Compare Medicare Advantage Plans in Hawaii County, HI
There are 10 Medicare Advantage plans available in Hawaii County, Hawaii for 2023. See Plans
Hawaii County MA Plans By The Numbers
- 4 to 5-Star Plan Availability: 30%
- Average premium: $34.92/month
- Average out-of-pocket limit: $5,863/year
- Average Part D deductible: $184.17/year
- Plan types available: HMO, PPO, MSA, and SNP
- New or Unrated Plans: 4
4 and 5-Star Medicare Advantage Plans available in Hawaii County, HI
Here are the top-rated Medicare Advantage plans in Hawaii County.
| CMS Star Rating | Plan Name | Monthly Premium |
Part D Deductible | Out of Pocket Max |
|---|---|---|---|---|
5.0 out of 5 |
Kaiser Permanente Senior Advantage Hawaii Island (HMO H1230-014) | $183 | $0 | $5,100 |
4.0 out of 5 |
AARP Medicare Advantage Choice (PPO H2228-120) | $28 | $0 | $5,700 |
4.0 out of 5 |
AARP Medicare Advantage Patriot (PPO H2228-121) | $0 | N/A | $6,700 |
3.5-Star and Below Medicare Advantage Plans available in Hawaii County, HI
These are the Medicare Advantage plans in Hawaii County rated 3.5 stars or lower by Medicare.
| Plan Name | Monthly Premium |
Part D Deductible | Out of Pocket Max | CMS Star Rating |
|---|---|---|---|---|
3.5 out of 5 |
HMSA Akamai Advantage Standard (PPO H3832-007) | $0 | $400 | $6,700 |
3.5 out of 5 |
HMSA Akamai Advantage Standard Plus (PPO H3832-008) | $124 | $0 | $3,450 |
3.5 out of 5 |
Wellcare 'Ohana No Premium (HMO H2491-015) | $0 | $200 | $6,700 |
0.0 out of 5 |
Lasso Healthcare Growth (MSA H1924-001) | $0 | N/A | * |
0.0 out of 5 |
Lasso Healthcare Growth Plus (MSA H1924-004) | $0 | N/A | * |
0.0 out of 5 |
Wellcare 'Ohana Assist Open (PPO H6605-003) | $14 | $505 | $5,000 |
0.0 out of 5 |
Wellcare 'Ohana Patriot Giveback Open (PPO H6605-002) | $0 | N/A | $7,550 |
NOTE: Plans with a 0.0 rating are new and have not yet been rated by Medicare.
Hawaii County, HI
Medicare Advantage Information
Medicare Advantage (MA) plans are the private health plan alternative to Original Medicare. Hawaii County residents have a total of 10 MA plans available. Plans are provided by Medicare-approved, private companies. Also known as Medicare Part C, MA plans offer additional benefits that are not available through Original Medicare.
Some Medicare Advantage plans cover prescription medications. These plans, also known as Medicare Advantage Prescription Drug Plans, MAPDs, provide comprehensive coverage to people who want to increase their Medicare benefits.
3 Plan Types Available
Medicare Advantage offers a variety of plan types. This is one of its many benefits. HMO and PPO are two of the most popular types of plans. But there are others. Although not all plans are available in every area, people on Medicare in Hawaii County can choose from 3 plan options.
| Plan Type | Description |
|---|---|
| HMO | Health Maintenance Organization (HMO) members usually receive services through the plan’s local network of providers. Referrals are typically required to see a specialist and other providers. However, plans allow out-of-network care for emergencies and out-of-area dialysis. Prescription drug coverage is often included in HMO plans, and many plans include some coverage for dental, vison, and hearing. |
| PPO | Preferred Provider Organization (PPO) members can usually use in-network and out-of-network providers for care, including hospitalization. However, visits to non-network providers could cost significantly more. PPO plans often include prescription drug coverage and other benefits, and referrals are typically not required for specialist visits. |
| MSA | Medicare Medical Savings Account (MSA) plans are private companies that the Medicare program pays to manage a beneficiary's Medicare benefits. As with all types of Medicare Advantage plans, MSA plans must offer the same basic benefits included in Medicare Part A and Part B. However, benefits may have different rules, restrictions, and costs. Unlike other Medicare Advantage plans, MSAs have a high deductible health plan (HDHP) and a government-funded bank account for paying your medical costs. |
| SNP |
Special Needs Plans (SNPs) are highly specialized and you must be qualified to join. For this reason, All Medicare organizes Medicare Advantage Special Needs plans for Hawaii County, Hawaii residents in their own directory. |
Some Medicare Advantage Plans Do Not Include Part D
Some people may also be eligible for a standalone Medicare prescription drug plan. A standalone prescription drug plan, also known as a PDP (or Medicare Part D) plan, provides coverage for prescription drugs. These plans work with both Original Medicare and Medicare Advantage plans without Part D.
Medicare Advantage vs. Medicare Supplement Insurance
Medicare Advantage is only one option. Many people in a Hawaii County think that Medicare Advantage plans can be too expensive or restrictive. Some of these people choose to keep their Original Medicare benefits and get more coverage with Medicare Supplement Insurance (Medigap).
If you're not familiar with Medicare Supplements, and how they protect you from Original Medicare's high out-of-pocket costs, have a look at our Medicare Supplement directory. We make it easy for you to compare plans and costs. All Medicare Supplement plans are standardized in Hawaii, which makes choosing a plan easier.
Medicare Advantage Plan Availability
The MA and MAPD plans listed on this page are available to individuals enrolled in both Medicare Part A and Part B who reside in Captain Cook, Hawi, Hilo, Holualoa, Honokaa, Kailua Kona, Kamuela, Kapaau, Keaau, Kealakekua, Kurtistown, Mountain View, Naalehu, Ocean View, Paauilo, Pahala, Pahoa, Papaikou, Pepeekeo, Volcano, Waikoloa, and all other areas of Hawaii County, Hawaii.
Individuals who are institutionalized, have a severe chronic illness, or have special financial needs are encouraged to look into the 2023 Medicare SNP Plans in Hawaii County, Hawaii.
The 2023 Medicare Part C plan information for Hawaii County, Hawaii was last updated by the All Medicare team on .