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Kalawao County, Hawaii Medicare Special Needs Plans

There are 4 Special Needs Plans available in Kalawao County for 2023.   See Plans

Kalawao County SNPs By The Numbers

  • Plans rated 4-stars or better: 25%.
  • Average SNP premium: $33.40 per month.
  • Average Part D deductible: $505.00 per year.
  • Plans with Prescription Coverage: 4.

4 and 5-Star SNP Plans

Here are the top-rated Medicare Special Needs Plans in Kalawao County.

Rating Plan Name Plan Type Network Type Monthly
Premium		 Part D Deductible
☆☆☆☆☆
 UnitedHealthcare Dual Complete D-SNP PPO $33 $505

3.5-Star and Below SNP Plans

These are the SNP plans in Kalawao 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
☆☆☆☆☆
 AlohaCare Advantage Plus D-SNP HMO $35 $505

What You Should Know About SNP Plans in Kalawao County

SNP plan enrollment is strictly limited. Enrollees must demonstrate qualification through one or more of three criteria:

  1. An institutionalized individual,
  2. A dual-eligible (Medicare and Medicaid) person, or
  3. An individual with a severe or disabling chronic condition approved by Medicare.

Not all Medicare Special Needs Plans are the same. There are three different types:

When to Enroll in a Special Needs Plan

If you qualify, you can join or switch plans during a Medicare Election Period. For most people living in Kalawao County, the Annual Election Period (AEP), which starts on October 15th and ends on December 7th, is the time they update their enrollment.

  1. D-SNP plans are for individuals who qualify for both Medicare and Medicaid (dual-eligible).
  2. I-SNP plans are for people who are institutionalized and live in long-term care or skilled nursing facility.
  3. 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.

Most of us also get an Individual Election Period (IEP), but it only comes around once. Your IEP is based on your 65th birthday. It starts three months before your birth month and ends three months after, so you have plenty of time. Qualifying beneficiaries can enroll in an SNP during their IEP.

In addition to the periods outlined above, you may be able to join a SNP with a Special Election Period in certain situations. Situations that may qualify you for a Special Election Period include:

If you do not qualify for a Special Needs Plan, one of the 2023 Medicare Advantage Plans in Kalawao County, Hawaii may be a viable option.

  • 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.

We encourage people with Medicare that do not qualify for a Medicare Special Needs Plan to compare Kalawao County Medicare Advantage Plans.

The Hawaii Medicare SNP information for Kalawao County originates from Medicare.gov. It was last updated on .