HMSA
HMSA is a Honolulu-based, non-profit Blue Cross Blue Shield licensee founded in 1938 that provides commercial, Medicare Advantage, Medicaid (QUEST), and dental health plans to approximately half of Hawaii's population, distributed through employer sales, brokers, Neighborhood Centers, and an online member portal.
- Company typePrivate
- Founded1938
- HeadquartersHonolulu, United States
- Headcount1,001–5,000
- GTM typeB2B and B2C
- OfferingServices
What HMSA does
HMSA (Hawaii Medical Service Association), founded in 1938 and headquartered in Honolulu, is a non-profit health insurance company and an independent licensee of the Blue Cross and Blue Shield Association. It is the dominant health plan in Hawaii, covering approximately half of the state's population, and operates the largest in-state provider network combined with access to more than 500,000 Blue Cross Blue Shield providers nationwide and internationally through the BlueCard and BCBS Global programs. HMSA distributes a full product portfolio across commercial individual/family metallic-tier plans (Gold, Silver, Bronze), employer-sponsored group plans, HMSA Akamai Advantage Medicare Advantage (including a Dual Care D-SNP), QUEST Medicaid managed care under contract with the Hawaii Med-QUEST Division, federal employee health plans, and standalone dental coverage. The company reaches members through direct employer sales, a broker/agent channel, inside sales for Medicare enrollment, walk-in HMSA Neighborhood Centers across Oahu, and online self-service via the My Account member portal.
HMSA's underlying technology stack consists of a health insurance administration platform with an integrated member portal, a Find a Doctor provider directory, a multi-formulary drug pricing system (Fed 87, Metallic, Essential, Optimal, Select, QUEST), and HMSA Online Care telehealth services hosted on Amwell's infrastructure. The company also integrates EyeMed for vision benefits administration and offers the Active&Fit fitness program as a member discount. Its business model is subscription-based premium revenue across commercial, Medicare Advantage, Medicaid, and dental lines, augmented by member-paid ancillary services; specific pricing is not publicly disclosed and quotes are obtained through sales representatives, brokers, or the member portal. Forward strategic positioning is dominated by the proposed One Health affiliation with Hawaii Pacific Health, a vertical integration move designed to shift Hawaii's healthcare system toward risk-sharing and value-based care, currently undergoing 6–18 months of state and federal regulatory review.
HMSA firmographics
Firmographics- Name
- HMSA
- Legal name
- Hawaii Medical Service Association
- Website
- https://hmsa.com
- Company type
- Private
- Founded year
- 1938
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- HMSA is a Honolulu-based, non-profit Blue Cross Blue Shield licensee founded in 1938 that provides commercial, Medicare Advantage, Medicaid (QUEST), and dental health plans to approximately half of Hawaii's population, distributed through employer sales, brokers, Neighborhood Centers, and an online member portal.
- Ownership category
- akta.pro rank
HMSA industry classification
Industry- Product category
- Health Insurance
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medicaid Managed Care HMOs (HLAEAMAI)
Keywords
Where HMSA is headquartered
LocationHeadquarters
- HQ city
- Honolulu
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
HMSA business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure, Others
Revenue model
- Commercial Health Insurance Premiums: HMSA generates revenue through premiums paid by employer groups and individual subscribers for medical coverage including HMO, PPO, and metallic-tiered plans.
- Medicare Advantage Plans: HMSA Akamai Advantage and Dual Care plans generate premium revenue from Medicare for providing Medicare Advantage coverage to eligible beneficiaries.
- QUEST (Medicaid) Plans: HMSA contracts with the State of Hawaii Med-QUEST Division to provide health coverage for Medicaid beneficiaries.
- Dental Plans: Standalone dental insurance plans offered to individuals, families, and employer groups for supplemental dental coverage.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Metallic Plans for Individuals and Families |
| Subscription | Monthly | HMSA Akamai Advantage Medicare Advantage Plans |
| Subscription | Monthly | QUEST (Medicaid) Plans |
| Subscription | Monthly | Federal Employee Health Plans |
| Unit Pricing | Pay-as-you-go | Prescription Drug Formularies |
Go-to-market motion1 record
Distribution channels6 records
Marketing channels7 records
HMSA product offering
Product offeringCore offering
HMSA (Hawaii Medical Service Association) is a non-profit health insurance provider and independent licensee of the Blue Cross and Blue Shield Association, offering commercial individual/family plans, employer group health plans, Medicare Advantage (Akamai Advantage and Dual Care), Medicaid QUEST plans, dental plans, and supporting telehealth and wellness services to Hawaii residents.
Product overview
HMSA (Hawaii Medical Service Association) is a health insurance provider and independent licensee of the Blue Cross and Blue Shield Association operating in Hawaii. The company offers a comprehensive portfolio of health insurance products including Individual and Family Health Plans (with metallic-tier options), HMSA Medicare Advantage plans (including HMSA Akamai Advantage and Dual Care D-SNP for those eligible for both Medicare and Medicaid), QUEST Medicaid plans, Dental Plans, and Employer Group Health Plans. Supporting these core insurance products are member services including HMSA My Account (online member portal), HMSA Online Care (telehealth via Amwell), the Find a Doctor search tool, and HMSA Drug Formulary. HMSA also provides health and well-being programs such as diabetes prevention, mental health resources, maternal health, and smoking cessation. Travel benefits are enabled through the BlueCard program connecting HMSA members to Blue Cross Blue Shield providers nationwide and internationally. The company operates as a Blue Cross Blue Shield plan, integrating with EyeMed for vision benefits and offering Active&Fit fitness programs as part of member discounts.
