Orlando Harmon
HMA, or Healthcare Management Administrators, is a service that provides healthcare plans for employers. HMA is not health insurance, but rather a service-oriented partner that employers can trust to protect their employees and their health plan dollars. HMA offers cost-effective, flexible, and customized solutions that help meet the specific needs of the companies they serve. They provide members with an HMA member ID card, which can be used to quickly check if a doctor is in-network. Members can also access Explanation of Benefits (EOB) documents, which explain how their health plan benefits were applied to a particular claim.
| Characteristics | Values |
|---|---|
| Type of Insurance | Health Insurance |
| Coverage | Medical, Dental, Vision |
| Annual Cap for Cosmetic Fillers | $3,000 |
| Contact | 1-800-869-7093 |
| Customer Care Timings | Monday through Friday, 5:00 AM – 6:00 PM PT |
| Mailing Address | P.O. Box 85008 Bellevue WA 98015 |
| Fax | 1-866-458-5488 |
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What You'll Learn
HMA is not health insurance
HMA, or Healthcare Management Administrators, is not health insurance. Instead, HMA is a service that designs and delivers high-quality, innovative, and affordable health plans for self-funded employers. They are a service-oriented partner that employers trust to protect their employees and their health plan investments. HMA has over 35 years of industry experience, and their team of experts helps employers improve their bottom line.
HMA provides cost-effective, flexible, and customized solutions that help meet the specific needs of each company they serve. They are connected to the best provider network in the Pacific Northwest, ensuring coverage and care that employees can rely on. HMA offers programs and resources that go beyond cost-saving plans to help members live better and healthier lives.
As an HMA member, individuals can access their member ID card, find in-network care, and review their health plan benefits online. They can also submit claims for out-of-network medical, dental, or vision services and receive reimbursement if the service is covered under their HMA health plan. It's important to note that Explanation of Benefits (EOB) documents are not bills but rather explanations of how health plan benefits were applied to a specific claim.
While HMA facilitates healthcare plans and services, it is not itself health insurance. HMA works with employers to create and manage healthcare plans, and individuals can then enrol in these plans through their employers. This distinction is important because it means that HMA does not directly provide insurance coverage but rather helps facilitate and administer the process.
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HMA health plans for self-funded employers
HMA, or Healthcare Management Administrators, is a service-oriented partner that provides health plans for self-funded employers. With over 35 years of industry experience, HMA helps employers protect their employees and their health plan dollars. Their health plans are designed to be flexible and affordable, offering cost-effective benefits centred on savings, member satisfaction, and people-first care.
HMA's health plans cover a range of medical, dental, and vision services. Members can quickly check if their doctor is in-network by using the public provider search on the HMA website. If a member chooses to see an out-of-network provider, they may be asked to pay the bill upfront. However, if the procedure or service is covered under their HMA health plan, they can receive reimbursement at the out-of-network rate.
Explanation of Benefits (EOBs) are generated each time HMA processes a claim submitted by a member or their healthcare provider. EOBs are not bills but rather documents that explain how a member's health plan benefits were applied to a particular claim. Paper copies of EOBs are created every 21 days, and members can also sign up to receive electronic EOBs or view them in the HMA member portal.
HMA also provides members with access to a member ID card, which can be used to find in-network care. This card is not a guarantee of coverage or eligibility, but it does reflect the cardholder's plan benefits. It is important for providers to verify eligibility before rendering services and to ask patients if any insurance information has changed since their last visit.
In 2025, HMA formed a strategic alliance with Priority Health to deliver a TPA solution for self-funded Michigan employers. This collaboration offers Michigan-based employers with 100+ employees the flexibility and network access needed to customise their employee health plans.
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HMA member ID cards
HMA, or Healthcare Management Administrators, is a service that provides healthcare plans for self-funded employers. They offer cost-effective, flexible, and customized solutions to meet the specific needs of the companies they serve. HMA is not health insurance, but rather a partner for employers to protect their employees and their health plan investments.
