HMSA QUEST Integration

We’re here with you.

Choose HMSA QUEST Integration today.

Annual Plan Change ends Oct. 31.

Learn more

Get More with HMSA QUEST Integration

Access exclusive extras to help you improve your health and well-being.

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Get inspired. You’ll get our member magazine, Island Scene, which is filled with articles on health, fitness, family, and member news. Visit islandscene.com for videos and more.

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Get healthy. HMSA’s health education workshops are now available online, so grab a friend and join us.

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Get savings. Save money on fitness classes, vision and hearing services, and acupuncture and massage with HMSA365 discounts. And get a 20% discount on thousands of CVS/pharmacy Brand health-related items with the ExtraCare® Health Card at Longs Drugs.

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UPDATE!

  • Med-QUEST has ended the pause on terminations and restarted the renewals process as of December 2023.
  • Please be on the lookout for your pink letter in the mail and if asked, complete the form and return the letter.
  • For details on when you might receive your letter, visit medquest.hawaii.gov [PDF].
  • For questions about your QUEST eligibility, please contact Med-QUEST at 1-800-316-8005. For all other questions, please contact HMSA at 1-808-948-6486.

When you choose HMSA QUEST Integration, you get:

  • Choice. Choose the right doctor for you from HMSA’s large network.
  • Convenience. Need care right away? Visit an urgent care clinic or talk to a doctor from home with HMSA's Online Care®.
  • Quality. Get quality medical care, drugs, and support.
  • Discounts. Save money on health-related products and services with HMSA365.

Apply for QUEST Integration

The Hawaii Department of Human Services Med-QUEST Division decides who’s eligible to enroll in QUEST Integration.

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Am I eligible?

Find out if you and your family qualify.

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What do I need to apply?

Med-QUEST needs information about you to process your application.

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Apply now.

To apply, create a user account and submit your application. If you’re eligible, you’ll receive a packet in the mail. Be sure to choose HMSA and return the form by the date indicated.

We Can Help

We’re here to help whenever you need us. Call us any time, any day, even holidays, if you have questions or need help getting care. We’ll even provide translation at no cost if you don’t speak English.

Call us:

808-948-6486

1-800-440-0640 toll-free
1-877-447-5990 TDD/TTY

Non-discrimination Notice

HMSA follows federal civil rights laws. We don’t discriminate, exclude or treat people differently because of race, color, national origin, age, disability, or sex.

Member resources

Members can contact us to request printed copies of any document on the HMSA QUEST Integration page at no cost.

Member Handbook

Learn more about your health plan and how to use it.

Medications by Mail [PDF]

Save yourself a trip to the pharmacy. Sign up to get your prescription medications mailed to your home at no cost.

EyeMed Vision Provider Directories [PDF]

Search for doctors and eyewear suppliers.

Newsletter

Live well with our health tips, plan information, recipes, and more.

November 2023 [PDF] | September 2023 [PDF] | June 2023 [PDF] | February 2023 [PDF]

Advanced Care Planning

It's important to plan for a time when you cannot make your own medical decisions.

The following links offer valuable information on advanced care planning.

National Institute on Aging
Kokua Mau
Hawaii-specific laws

Find a Doctor

Choose from more than 3,000 of Hawaii’s top doctors, hospitals, urgent care clinics, and other health care providers close to where you live and work.

Find your doctor

Or use these provider directories:
Participating Provider Directory [PDF]
Long-Term Services and Supports [PDF]


Stay Safe with Telehealth

Get care from the comfort, privacy, and safety of home.

What's telehealth?
Learn more.

Download brochure

English [PDF]
Chinese [PDF]
Ilocano [PDF]
Tagalog [PDF]
Korean [PDF]
Vietnamese [PDF]

My Account

Manage your health plan online. From the coolvcd918.net homepage, click Member Login.

Prior approval

Find out if your plan will pay for medical services you need.

Questions?

Email us here.

Report to Member

View your doctor visits, medications, and other health care services.

Register Login

Grievances & Appeals

Know about what to do when you aren’t happy with our response to your questions. Or when you don’t agree with the decision we made on a service you asked for. Go to Grievances and Appeals or take a look at your member handbook for more information.

General Questions

What’s QUEST Integration?

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The State of Hawaii Med-QUEST Division provides health care benefits through managed care plans for adults and children who meet low-income guidelines.

  • Quality care
  • Universal access
  • Efficient utilization
  • Stabilizing costs
  • Transform the way health care is provided to recipients.

Am I eligible for QUEST Integration?

