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Get Alohacare Online Form

Order to begin the process of joining AlohaCare s Provider Network, we ask that you complete the attached AlohaCare Provider Pro le. Please complete the attached Provider Pro le and return it to AlohaCare with the documents requested below: OHCA License (if applicable) Copy of accreditation or certi cate, along with accompanying report for levels of care to be provided Copy of accreditation corrective action plan, if applicable Copy of Medicare approval/certi cat.

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Call Member Services at 808-973-0712 (O`ahu) or toll-free at 1-877-973-0712. If you require assistance due to a hearing impairment, call 1-877-447-5990.

Deductible – This plan does not have a deductible. Cost Sharing – You will have no cost sharing responsibility for Medicare-covered Part A and B services, based on your level of Medicaid eligibility.

AlohaCare is a health plan with a Medicare contract and provides Medicare coverage to beneficiaries in Hawaii.

Non-emergency care is not covered outside of Hawaii. If you need emergency services on the Mainland, go to a hospital emergency room for care. Adults are covered for emergency care while on the Mainland. Children are covered for emergency care while on the Mainland.

AlohaCare Advantage Plus (HMO SNP) is a Medicare Advantage Prescription Drug plan that covers Medicare Part A (inpatient care), Part B (outpatient care) and Part D (prescription drugs). We also cover a number of supplemental benefits.

To enroll into AlohaCare Advantage Plus: You must be a resident of Hawaii. You have full benefit Medicaid coverage. You must have Medicare Parts A and B. You must continue to pay for your Medicare Part B premium. The State pays the Part B premium for full-dual members who are eligible for AlohaCare Advantage Plus.

AlohaCare is a health plan with a Medicare contract and provides Medicare coverage to beneficiaries in Hawaii.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232