What you need to know about the COVID-19 vaccine, your HAP coverage, and getting care during the pandemic.

Can I refer patients to any contracted free-standing facility or hospital?

Yes. Except for designated Centers of Excellence services, (for example, transplants, Bariatric surgery, etc.) that require prior authorization...

What smoking cessation programs does HAP offer?

HAP offers several programs to help members quit smoking. While you are not required to quit in order to have HAP coverage, rates may be lower for...

May I treat members while my application to be a HAP participating practitioner is being processed?

No. You may begin treating our members once you receive your participation effective date, which will be in your welcome letter. We can’t pay...

What is a fee schedule?

A fee schedule is the allowed amount for services. HAP-contracted providers can access the fee schedule by logging in, and under Quick Links, click...

What are the requirements for becoming a HAP participating practitioner?

Complete a physician information form (PIF). Must have admitting privileges at a HAP-contracted hospital, or be covering for a HAP-contracted...

What is the out-of-pocket limit in 2017?

As of January 1, 2017, non-grandfathered health plans must cap in-network out-of-pocket expenses to: $7,150 individual $14,300 family...

How will the PCP be notified of follow-up specialty visits?

As always, the specialist is responsible for keeping the PCP informed of the member’s progress and treatment plan.

As a participating HAP provider, will I be listed in the directory?

Yes. Primary care physicians and specialists are listed in the directory based on area of practice. Ancillary providers are also listed in the...

What if a member disagrees that a service doesn't meet medical criteria?

If the member disagrees with a physician's decision not to provide or order a service that doesn't meet medical criteria and they would like to...

Where can I find my remittance advice?

Log in to your provider portal and click on “Claims.” Then enter the search criteria and click on “Search.”

Contact us