Frequently Asked Questions (FAQ)

 

EUTF Supplemental Medical & Prescription Drug Plan

 

The information contained herein is not intended to replace information contained in the contract for supplemental plan benefits. Should there be any conflict between the documents, the information in the contract shall prevail.

 

1) What are the maximum benefits allowed under the plan?

The plan year maximum benefit is $2,750 per participant, which includes a $250 sublimit maximum for prescription drugs.


2) Am I eligible to enroll in this plan if I am NOT covered by a group medical plan?

No, you must have medical coverage under a non EUTF group medical plan in order to enroll in this plan.


3) I am an EUTF retiree covered by a non EUTF medical plan, am I eligible to enroll in this plan?

No, this plan is designed for active EUTF employees only.


4) Am I eligible to enroll in this plan if I am covered by Medicare or Med-Quest?

No, participants with Medicare or Med-QUESTcoverage are not eligible to enroll in this plan.


5) Will I receive an insurance identification card to show my doctor?

No, this plan is a supplemental plan so no identification card will be issued by HMA.


6) How do I file a claim?

Complete and sign the HMA claim form and attach your primary health insurance payment report (Explanation of Benefits (EOB) or Report to Member (RTM)) or Kaiser copayment receipt or prescription drug receipt. Claim form and supporting documents can be mailed to Hawaii-Mainland Administrators, Claims Dept., P.O. Box 135005, Honolulu, Hawaii 96801-5005 or faxed to (808) 951-4620. 7) Can I file a claim online? Yes, you can securely complete your claim online at www.hma-hi.com/eutf.

Please attach your primary health insurance payment report (EOB or RTM) or Kaiser copayment receipt or prescription drug receipt.


7) Can I file a claim online?

Yes, you can securely complete your claim online by clicking here. Please attach your primary health insurance payment report (EOB or RTM) or Kaiser copayment receipt or prescription drug receipt.


8) When will I receive my reimbursement?

If your claim includes the required information and supporting documents, you should receive your reimbursement within 10 to 15 business days.


9) How does the prescription drug benefit work?

The plan will reimburse you for each copayment up to a maximum of $20 per 30-day supply. The total plan year sublimit is $250 per person and counts towards the $2,750 PlanYear Maximum Benefit.


10) Does this plan coordinate benefits with my primary group health plan?

No, this plan does not coordinate benefits with any medical plan.


11) What is the deadline for filing my claim?

The filing deadline for dates of service between July 1, 2018 and June 30, 2019 is October 28, 2019 or 120 days after your termination date, whichever is earlier.


12) Are copayments for dental, vision and chiropractic services covered?

No, these services are not covered under this supplemental plan.


13) Will HMA update address changes?

No, all address changes must be completed directly with EUTF, who in turn sends us the updated information.