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HMSA

HMSA

CrossCountry Mortgage offers medical coverage for Hawaii Employees through HMSA.

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HMSA Network Providers
Calendar Year Deductible:
Single/Family
$0 / $0
Medical Maximum Out of Pocket Limit:
Single/Family
$2,500 / $7,500
Pharmacy Maximum Out of Pocket Limit:
Single/Family
$3,600 / $4,200
PCP Office Visit $14 copay
Specialist Office Visit $14 copay
Urgent Care Visit $14 copay
Emergency Room 20% coinsurance
Inpatient Services 20% coinsurance
Outpatient Services 20% coinsurance
Prescription Drugs:

Retail Prescription Drugs

(30 day supply)

Generic $7 copay
Preferred $30 copay
Non-Preferred $30 copay
Preferred Specialty $100 copay
Non-Preferred Specialty $200 copay

Mail Order

(90-day supply)

Generic $11 copay
Preferred $65 copay
Non-Preferred $65 copay

Employee Cost Per Pay:

  HMSA Bi-Weekly Rates
Employee Only $33.60
Employee + 1 $347.00
Family $487.00