Medicare Advantage Plans in Kauai County, Hawaii
Below are Medicare Advantage plans available to residents of Kauai county, Hawaii.
4 carriers offer 11 plans throughout the county of Kauai.
Residents may choose plans from
carriers such as Humana Insurance Company, HMSA's 65C Plus and 'Ohana Health Plan. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Kauai county that is right for you complete the form at the top of the page.
Medicare Advantage Health Plans in the county of Kauai
| Carrier |
Plan Title |
Plan Type |
| Humana Insurance Company |
HumanaChoice H0248-002 (PPO) (H0248-002) |
Local Preferred Provider Organization |
Premium and Other Important Information - $2 500 out-of-pocket limit for Medicare-covered services.
- $49 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept
Doctor Office Visits- $5 copay for each primary care doctor visit for Medicare-covered benefits.
- $5 copay for each in-area network urgent care Medicare-covered visit
- $5 to $15 copay for each specialist visit for Medicare-covered benefits.
- $5 copay for each primary care doctor visit
- $5 to $15 copay for each specialist visit
|
| HMSA's 65C Plus |
65C Plus Basic Option (Cost) (H1251-001) |
Cost Plan |
Premium and Other Important Information - $90.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
Doctor Office Visits- $15 copay for each primary care doctor visit for Medicare-covered benefits.
- $15 copay for each in-area network urgent care Medicare-covered visit
- $15 copay for each specialist visit for Medicare-covered benefits.
|
| HMSA's 65C Plus |
65C Plus High Option (Cost) (H1251-002) |
Cost Plan |
Premium and Other Important Information - $94.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
Doctor Office Visits- $15 copay for each primary care doctor visit for Medicare-covered benefits.
- $15 copay for each in-area network urgent care Medicare-covered visit
- $15 copay for each specialist visit for Medicare-covered benefits.
|
| HMSA's 65C Plus |
65C Plus Basic Option BRx (Cost) (H1251-003) |
Cost Plan |
Premium and Other Important Information - $121.3 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- $15 copay for each primary care doctor visit for Medicare-covered benefits.
- $15 copay for each in-area network urgent care Medicare-covered visit
- $15 copay for each specialist visit for Medicare-covered benefits.
|
| HMSA's 65C Plus |
65C Plus High Option SRx (Cost) (H1251-004) |
Cost Plan |
Premium and Other Important Information - $132.9 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- $15 copay for each primary care doctor visit for Medicare-covered benefits.
- $15 copay for each in-area network urgent care Medicare-covered visit
- $15 copay for each specialist visit for Medicare-covered benefits.
|
| 'Ohana Health Plan |
'Ohana Value (HMO-POS) (H2491-002) |
HMO with POS Option |
Premium and Other Important Information - $3 900 out-of-pocket limit for Medicare-covered services.
- $0 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- $0 copay for each primary care doctor visit for Medicare-covered benefits.
- $25 copay for each in-area network urgent care Medicare-covered visit
- $30 copay for each specialist visit for Medicare-covered benefits.
|
| 'Ohana Health Plan |
'Ohana Liberty (HMO-POS SNP) (H2491-004) |
HMO with POS Option |
Premium and Other Important Information - * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
- $0 annual deductible.*
- ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
- $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
- $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.**
- $0 monthly plan premium*
Doctor Office Visits- $0 copay for each primary care doctor visit for Medicare-covered benefits.*
- $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
- $0 copay for each specialist doctor visit for Medicare-covered benefits.*
|
| AlohaCare |
AlohaCare Advantage (HMO) (H5969-001) |
HMO |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $0 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- $2 copay for each primary care doctor visit for Medicare-covered benefits.
- $20 copay for each specialist visit for Medicare-covered benefits.
|
| AlohaCare |
AlohaCare Advantage Plus (HMO SNP) (H5969-002) |
HMO |
Premium and Other Important Information - * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
- In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
- ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
- $6 700 out-of-pocket limit for Medicare-covered services.*
- $0 monthly plan premium in addition to your monthly Medicare Part B premium.*
Doctor Office Visits- 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.*
- 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.*
|
| Humana Insurance Company |
Humana Gold Choice H8145-073 (PFFS) (H8145-073) |
Private Fee for Service |
Premium and Other Important Information - Package: 1 - MyOption Dental High PPO:
- Package: 2 - MyOption Dental Low PPO:
- Package: 3 - MyOption Vision:
- Package: 4 - MyOption Plus:
- $27 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
- $17 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
- $15 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
- $28 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
- $1 500 plan coverage limit every year for these benefits.
- $1 000 plan coverage limit every year for these benefits.
- $290 plan coverage limit every year for these benefits.
- $162 annual deductible. Contact the plan for services that apply.
- $6 700 out-of-pocket limit for Medicare-covered services.
- $39 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- This plan does not allow providers to balance bill (charging more than your cost share amount).
Doctor Office Visits- You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
- 20% of the cost for each primary care doctor visit for Medicare-covered benefits.
- 20% of the cost for each in-area network urgent care Medicare-covered visit
- 20% of the cost for each specialist visit for Medicare-covered benefits.
- 20% of the cost for each primary care doctor visit
- 20% of the cost for each specialist visit
|
| Humana Insurance Company |
Humana Gold Choice H8145-140 (PFFS) (H8145-140) |
Private Fee for Service |
Premium and Other Important Information - Package: 1 - MyOption Dental High PPO:
- Package: 2 - MyOption Dental Low PPO:
- Package: 3 - MyOption Vision:
- Package: 4 - MyOption Plus:
- $27 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
- $17 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
- $15 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
- $28 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
- $1 500 plan coverage limit every year for these benefits.
- $1 000 plan coverage limit every year for these benefits.
- $290 plan coverage limit every year for these benefits.
- $162 annual deductible. Contact the plan for services that apply.
- $6 700 out-of-pocket limit for Medicare-covered services.
- $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
- This plan does not allow providers to balance bill (charging more than your cost share amount).
Doctor Office Visits- You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
- 20% of the cost for each primary care doctor visit for Medicare-covered benefits.
- 20% of the cost for each in-area network urgent care Medicare-covered visit
- 20% of the cost for each specialist visit for Medicare-covered benefits.
- 20% of the cost for each primary care doctor visit
- 20% of the cost for each specialist visit
|
Hawaii Plan Data by County
