Medical & Dental Coverage

AlohaCare Advantage Plus (HMO SNP) is a plan that is specifically designed to meet the special needs of individuals who are currently enrolled in Medicare and have full benefit Medicaid coverage. Some of your benefits include:

Doctor Visits
Hospital Stays
Vision Coverage
Hearing Coverage
Preventive Services
Dental Services - $2,500 per plan year
Tests, X-rays & Lab Services
Acupuncture
24-hour Nurse Advice Line
Member Service Navigators for personal care coordination
Over-the-Counter Card - $150 per quarter

Limitations, copayments and restrictions may apply. For a complete listing of benefits, see your 2022 Summary of Benefits

2023 Summary of Benefits.

American Specialty Health (Acupuncture & Therapeutic Massage)

Acupuncture and Massage therapy services for AlohaCare Advantage Plus (Medi-Medi) Plan members are administered through American Specialty Health, Inc. (ASH)

Acupuncture Benefit provides coverage for the following:
- Up to 15 visits for acupuncture every year.
- $1,000 plan coverage limit for acupuncture every year.
Therapeutic Massage benefit provides coverage up to 12 visits. 20% coinsurance applies to every visit.

ASH Group Customer Service: 800.678.9133

Monday - Friday, 3:00 a.m. to 6:00 p.m. & Saturday, 10:00 a.m. to 6:00 p.m. Hawaii Standard Time

AlohaCare Advantage Plus / ASH Provider Roster. By clicking on this link, you will be leaving the AlohaCare website.

Dental Coverage

Dental services for AlohaCare Advantage Plus (HMO SNP) plan members are administered through Hawaii Dental Service (HDS).

Phone: 808-529-9248
Toll-free: 1-844-379-4325
Hours: Monday - Friday, 7:30 a.m. - 4:30 p.m.
Email: CS@HawaiiDentalService.com
Website: www.hawaiidentalservice.com

By clicking the links, you will be leaving the AlohaCare website.

Over-The-Counter Card

Starting in January 2023, AlohaCare's Medicare Advantage Plus (HMO SNP) will give you a $50 prepaid debit card every month.

AlohaCare Advantage Plus offers members a $150 pre-paid card per quarter to purchase over-the-counter (OTC) eligible items. You can use this card to purchase many common items at local pharmacies, including Walgreens and Longs CVS, without having to submit a receipt.

World-Wide Benefit Reimbursement

AlohaCare Advantage Plus has a limited annual benefit that covers emergency services you may need while traveling outside of the U.S.

World-Wide Benefit Reimbursement Form

Quality Improvement and Utilization Management

The purpose of this program is to ensure the continuous evaluation and improvement of processes associated with the quality of mental health and addictions care received by our members. It also includes the retrospective monitoring and problem solving associated with the care and service delivered. The program explanation, annual evaluation and Utilization Management decision-making criteria are available to all members and contracted providers.

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