As the needs of our members change over time, HMSA offers a variety of
health plans to accommodate the wide range of their circumstances, financial
resources, and health care needs.
Last year, HMSA health plans provided access to health care, service and support
for 690,000 people. The greatest number of HMSA members comes from our employer
groups. In 2009, 15,600 employer groups provided coverage for 527,500 members. More
than 398,500 employees were in one of HMSA’s free choice plans and 131,100
were in HMO plans.
In 2009, 55,000 members were covered by an HMSA plan for people who were not eligible
for coverage through employer group plans. Last year, HMSA individual plans provided
coverage for 36,500 senior citizens, 2,700 students, 2,400 children, and 13,400
self-employed members.
In our 15th year of participation in the statewide Hawaii QUEST program, a managed
care program for Medicaid beneficiaries, 106,400 HMSA members were covered under
The HMSA Plan for QUEST Members.
Most of our members also receive supplemental benefits through HMSA health plan
riders. In 2009, 511,700 members were enrolled in a prescription drug rider, 411,300
in a vision rider, 73,500 in a chiropractic rider, and 4,400 in a complementary
care rider for alternative health services. In addition, more than 200,000 members
received dental coverage through our preferred provider dental plan and HMO dental
network.
HMSA also contracts with self-insured employer groups to process claims. Through
these arrangements, HMSA paid 2.9 million claims in 2009, totaling $425 million
in benefits for 158,800 members.