As an HMA member, you will receive an HMA member ID card. This card is important as it contains your member ID, which is also your Insurance ID. This ID is necessary when submitting claims or searching for them. To register your HMA member account, you will need your HMA member ID card. If you lose your card, you can log in to your HMA account and click "Print Your ID Card" to receive a new one.
The HMA member portal allows you to easily manage your healthcare benefits and access your member ID card with just a few clicks. You can also view your Explanation of Benefits (EOBs) in the member portal. An EOB is generated each time HMA processes a claim submitted by you or your healthcare provider. It explains how your health plan benefits were applied to that particular claim. You can also sign up to receive electronic EOBs if you prefer.
If you wish to see an out-of-network medical, dental, or vision provider, you may have to pay their bill upfront. However, if the procedure or service is covered under your HMA health plan, you can receive reimbursement at the out-of-network rate.
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Explanation of Benefits (EOB)
An Explanation of Benefits (EOB) is a statement from your health insurance provider that details the costs associated with medical care or products you have received. It is not a bill, but rather a document that outlines how your insurance has processed your claim. It breaks down the costs between the medical service provider(s), your insurance, and yourself.
The EOB typically includes personal details such as your name, member number, and plan information. It also provides information about your visit, including the date(s) of service, the type of care received, and the name of the doctor or clinic. Additionally, the EOB offers a breakdown of the charges for the services received, indicating how much your insurance company has paid and the amount you are responsible for.
EOBs are useful for understanding how your insurance works and making informed decisions about your healthcare plan and treatment options. They can help you track your healthcare costs, identify billing errors, and ensure you are receiving the full benefits or discounts entitled under your insurance plan. By reviewing your EOBs regularly, you can stay actively engaged in your healthcare journey and potentially avoid unnecessary expenses due to errors.
It is important to note that you may receive multiple EOBs for the same visit or treatment, especially if you received multiple services or treatments during the same visit or on different days. These EOBs should be compared to the bill from your doctor or healthcare provider to ensure accuracy and identify any discrepancies.
While the specific formatting and presentation of an EOB may vary depending on the insurance company, the fundamental purpose remains consistent: to provide you with a clear understanding of your insurance coverage and the associated costs for the medical services you have received.
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HMA health plan coverage and care
HMA, or Healthcare Management Administrators, is a service-oriented partner that provides health plans for self-funded employers. With over 35 years of industry experience, HMA offers cost-effective, flexible, and customized solutions to meet the specific needs of companies in the Pacific Northwest.
HMA health plans are designed to be affordable and innovative, harnessing the power of data to keep members healthy and happy. The company is connected to the best provider network in the Pacific Northwest, ensuring coverage and care that employees can rely on. HMA also provides resources and programs to help members excel with the benefit of good health.
As an HMA member, you can easily manage your healthcare benefits and access your member ID card through the HMA member portal. You can also quickly check if your doctor is in-network by using the public provider search feature. Explanation of Benefits (EOB) documents are generated each time HMA processes a claim, providing clarity on how your health plan benefits were applied.
For providers, HMA offers an Onboarding Tracker to help manage credentialing, contracting, and EFT enrollment statuses. Additionally, HMA accepts electronic claims through Availity and provides a dedicated holiday schedule for providers.
While HMA does not provide health insurance directly, it facilitates the management and administration of healthcare plans for employers, ensuring that their employees have access to the best coverage and care.
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Frequently asked questions
HMA, or Healthcare Management Administrators, is a service that provides cost-effective, flexible, and customised healthcare plans for self-funded employers.
HMA is not an insurance company per se, but it does offer healthcare plans for employers.
HMA provides high-quality, innovative, and affordable healthcare plans. They are partnered with the best provider network in the Pacific Northwest, which ensures coverage and care that employees can rely on.
You can access your HMA benefits by logging into your HMA member account. From there, you can view your benefits and claims information. You can also print your ID card and search for in-network doctors or hospitals.
