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Frequently Asked Questions


AlohaCare QUEST


How do I apply for the QUEST program?
Call Med-QUEST: 
     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
 

How can I choose my doctor?
AlohaCare has a large network of doctors on each island. You can choose your Primary Care Provider (PCP) and other doctors from our network.  


When do I see my PCP?
You should see your PCP first for all of your health care needs.


When can I see a specialist?
Your PCP will refer you to other doctors. You should not schedule any appointments with other doctors until your PCP says it is OK. 
 

Will I have to pay for my medical services covered under QUEST?
You do not have to pay for your medical services. Be sure to review you QUEST benefits to make sure your services are covered. 
 

Are the QUEST benefits the same for each health plan?
Med-QUEST contracts with AlohaCare to provide your QUEST coverage. Your QUEST benefits are the same regardless of which health plan you are with.


Who do I call if I have more questions?
AlohaCare
Oahu: 973-0712
Neighbor Island/Oahu (toll-free): 1-877-973-0712  
TTY users: 1-877-447-5990
info@alohacare.org

ALOHACARE ADVANTAGE (HMO)


What does PCP mean?
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.

What happens if my doctor does not participate with AlohaCare Advantage?
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.

How do I find out if my drugs are covered?
Look at our list of covered drugs, called the Formulary. You can see if our plan covers your medications.

What pharmacies can I go to?
Look at our Provider & 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 197 pharmacies in our network, which equals or exceeds CMS requirements for pharmacy access in your area.
 
How does AlohaCare Advantage offer a $0 premium?
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.

How can I apply for Extra Help from Medicare?
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.

Who do I call if I have more questions?
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.

H5969_400614_1 CMS Approved 02122014

ALOHACARE ADVANTAGE PLUS (HMO SNP)


What does PCP mean?
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.

What happens if my doctor does not participate with AlohaCare Advantage Plus?
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.

How do I find out if my drugs are covered?
Look at our list of covered drugs, called the Formulary. You can see if our plan covers your medications.

What pharmacies can I go to? 
Look at our Provider & 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 197 pharmacies in our network, which equals or exceeds CMS requirements for pharmacy access in your area.
 
Who do I call if I have more questions?
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.
H5969_400614_1 CMS Approved 02122014