To see if you and your family qualify:

What information do I need to apply for QUEST Integration?

Med-QUEST needs the following information to process your application:

  • Legal name
  • Date of birth
  • Resident address (if homeless, indicate general vicinity and ZIP code)
  • Mailing address (if there’s no resident address, you need an address where you can get mail)
  • Social Security number
  • Citizenship and alien status
  • Tax filing status (whether you intend to file a tax return and, if yes, whether the tax return will be joint and the number of dependents)
  • Pregnancy status and expected date of delivery
  • Income
  • Any insurance or other coverage

For more information, visit mybenefits.hawaii.gov/required-information-to-complete-an-application/.

How do I apply for QUEST Integration?

Visit medical.mybenefits.hawaii.gov/register.html and create a user account. If you’re eligible, you’ll receive a packet in the mail. Be sure to choose HMSA and return the form by the date indicated.

Frequently Asked Questions

Why should I choose HMSA QUEST Integration?

HMSA QUEST Integration offers:

  • Choice. Choose the right doctor for you from HMSA’s large network.
  • 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 medical care, prescription drug benefits, and support.
  • Discounts. Save money on health-related products and services with HMSA365.

Where can I get help or more information about HMSA QUEST Integration?

We’re here to help you 24 hours a day, seven days a week.

How do I get help for issues related to access to care, quality of care, and limitation to care?

  • The Hawaii Department of Human Services has a Medicaid Ombudsman to help you with those issues. The ombudsman can also help you understand how the managed care system works and guide you through the grievance and appeal system.
  • Call 808-746-3324 or 1-888-488-7988 toll-free.
  • If you’re hearing impaired, use TTY 711.

What’s the HMSA QUEST Integration Member Handbook?

Your handbook has important information about your HMSA QUEST Integration health plan such as:

  • The role of your primary care provider.
  • Grievance and appeal procedures.
  • Your rights and responsibilities.
  • Advance directives.
  • Health care services for children.

Please read your handbook as soon as possible.

How can I see my HMSA QUEST Integration Member Handbook?

Access your current handbook and choose a language.

If you’d like a printed copy of the HMSA QUEST Integration Member Handbook , call 808-948-6486 or 1-800-440-0640 toll-free. For TTY, call 1-877-447-5990 toll-free.

How do I find a doctor?

There are two easy ways to find a doctor:

  1. Use Find a Doctor on coolvcd918.net. Start your search based on a location, specialty , health issue, or languages spoken.
  2. Browse the Participating Provider Directory

Where can I find a directory of HMSA eye doctors?

Can I manage my HMSA QUEST Integration account online?

Yes! It’s easy and convenient to manage your health plan online with My Account. Once you sign up on coolvcd918.net, you can:

  • Manage your prescriptions.
  • Print a duplicate HMSA membership card
  • See well-being programs available.
  • Change your email preferences or password.
  • Use HMSA’s Online Care to see a doctor online.
  • Find out if your plan will pay for medical services you need
  • View your Report to Member that lists doctor visits, medications, and more.

How do I register or log in to My Account?

Go to coolvcd918.net and click Member Login.

  • If you’re registering, click Register. Choose Create an account and follow the instructions.
  • If you’re already registered, enter the email you used to create your account, enter your password, and follow the instructions.

How can I get my medications by mail?

You’ll need to sign up to get your prescription medications mailed to your home at no cost. See the instructions [PDF].

Where can I learn about advanced care planning?

Here are some excellent resources:

How can I learn more about telehealth?

You can get care from the comfort, privacy, and safety of home with telehealth with HMSA’s Online Care. Get more information or sign up.

Where can I read the HMSA QUEST Integration newsletter?

You should receive the newsletter in the mail or you can read the current and past issues on the HMSA QUEST Integration webpage.

How can I update my contact information with Med-QUEST?

How can I learn more about my dental benefits?

Effective Jan. 1, 2023, Med-QUEST provides dental benefits for members over 21 years old.

Our partner organization, Community Case Management Corporation, can help you get dental care. Call them at 808-792-1070 or 1-888-792-1070 toll-free.

Who we work with for your care

Sometimes providing you with access to the best care means working with other organizations. You may hear from:

Avalon Healthcare Solutions – Genetic testing services
Carelon Behavioral HealthSM – Case management and behavioral health care
Our pharmacy benefit manager – Prescription drugs
Magellan HealthSM – Prior authorization services
National Imaging Associates – Radiology services such as CT scans or MRIs
EyeMed Vision Care - Routine vision services