My Hawaii Wellness

EUTF Supplemental Medical & Prescription Drug Plan


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 is excluded. This supplemental plan leaves participants with minimal costs for covered services and has the lowest employee share of the premium.

Quick Links

Schedule of Benefits    |     Exclusions List      |     Frequently Asked Questions     |     Submit Online Claim

Helpful EUTF Plan Documents

Plan Summary

Visit Page


Plan Year: 7/1/2020 – 6/30/21

Download Document


Plan Year: 7/1/2021 – 6/30/22

Download Document


Claim Submission Form

Submit Online Claim


Plan Year: 7/1/2020 – 6/30/2021

Download Document


Plan Year: 7/1/2021 – 6/30/2022

Download Document


Exclusions List

Visit Page  |  Download Document

Frequently Asked Questions (FAQ)

Visit Page  |  Download Document

Supplemental Plan Document


Download Document

Supplemental Benefits Flyer 


Download Document

*Authorization to Release PHI Form  


Download Document

Privacy Practices


Download Document

*Your one-time authorization allows HMA to release your protected health information (PHI), including making payments and explanation of benefits (EOB), to a person or organization that you choose.

Contact HMA

Pacific Guardian Tower
1440 Kapiolani Boulevard, Suite 1000
Honolulu, Hawaii 96814


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


Walk-in hours:

No Walk-in visits during COVID-19 due to social distancing

Oahu: 951-4643

Neighbor Islands: (866) 437-1992

Fax: (808) 951-4620