Honolulu County, Hawaii Medicare Special Needs Plans
There are 6 Special Needs Plans available in Honolulu County for 2023. See Plans
Honolulu County SNPs By The Numbers
- Plans rated 4-stars or better: 33%.
- Average SNP premium: $32.97 per month.
- Average Part D deductible: $505.00 per year.
- Plans with Prescription Coverage: 6.
4 and 5-Star SNP Plans
Here are the top-rated Medicare Special Needs Plans in Honolulu County.
| Rating | Plan Name | Plan Type | Network Type | Monthly Premium |
Part D Deductible |
|---|---|---|---|---|---|
| Senior Advantage Medicare Medicaid | D-SNP | HMO | $35 | $505 | |
| UnitedHealthcare Dual Complete | D-SNP | PPO | $33 | $505 |
3.5-Star and Below SNP Plans
These are the SNP plans in Honolulu County rated 3.5 stars or lower by Medicare.
| Rating | Plan Name | Plan Type | Network Type | Monthly Premium |
Part D Deductible |
|---|---|---|---|---|---|
| HMSA Akamai Advantage Dual Care | D-SNP | PPO | $35 | $505 | |
| UnitedHealthcare Dual Complete RP | D-SNP | PPO | $30 | $505 | |
| Wellcare 'Ohana Dual Liberty | D-SNP | HMO | $29 | $505 | |
| AlohaCare Advantage Plus | D-SNP | HMO | $35 | $505 |
What You Should Know About SNP Plans in Honolulu County
To qualify as a special needs individual you will need to demonstrate one or more of the following criteria:
- You will be institutionalized for 90 or more days,
- You are dual-eligible for both Medicare and Medicaid, or
- You have a severe or disabling chronic condition approved by Medicare.
There are three different types of SNP plans:
When You Can Join a Special Needs Plan
Even if you qualify, you are only allowed to join, drop or change plans during a Medicare Election Period. The period between 15 October and 7 December is the Annual Election Period (AEP). That's when most people in Honolulu County make changes to their Medicare.
- D-SNP plans are for individuals who qualify for both Medicare and Medicaid (dual-eligible).
- I-SNP plans are for people who are institutionalized and live in long-term care or skilled nursing facility.
- C-SNP plans are for people with one or more chronic conditions, including diabetes, end-stage renal disease (ESRD), lung conditions, or heart disease.
All plans are not available in all areas.
You also have an Individual Election Period (IEP). Your IEP begins three months before your 65th birthday, includes your birth month, and continues for three months after your birth month. If you qualify, you can join an SNP during your IEP.
Outside of these periods, you may be able to join a Special Needs Plan with a Special Election Period. Some situations that may qualify you for a Special Election Period include:
If a Special Needs Plan is not a viable option for you, be sure to look at the selection of MA plans in Honolulu County, HI.
- You are diagnosed with a severe or disabling condition: You can enroll in a Chronic-Condition Special Needs Plan (C-SNP) for beneficiaries with your illness at any time.
- You move into a nursing home or require skilled nursing care at home: You can enroll in an Institution Special Needs Plan (I-SNP) or switch plans at any time.
- You qualify for Medicaid: If you have Medicaid or are newly eligible for Medicaid, you can enroll in a Dual-Eligible Medicare Special Needs Plan (D-SNP) at any time.
- You move outside of your existing Special Needs Plan’s service area: You'll qualify for a Special Election Period to switch to a new plan.
- Your Special Needs Plan leaves the Medicare program: You'll qualify for a Special Election Period to switch plans.
Individuals with Medicare that do not qualify for a Medicare SNP are encouraged to compare 2023 Medicare Advantage Plan options in Honolulu County, Hawaii
The Hawaii Special Needs Plan information for Honolulu County information on this page originates from Medicare.gov. The All Medicare team last updated and/or refreshed the data on this page on .