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Frequently Asked Questions


AlohaCare 


  1. Who do I call to find out if I am eligible for QUEST coverage?
    1. Call MedQUEST:
                                                              Oahu               (808) 524-3370
                                                              Big Island        (808) 933-0339 (Hilo)
                   (808) 327-4970 (Kona)
                                                              Maui                (808) 243-5780
                                                              Kauai               (808) 241-3575
                                                              Molokai            (808) 553-1758
                                                              Lanai               (808) 565-7102
 
  1. Can I see my own doctor?
    1. When you become an AlohaCare member, you will be asked to choose a Primary Care Physician (PCP). You must choose a PCP within 10 days of enrollment. Your PCP will work with you to help you manage your health care needs. If you do not choose a doctor, we will assign you one. 
  1. When do I see my PCP?
    1. You should see your PCP first for all of your health care needs.
  1. When can I see a specialist?
    1. Your PCP will refer you to other doctors, specialists or hospitals. You should not schedule any appointments with other doctors, until your PCP says it is okay.
  1. Who do I call if I have more questions?
    1. AlohaCare
      Oahu: 973-1650
      Neighbor Island (toll-free): 1-800-434-1002

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ALOHACARE ADVANTAGE (HMO)


  1. What does PCP mean?
    1. PCP stands for Primary Care Provider. You must get your routine or basic care from your PCP. Your PCP will also coordinate the rest of the covered services you receive as a member of our plan.
  1. What happens if my doctor does not participate with AlohaCare Advantage?
    1. You will need to select a doctor that is a part of our network of contracted providers. Your PCP will refer you to specialists within our network. AlohaCare Advantage may not cover services you receive from an out-of-network provider.
  1. How do I find out if my drugs are covered?
    1. Look at our list of covered drugs, called the Formulary. You can see if our plan covers your medications.
  1. What pharmacies can I go to?
    1. Look at our Pharmacy Directory to see what pharmacies we contract with. AlohaCare contracts with many pharmacies so you can pick up your medication where it is convenient for you. We have 205 pharmacies in our network, which equals or exceeds CMS requirements for pharmacy access in your area.
       
  2. How does AlohaCare Advantage offer a $0 premium?
    1. We have a Medicare contract with the federal government. Medicare pays us for each of our Medicare members. In turn, we pay your doctor, hospital and pharmacy for your health care services.
  1. How can I apply for Extra Help from Medicare?
    1. You can call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or Your State Medicaid Office.
  1. Who do I call if I have more questions?
    1. Call Customer Service at 973-6395 or toll-free at 1-866-973-6395, 8 a.m. to 8 p.m., 7 days a week. TTY users should call 1-877-447-5990.
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ALOHACARE ADVANTAGE PLUS (HMO SNP)


  1. What does PCP mean?
    1. PCP stands for Primary Care Provider. You must get your routine or basic care from your PCP. Your PCP will also coordinate the rest of the covered services you receive as a member of our plan.
  1. What happens if my doctor does not participate with AlohaCare Advantage Plus?
    1. You will need to select a doctor that is a part of our network of contracted providers. Your PCP will refer you to specialists within our network. AlohaCare Advantage Plus may not cover services you receive from an out-of-network provider.
  1. How do I find out if my drugs are covered?
    1. Look at our list of covered drugs, called the Formulary. You can see if our plan covers your medications.
  1. What pharmacies can I go to?
    1. Look at our Pharmacy Directory to see what pharmacies we contract with. AlohaCare contracts with many pharmacies so you can pick up your medication where it is convenient for you. We have 205 pharmacies in our network, which equals or exceeds CMS requirements for pharmacy access in your area.
       
  2. Who do I call if I have more questions?
    1. Call Customer Service at 973-6395 or toll-free at 1-866-973-6395, 8 a.m. to 8 p.m., 7 days a week. TTY users should call 1-877-447-5990.
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