Compare Medicare Advantage Plans in Honolulu County, HI
There are 20 Medicare Advantage plans available in Honolulu County, Hawaii for 2023. See Plans
Honolulu County MA Plans By The Numbers
- 4 to 5-Star Plan Availability: 56%
- Average premium: $21.79/month
- Average out-of-pocket limit: $5,984/year
- Average Part D deductible: $137.31/year
- Plan types available: HMO, PPO, MSA, and SNP
- New or Unrated Plans: 5
4 and 5-Star Medicare Advantage Plans available in Honolulu County, HI
Here are the top-rated Medicare Advantage plans in Honolulu County.
| CMS Star Rating | Plan Name | Monthly Premium |
Part D Deductible | Out of Pocket Max |
|---|---|---|---|---|
5.0 out of 5 |
Kaiser Permanente Senior Advantage Basic (HMO H1230-003) | $33 | $0 | $7,550 |
5.0 out of 5 |
Kaiser Permanente Senior Advantage Enhanced (HMO H1230-001) | $139 | $0 | $5,100 |
4.5 out of 5 |
Humana Honor (PPO H5216-234) | $0 | N/A | $7,550 |
4.5 out of 5 |
Humana USAA Honor with Rx (PPO H5216-314) | $0 | $350 | $5,950 |
4.5 out of 5 |
HumanaChoice H5216-232 (PPO H5216-232) | $47 | $0 | $5,100 |
4.5 out of 5 |
HumanaChoice H5216-233 (PPO H5216-233) | $0 | $100 | $5,950 |
4.0 out of 5 |
AARP Medicare Advantage Choice Plan 1 (PPO H2228-024) | $0 | $0 | $6,700 |
4.0 out of 5 |
AARP Medicare Advantage Choice Plan 2 (PPO H2228-067) | $55 | $0 | $5,100 |
4.0 out of 5 |
AARP Medicare Advantage Patriot (PPO H2228-025) | $0 | N/A | $6,700 |
4.0 out of 5 |
Humana Gold Plus H0028-048 (HMO H0028-048) | $0 | $0 | $4,950 |
3.5-Star and Below Medicare Advantage Plans available in Honolulu County, HI
These are the Medicare Advantage plans in Honolulu 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 Complete (PPO H3832-009) | $0 | $380 | $6,700 |
3.5 out of 5 |
HMSA Akamai Advantage Complete Plus (PPO H3832-010) | $104 | $0 | $3,450 |
3.5 out of 5 |
Wellcare 'Ohana No Premium (HMO H2491-009) | $0 | $200 | $5,700 |
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 No Premium Open (PPO H6605-001) | $0 | $250 | $6,700 |
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.
Honolulu County, HI
Medicare Advantage Information
Medicare Advantage (MA), plans can be a better option than Original Medicare for some. There are currently 20 plans available in Honolulu County. Private companies that are Medicare-approved provide coverage. MA plans, also known as Medicare Part C, may offer additional benefits not available through Original Medicare.
Some Medicare Advantage plans offer prescription medication coverage (i.e. a Part D plan). These plans are also known as Medicare Advantage Prescription Drug Plans or MAPDs and offer comprehensive coverage to people who wish to lower their healthcare costs.
Medicare Advantage Plan Types
The Medicare Advantage program allows 7 types of private insurance plans. However, all plans are not available in every area. Beneficiaries in Honolulu County can choose between 3 of the 7 available plans.
| 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 Honolulu County, Hawaii residents in their own directory. |
Medicare Advantage without Part D
Some beneficiaries may also qualify to join a Medicare Part D plan, also known as a PDP. Hawaii Part D plans can be used with Original Medicare or Medicare Advantage plans that do not include Part D benefits.
Medicare Supplements vs. Medicare Advantage
Medicare Advantage is one way to get full coverage healthcare. However, many people in the Honolulu County area feel that Medicare Advantage plans have too many disadvantages. For these people, Original Medicare and a Medicare Supplement, also known as Medigap, are a better way to go.
If you don't know about Medicare Supplements and how they protect you from the high out-of-pocket costs in Original Medicare, take a look at our Medicare Supplement directory. You can compare plans, and costs, and even get a list of carriers in Hawaii. All Medicare Supplements are standardized, so you can easily choose a plan based on coverage and price.
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 Aiea, Ewa Beach, Haleiwa, Hauula, Honolulu, Jbphh, Kaaawa, Kahuku, Kailua, Kaneohe, Kapolei, Laie, Mililani, Pearl City, Schofield Barracks, Wahiawa, Waialua, Waianae, Waimanalo, Waipahu, and all other areas of Honolulu 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 Honolulu County, Hawaii.
The 2023 Medicare Part C plan information for Honolulu County, Hawaii was last updated by the All Medicare team on .