PDF 2020 Provider Directory - Hawaii Medical Service Association

2020 Provider Directory

HMSA Akamai Advantage PPO and PPO SNP

This directory is current as of January 4, 2020.

This directory provides a list of HMSA Akamai Advantage? network providers and pharmacies. This directory is for the state of Hawaii.

To access HMSA Akamai Advantage's online provider directory, you can visit . For any questions about the information contained in this directory (hardcopy or online), please call our Customer Relations department at 1 (800) 660-4672 toll-free. TTY users, call 711.

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Table of Contents

Section 1 Introduction .......................................................................................................1 What is the service area for HMSA Akamai Advantage?..............................................................2 How do you find HMSA Akamai Advantage providers that serve your area? ..............................3

Section 2 Index...................................................................................................................4

Section 2 Index...................................................................................................................4 An alphabetical index of all network providers (physicians, hospitals, facilities, and pharmacies) in sections 3 & 4 of this directory

Section 3 HMSA Akamai Advantage Network Providers..............................................34 Contracting providers are listed by island. Primary care providers are listed first, organized by specialty, then alphabetically by last name. Specialists are listed second, organized by specialty, then alphabetically by last name. Other Health Care Professionals are listed third, organized by specialty, then alphabetically by last name.

Hawaii..........................................................................................................................................35 Primary Care Providers...........................................................................................................35 Specialists...............................................................................................................................47 Other Healthcare Professionals...............................................................................................64

Kauai...........................................................................................................................................67 Primary Care Providers...........................................................................................................67 Specialists...............................................................................................................................71 Other Healthcare Professionals...............................................................................................79

Lanai............................................................................................................................................81 Primary Care Providers...........................................................................................................81 Specialists...............................................................................................................................82

Maui.............................................................................................................................................82 Primary Care Providers...........................................................................................................82 Specialists...............................................................................................................................88 Other Healthcare Professionals.............................................................................................102

Molokai......................................................................................................................................105 Primary Care Providers.........................................................................................................105 Specialists.............................................................................................................................106 Other Healthcare Professionals.............................................................................................108

Oahu..........................................................................................................................................108 Primary Care Providers.........................................................................................................108 Specialists.............................................................................................................................149

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Table of Contents (continued)

Other Healthcare Professionals.............................................................................................257 Section 4 Other Health Care Providers, Facilities, and Services...............................279

Hawaii........................................................................................................................................280 Kauai.........................................................................................................................................300 Lanai..........................................................................................................................................307 Maui...........................................................................................................................................308 Molokai......................................................................................................................................321 Oahu..........................................................................................................................................323 Section 5 Network Pharmacies.....................................................................................416 Mail-order pharmacy.................................................................................................................417 Pharmacies are listed by island, alphabetically, within the following categories: Home I.V. Therapy Pharmacy, Long-Term Care Pharmacy, Retail Pharmacy, and Specialty Pharmacy. Hawaii........................................................................................................................................418 Kauai.........................................................................................................................................418 Lanai..........................................................................................................................................419 Maui...........................................................................................................................................419 Oahu..........................................................................................................................................420 Languages Spoken Codes..............................................................................................424 A list of languages spoken codes used in Sections 3 & 4 Provider Board Certification Codes...............................................................................425 A list of board certification codes used in Sections 3 & 4 Provider Hospital Affiliation Codes................................................................................429 A list of hospital affiliation codes used in Sections 3 & 4 Important Information About Your Health Plan............................................................430

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Section 1 Introduction

This directory provides a list of HMSA Akamai Advantage network providers and pharmacies effective January 1, 2020. To get detailed information about your health care coverage, please see your Evidence of Coverage. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and the HMSA Akamai Advantage's formulary.

Network Providers

As of January 4, 2020, our network includes 4777 practitioners, 162 facilities and 213 pharmacy locations. You may choose one of our network providers who are listed in this directory to be your primary care provider (PCP). The term "PCP" will be used throughout this directory. Generally, you must get your health care services from your PCP. Your PCP is a health care professional who meets state requirements and is trained to give you basic medical care. Your PCP will also coordinate the rest of the covered services you get as an HMSA Akamai Advantage member. Although as an HMSA Akamai Advantage member a referral is not required to see a specialist, you should ask your PCP to refer you to an HMSA Akamai Advantage network provider. If an HMSA Akamai Advantage network provider is not available, your PCP may refer you to an out-of-network provider.

PCPs are listed in Section 3 of this directory and at our website, . You should contact our Customer Relations department for help in choosing or changing your PCP. Their telephone numbers are listed on the front cover of this booklet.

The network providers listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers. However, your out-of-pocket expenses may cost more. In most

cases, your health care coverage is covered under HMSA Akamai Advantage.

If you're a member of HMSA Akamai Advantage Dual Care, your health care coverage is covered under both Medicare and Medicaid. In this directory, each of the providers and facilities that participate in both Medicare and QUEST Integration are marked with a "" sign. This sign lets you know that when you use this provider or facility, your costs will be covered. You may go to other in-network or out-of-network providers, but may incur additional out-of-pocket expenses. To get detailed information about your HMSA Akamai Advantage Dual Care health care coverage, please see your Evidence of Coverage.

Network Pharmacies

This booklet provides a list of HMSA Akamai Advantage's network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and HMSA Akamai Advantage's formulary.

We call the pharmacies on this list our "network pharmacies" because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under HMSA Akamai Advantage only if they are filled at a network pharmacy or through our mail-order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage.

All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network or there may be newer pharmacies in our network that are not listed. This list is current as of January 4, 2020. For the most current

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