Member Documents

Important documents for AlohaCare QUEST Integration members.

 
 QUEST Integration

Click here to request hard copies of any of these materials. Hard copies are free upon request and will be provided within five business days.

Member Handbook

The Member Handbook tells you about your benefits and the programs that are available to you as an AlohaCare member.

Provider Directory

This directory is a list of network providers.

PCP Change form

This form lets you change your Primary Care Provider (PCP)

Appointment of Representative Form

This form gives permission for a person to act on your behalf to file a grievance, appeal or coverage determination for you.

Privacy Notice

This notice describes how medical information about you may be used and shared and obtained.

Protected Health Information Form

This form lets you choose who to share information with and what information to share.

Member Newsletter

Our member newsletter offers members general health advice and information about our services.

Prescription Drug Reimbursement Form

This form allows you to file a claim if you paid out of pocket for a prescription. All claims are subject to review and approval. Please remember to always show your member ID card before picking up a prescription.

Injury/Illness Form

Please complete this form if your injury or illness happened at work or as a result of an automobile accident.