Differentiator
Problem solved
Functional benefit
Brands
- HMSA Akamai Advantage: HMSA's Medicare Advantage plan offering
- HMSA QUEST
- One Health
- HMSA Online Care
- HMSA365
Products and services
- Individual and Family Health Plans Health insurance plans for individuals and families in Hawaii, including metallic-tier options (Gold, Silver, Bronze) with various coverage levels and cost-sharing options, plus standalone dental plans.
- HMSA Akamai Advantage (Medicare Advantage) Medicare Advantage PPO plans for Medicare-eligible individuals in Hawaii, providing medical services coverage, prescription drug benefits, supplemental benefits, and access to 2026 Oahu and Neighbor Island plan variants.
- HMSA Akamai Advantage Dual Care (D-SNP)
- QUEST (Medicaid) Integration Plans Hawaii Medicaid managed care plans administered by HMSA under contract with the State of Hawaii Med-QUEST Division, providing health coverage for low-income individuals and families.
- Dental Insurance Plans Standalone dental insurance plans offered to individuals, families, and employer groups, providing coverage for preventive, basic, and major dental services.
- HMSA Online Care (Telehealth) Telehealth platform enabling members to consult with doctors and healthcare providers virtually from home, powered by Amwell, often at little to no cost.
- Employer Group Health Plans Group health insurance plans for Hawaii employers, including HMO and PPO options with various coverage levels, including Federal Employee Health Plans and Postal Service employee plans.
Companies that use HMSA
Customer profileNamed customers3 records
Segments5 records
Ideal customer profiles4 records
HMSA technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
Feature5 records
HMSA partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered flagship, minor and core.
- Hawaii Pacific HealthflagshipHMSA and Hawaii Pacific Health have proposed a partnership to create a new integrated healthcare system called One Health. The affiliation aims to address Hawaii's healthcare crisis by promoting risk-sharing and value-based care. The proposal is pending regulatory approval and faces opposition from Queen's Health Systems. The review process is expected to take 6 to 18 months for state and federal approval.
- HOPE Services Hawai'i, Inc.minorHMSA partners with HOPE Services Hawai'i for the Kahua Kahe Malie Integrated Care Hub, a medical respite and behavioral health care facility for homeless individuals. The facility provides wound care, chronic disease management, medication support, and behavioral health services, expanding HMSA's reach into integrated care for vulnerable populations.
- Blue Cross and Blue Shield AssociationcoreHMSA is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. This licensing agreement enables HMSA to use the Blue Cross and Blue Shield service marks in Hawaii and provides access to the BlueCard program for mainland coverage and Blue Cross Blue Shield Global network for international care.
- AmwellcoreAmwell is an independent company providing hosting and software services for HMSA's Online Care telehealth platform on behalf of HMSA. The platform enables members to see doctors from home with little to no cost.
- EyeMedcoreEyeMed is HMSA's vision plan administrator, managing vision benefits and providing access toEyeMed's network of eye care providers for HMSA members with vision coverage.
- Blue Cross Blue Shield GlobalcoreHMSA members have access to the Blue Cross Blue Shield Global program which includes medical assistance and claims support services for members outside the U.S. This enables coverage for emergency and non-emergency care while traveling internationally.
Scale indicators3 records
Recent moves6 records
Expansion highlights6 records
HMSA competitors and assessment
Company assessmentMarket position
Competitive moat5 records
Key highlights7 records
Customer concentration
HMSA social profiles
Digital presenceHMSA compliance and trust
Trust signalCompliance4 records
HMSA financial estimates
Financial estimateRevenue estimate
Valuation estimate
HMSA leadership team
Management profileNumber of profiles
Profiles3 records
HMSA funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
HMSA M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about HMSA
What does HMSA do?
HMSA (Hawaii Medical Service Association) is a non-profit health insurance provider and independent licensee of the Blue Cross and Blue Shield Association, offering commercial individual/family plans, employer group health plans, Medicare Advantage (Akamai Advantage and Dual Care), Medicaid QUEST plans, dental plans, and supporting telehealth and wellness services to Hawaii residents.
Is HMSA a public or private company?
HMSA is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was HMSA founded?
HMSA was founded in 1938. It employs 1,001 to 5,000 people.
Where is HMSA based?
HMSA is headquartered in Honolulu, United States, in the North America region.
How does HMSA make money?
Four revenue lines are on record. Commercial Health Insurance Premiums are the primary driver. The others are medicare Advantage Plans, QUEST (Medicaid) Plans and dental Plans.
Does HMSA have an API?
No public API is recorded for HMSA.
What industry is HMSA in?
HMSA's product category is Health Insurance. Its primary akta.pro industry code is HLAEAMAI, Medicaid Managed Care HMOs. Its SIC code is 6324.