EUTF Supplemental Medical & Prescription Drug Plan

 

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Welcome to the online EUTF Supplemental Medical & Prescription Drug Plan Resource Page

This EUTF Supplemental Plan is available for active employees that have medical coverage under a separate non EUTF sponsored plan. Retirees, HSTA VB members, Medicare and Med-QUEST participants are not eligible for this supplemental plan.

This low-cost plan reimburses participants for eligible out-of-pocket costs that arise from your primary medical and Rx drug plans, such as copayments and coinsurances however reimbursement of deductibles are excluded. This supplemental plan leaves participants with minimal costs for covered services and has the lowest employee share of the premium.

 

Schedule of Benefits       |       Exclusions List        |       Frequently Asked Questions

 


 

Helpful EUTF Plan Documents

Plan Summary

Plan Year : 7/1/2018 – 6/30/19

Visit Page  |  Download Document

Exclusions List

Plan Year : 7/1/2018 – 6/30/19

Visit Page  |  Download Document

FAQ

Frequently Asked Questions

Visit Page  |  Download Document

Claim Form

Includes requirements and submission instructions

Coming Soon

Supplemental Plan Presentation

    

Coming Soon

Supplemental Benefits Flyer 

    

Download Document

PHI Release Form  

Personal Health Information Authorization

Download Document

Privacy Practices

    

Download Document

 


 

Contact HMA

 

Pacific Guardian Tower (Corner of Kapiolani Blvd. & Ke’eaumoku St.)
1440 Kapiolani Boulevard , Suite 1020
Honolulu, Hawaii 96814

Hours
Monday – Friday 7:30 a.m. – 7 p.m. (HST)
Saturday 9:00 a.m. – 1:00 p.m. (HST)

Walk-in hours:
Monday – Friday 7:30am – 5:00pm (HST)

Oahu: 951-4643

Neighbor Islands: (866) 437-1992

Fax: (808) 951-4620

Web: www.hma-hi.com/eutf