Frequently Asked Questions

Click on the numbered question to view the answer.

1. Can I see my own doctor?

A. If you are a Kaiser Permanente member and you are converting to a Kaiser Permanente QUEST Integration program, you will still receive care from your Kaiser Permanente doctors.

If you do not already have a Kaiser Permanente doctor (or “Primary Care Physician”) you will be able to choose from our outstanding doctors at the Kaiser Permanente Hawaii clinic of your choice on the island on which you live.

Learn more about choosing your Kaiser Permanente doctor or see our Kaiser Permanente Hawaii Physician Directory and our Long Term Services and Supports (LTSS) Provider Directory.

2. Can I see a specialist?

A. As a Kaiser Permanente member, you’ll work with your primary care doctor to set up a referral with needed specialists within our network.

There are also certain specialists and services that do not need a referral from your doctor. Those include:

  • Behavioral Health Services
  • Alcohol and drug treatment
  • Mental health service
  • Family Practice
  • Health Education
  • Internal Medicine
  • Medication Counseling
  • Nutrition Counseling
  • Obstetrics/Gynecology
  • Pediatrics
  • Social Work

 

3. What are my benefits?

A. As a Kaiser Permanente QUEST Integration member, you will have access to the entire network of Kaiser Permanente physicians and services.

To find out more about your QUEST Integration coverage, please read our Kaiser Permanente QUEST Integration Member Handbook.

4. How do I apply?

A. The Hawaii State Department of Health and Human Services manages QUEST Integration enrollment.  To read more about the application process, please visit the DHS website at mybenefits.hawaii.gov/ or call the DHS office at the numbers below:

Oahu .............................. 808-524-3370
Neighbor Islands........... 1-800-316-8005

5. Which doctors can I see?

A. As a Kaiser Permanente QUEST Integration member, you’ll have access the entire network of our doctors and the ability to change your doctor at any time.

6. Which drugs are covered?

A. The Kaiser Permanente QUEST Integration program covers those drugs in our formulary, which is a list a drugs that have been approved for our members by our Pharmacy and Therapeutics Committee. Your doctor and other clinicians use the formulary to help determine the safest, most effective drugs to prescribe for you.

Non-formulary drugs are generally not covered by your plan. They are used only if you do not respond to formulary drugs or if you have special circumstances that need non-formulary drugs.

To check if a medication is included in the formulary, please contact our Customer Service Center (Monday to Friday from 8 a.m. to 5 p.m. and Saturday from 8 a.m. to noon) at:

  • Oahu: 432-5955
  • Neighbor Islands: 1-800-966-5955 (toll free)
  • TTY for the hearing and speech impaired: 1-877-447-5990 (toll free)

. or view the Kaiser Permanente Hawaii formulary.

7. Who can I call with more questions about Kaiser Permanente’s QUEST Integration program?

A. For more information, please call Kaiser Permanente QUEST Integration customer service at :

808-432-5330 or 1-800-651-2237 (toll-free)
Monday – Friday, 7:45 a.m. – 5:00 p.m. (except state holidays) or dial TTY (877) 447-5990 (toll free).

8. Where can I find out more about the Hawaii QUEST Integration program in general?

A. You can find out more about the Hawaii QUEST Integration program from the Hawaii State Department of Human Services (DHS) at their website at mybenefits.hawaii.gov or by calling the DHS office at the numbers below:

Oahu .............................. 808-524-3370
Neighbor Islands........... 1-800-316-8005


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