Hawaii Island · Honokaa and the Hamakua Coast
Pelvic floor physical therapy in Honokaa and the Hamakua Coast, by video.
Hamakua Coast patients in Honokaa, Paauilo, Laupahoehoe and Honomu see Dr. Elana Shalem by video from home.
- TRICARE West, HMSA and HMSA QUEST in-network
- TRICARE Select: no referral needed
- Usually seen within a week

Honokaa and the Hamakua Coast
Why Hamakua Coast patients choose video.
The Hamakua Coast is old sugar towns, ranches, small farms and gulches, with Hilo or Waimea a long drive away on the belt road. Ranch and farm families with back pain, kupuna with leaking or urgency and mothers after childbirth are seen one-on-one by video.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in Hawaii: a 60-minute evaluation, then 45-minute follow-ups.
Military families and veterans
TRICARE in Honokaa and the Hamakua Coast, step by step.
Veterans on the Hamakua Coast can ask their VA provider for a pelvic floor physical therapy consult through VA community care. Military retirees and families on TRICARE are in-network through TRICARE West.
EMS Therapy is in-network with TRICARE West. Veterans can also ask their VA provider for a pelvic floor physical therapy consult through VA community care. TRICARE in Hawaii, plan by plan · Veterans.
What we treat in Honokaa and the Hamakua Coast
Common reasons Hamakua Coast patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Coverage
Insurance in Honokaa and the Hamakua Coast
In-network: TRICARE West, HMSA and HMSA QUEST. Other plans are private pay with a superbill for out-of-network reimbursement; HSA and FSA cards are accepted. We confirm the physical therapy benefit before the first visit.
Plan by plan: TRICARE · HMSA · HMSA QUEST
Referrals: Hawaii allows you to start physical therapy without a physician referral. Your insurance plan may still ask for one (TRICARE Prime and some HMSA plans do), and we check that for you before the first visit.
Neighborhoods
Serving all of Honokaa and the Hamakua Coast
ZIP codes 96727, 96728, 96764, 96776. Any home with an internet connection works.
- Honokaa
- Paauilo
- Ookala
- Laupahoehoe
- Honomu
- Waipio Valley
- Ahualoa
Nearby: Hilo and the Hamakua Coast · Waimea and Kohala · Puna · All of Hawaii Island
Questions
Questions from Honokaa and the Hamakua Coast
Does video work with rural internet?
A steady connection for a video call is enough, and a phone on cellular data often works. If the connection drops, Dr. Shalem calls back to finish.
Do you take HMSA?
Yes. HMSA, HMSA QUEST and TRICARE West are in-network.
How soon can I be seen?
Usually within a week. Early morning, evening and weekend video visits are available.
Prefer to write? Send a message.
Questions about insurance, pricing, or whether physical therapy is the right next step? We reply within one business day.
Start with a free 15-minute call.
Tell us what is going on, hear how Dr. Shalem would approach it, and decide from there.