun- • Use telehealth to connect with doctors and selor. Or see a doctor for common conditions like specialists online. There’s no copayment to headaches, colds, or the flu and manage chronic use HMSA’s Online Care® to talk to a doctor conditions like allergies and diabetes. from anywhere in Hawaii, 24 hours a day, seven Talk to your doctor about what telehealth options days a week. are available to you. There may be a copayment • See a doctor or nurse practitioner at CVS/ for some services. Another option for telehealth minuteclinic®, the medical clinic in selected is Online Care which is available at no cost. All Longs Drugs stores on Oahu. To find a CVS/ you need is a computer, smartphone, or tablet minuteclinic, use the Find a Doctor search on connected to the internet to sign up. Search for hmsa.com/federalplan. Online Care in the App Store or Google Play. Or sign up at hmsaonlinecare.com. Amwell® is an independent company providing hosting and software services for HMSA’s Online Care platform on behalf of HMSA. 4 Urgent Care at Poipu All Access Ortho Queen’s Island Urgent Care Participating 2829 Ala Kalani Kaumaka St. 4850 Kapolei Pkwy., Bldg. F 1215 Hunakai St. Suite B-201 Kapolei Ph. 356-5699 Honolulu Ph. 735-0007 Urgent Care Koloa Ph. 742-0999 Monday–Friday: 8 a.m–8 p.m. Opening soon Monday–Friday: 8:30 a.m.–7 p.m. Saturday–Sunday: 9 a.m.–5 p.m. Saturday–Sunday: Straub Medical Center-Kahala Clinics 8 a.m.–4:30 p.m. All Access Ortho Clinic & Urgent Care 95-1830 Meheula Parkway, 4210 Waialae Ave., Ste 501 Maui Suite C10-11 Honolulu Ph. 462-5300 Doctors on Call Mililani Ph. 356-5699 Daily: 10 a.m.–8 p.m. Hawaii Island 3350 Lower Honoapiilani Road, Monday–Friday: 8 a.m–8 p.m. Straub Medical Center–Kapolei Hilo Urgent Care Center Suite 211 Saturday–Sunday: 9 a.m.–5 p.m. Clinic & Urgent Care 670 Kekuanaoa St. Lahaina Ph. 667-7676 Braun Urgent Care Kailua 91-5431 Kapolei Pkwy., Suite 1706 Hilo Ph. 969-3051 Daily: 8 a.m.–9 p.m. Monday–Friday: 130 Kailua Road, Suite 111 Kapolei Ph. 426-9300 8:30 a.m.–8:30 p.m. Doctors on Call Kailua Ph. 261-4411 Daily: 10 a.m–8 p.m. Saturday–Sunday: 3750 Wailea Alanui Dr., Ste B34 Daily: 8 a.m–8 p.m. Straub Medical Center– 8:30 a.m.–4:30 p.m. Wailea Ph. 667-7676 Doctors of Waikiki Doctors on Call–Sheraton Opening Soon Hilo Urgent Care Center 120 Kaiulani Ave., Wing 10 & 11 Waikiki 16-590 Old Volcano Road Kihei-Wailea Medical Center Honolulu Ph. 922-2112 2255 Kalakaua Ave., Manor Wing Keaau Ph. 966-7942 221 Piikea Ave., Suite A Daily: 8 a.m–midnight Shop No. 1 Monday–Friday: Kihei Ph. 874-8100 Honolulu Ph. 971-6000 Empower Health 8:30 a.m.–6:30 p.m. Monday–Friday: 8 a.m–8 p.m. Daily: 7 a.m–11 p.m. 91-6390 Kapolei Parkway Saturday–Sunday: Saturday–Sunday: 8 a.m.–5 p.m. Ewa Beach Ph. 691-8200 Straub Medical Center–Ward 8:30 a.m.–4:30 p.m. Minit Medical Urgent Care Clinic Daily: 8 a.m.–8 p.m. Village Clinic & Urgent Care Transformation Health Network 270 Dairy Road, Suite 239 1001 Queen St., Suite 102 Kalihi Kai Urgent Care 75-5995 Kuakini Highway, Kahului Ph. 667-6161 Honolulu Ph. 462-5200 2070 N. King St., Ste A1 Suite 213 Monday–Friday: 8 a.m.–7 p.m. Daily: 10 a.m.–8 p.m. Honolulu Ph. 841-2273 Kailua-Kona Ph. 365-2297 Saturday: 8 a.m.–6 p.m. Monday–Friday: 9 a.m–6 p.m. US Med Urgent Care Monday–Friday: 11:30 a.m.–9 p.m. Sunday: 8 a.m.–4 p.m. Saturday–Sunday: 9 a.m.–1 p.m. 1860 Ala Moana Blvd., Suite 101 Saturday–Sunday: 1–9 p.m. Minit Medical Urgent Care Clinic Honolulu Ph. 921-2273 Kunia Urgent Care Waimea Urgent Care 1325 S. Kihei Road, Suite 103 Monday–Friday: 8 a.m.–2 p.m. 94-673 Kupuohi St., Suite C201 65-1230 Mamalahoa Highway, Kihei Ph. 667-6161 Saturday–Sunday: Closed Waipahu Ph. 983-9175 Suite A10 Monday–Friday: 8 a.m.–7 p.m. Daily: 8:30 a.m.–9 p.m. US Med Urgent Care Kamuela Ph. 885-0660 Saturday: 8 a.m.–6 p.m. 660 Kailua Road Monday–Friday: 8:30 a.m.–7 p.m. Sunday: 8 a.m.–4 p.m. Queen’s Island Urgent Care Kailua Ph. 263-2273 Saturday–Sunday: 8 a.m.–4 p.m. 98-199 Kamehameha Hwy., Minit Medical Urgent Care Clinic Monday–Friday: 8 a.m.–7 p.m. Suite F 305 Keawe St., Suite 507 Saturday–Sunday: 9 a.m.–5 p.m. Kauai Aiea Ph. 735-0007 Lahaina Ph. 667-6161 Kauai Community Health Monday–Friday: 8 a.m.–8 p.m. US Med Urgent Care Monday–Saturday: 8 a.m.–6 p.m. Alliance Saturday–Sunday: 8 a.m.–5 p.m. 890 Kamokila Blvd., Suite 106 Sunday: 8 a.m.–4 p.m. 2460 Oka St., Suite 101A Kapolei Ph. 521-2273 Kilauea Ph. 828-2885 Queen’s Island Urgent Care The Maui Medical Group Inc. Monday–Friday: 7 a.m.–7 p.m. Monday–Friday: 8 a.m–7 p.m. 400 Keawe St. 2180 Main St. Saturday–Sunday: 8 a.m.–6 p.m. Saturday–Sunday: 9 a.m.–5 p.m.