Humana Medicare Advantage Plans Hawaii 2025

Discover the array of Humana Medicare Advantage plans available in Hawaii for the year 2025, showcasing customized options including HMO, PPO, and PFFS to suit your specific healthcare requirements.

This concise guide gets right to the point, highlighting essential details such as plan benefits, costs, and clear enrollment instructions for Humana Medicare Advantage Plans in Hawaii for the year 2025.

 

Key Takeaways

  • In 2025, Humana presents a diverse range of Medicare Advantage Plans in Hawaii, featuring options such as HMO, PPO, and PFFS. The intricacies of plan costs and particulars are intricately linked to geographic locations, ensuring accessibility for a wide range of beneficiaries.

 

  • The advantages of these plans extend beyond fundamental medical coverage, encompassing additional perks like dental, vision, and fitness memberships. It’s noteworthy that plan availability and details may vary based on ZIP codes, with a special focus on catering to veterans through Humana USAA Honor.

 

  • A pivotal aspect to grasp is the understanding of costs, with the average premium estimated at $18.50 per month. Humana goes the extra mile by offering options like lower-cost preferred pharmacies and Dual Eligible Special Needs Plans tailored for individuals qualifying for both Medicare and Medicaid. This not only brings financial benefits but also ensures comprehensive coverage.

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Overview of Humana Medicare Advantage Plans in Hawaii (2025)

 

Humana Medicare Advantage Plans Hawaii 2025 Overview of Humana Medicare Advantage Plans in Hawaii (2025)

 

Humana introduces three distinct types of Medicare Advantage plans in Hawaii, namely Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Private Fee-For-Service (PFFS).

These plans are strategically crafted to provide a blend of affordability, stability, and value to individuals eligible for Medicare, drawing insights from extensive research conducted in states such as Maryland, Maine, Michigan, and Minnesota.

However, the geographical location emerges as a pivotal factor influencing the costs, coverage, and benefits embedded in Humana’s Medicare Advantage plans.

Whether you find yourself in the vibrant streets of Honolulu or the serene shores of Kauai, your location becomes a determining factor shaping the nuances of your plan. Regardless of where you reside, Humana ensures that every beneficiary, regardless of their sex, has access to plans tailored to meet their specific needs.

 

Key Benefits and Features of Humana Plans

A Medicare Advantage plan offered by Humana in Hawaii delivers comprehensive coverage for both inpatient and outpatient services, encompassing various essential aspects, including doctor’s visits, ambulance services, emergency and urgent care, and durable medical equipment (DME) – all accommodating beneficiaries regardless of their disability statuses, and sexes.

Humana’s commitment to holistic health goes beyond basic medical coverage, extending to supplementary benefits that enrich the overall well-being of beneficiaries from diverse backgrounds.

These additional perks include dental, vision, hearing health services, coverage for prescription and over-the-counter medications, transportation assistance, and fitness memberships. Humana’s Medicare Advantage plans are thoughtfully designed to meet the unique health needs of individuals of all ages, origins, abilities, and sexes.

 

Plan Availability by ZIP Code

Humana’s commitment to delivering personalized healthcare solutions is evident in the accessibility of their Medicare Advantage plans. The availability of these plans is intricately linked to ZIP codes, ensuring that individuals of diverse national origins, ages, and abilities can access plans tailored to their specific geographical area.

Through initiatives like Humana USAA Honor, the company underscores its dedication to serving those who have served our country.

To check the availability of Humana plans in your location, simply enter your ZIP code on the Humana website. This user-friendly tool provides you with pertinent information, presenting the specific Humana Medicare Advantage plans offered in your area.

For instance, in Hawaii, you can find options like the Humana Gold Plus HMO (H0028-049-002) and Humana Choice PPO (H5216-232-002, H5216-233-002).

 

Comparing Humana’s Top-Rated Medicare Advantage Plans in Hawaii

 

Humana Medicare Advantage Plans Hawaii 2025 Comparing Humana's Top-Rated Medicare Advantage Plans in Hawaii

 

Once you’ve identified the available plans in your region, the next crucial step is the comparison process. To facilitate this, the Centers for Medicare & Medicaid Services (CMS) employs a rating scale ranging from one to five stars to assess Medicare Advantage plans.

A five-star rating signifies the highest level of excellence for a plan, providing valuable insights to beneficiaries of diverse races, colors, and national origins regarding the quality and efficacy of each plan.

In Hawaii for 2025, the top-rated Humana Medicare Advantage plans, including Medicare Advantage HMO PPO options, are the HumanaChoice H5216-233 (PPO) and Humana Gold Plus H0028-048 (Medicare Advantage HMO). Acknowledged for their exceptional coverage and supplementary benefits, these plans have received high ratings from CMS, catering to the diverse needs of beneficiaries of all colors, national origins, and ages.

 

How to Compare Plans Using Medicare.gov’s Plan Finder Tool

The Medicare.gov Plan Finder Tool stands as a valuable resource for the comprehensive comparison of Medicare Advantage plans. By entering your ZIP code, you gain access to a list of available Humana Medicare Advantage plans in your region, simplifying the process of evaluating and comparing various plan options.

This user-friendly tool aids in the exploration of Humana’s offerings, allowing you to efficiently shop for and compare different Medicare Advantage and Part D plans.

With the Plan Finder Tool, you can assess plans based on various criteria, including:

  • Plan costs
  • Coverage options
  • Prescription drug coverage
  • Quality and performance measures

 

This ensures that individuals of all genders, races, colors, and national origins, including those expressing transgender status, can discover providers that suit their specific needs.

Whether you reside in Hawaii, New York, Ohio, Oregon, Pennsylvania, or any other state like MD, ME, MI, MN, you have the opportunity to identify a plan that aligns with both your medical and financial requirements, irrespective of your military or veteran status.

Understanding Costs and Coverage: Humana Medicare Advantage Plans in Hawaii

 

Humana Medicare Advantage Plans Hawaii 2025 Understanding Costs and Coverage: Humana Medicare Advantage Plans in Hawaii

 

Delving into the details of Humana Medicare Advantage plans involves gaining insights into the associated costs and coverage. The projected average premium for a Humana Medicare Advantage plan in Hawaii for the year 2025 is approximately $18.50 per month.

However, it’s crucial to note that additional expenses, such as co-pays and deductibles, can vary depending on the specific health care plan chosen.

Humana goes the extra mile by providing members with additional financial benefits. The inclusion of lower-cost preferred pharmacies allows for discounted prices on prescriptions, leading to substantial savings and a reduction in out-of-pocket expenses for prescription drugs.

Furthermore, Humana’s Dual Eligible Special Needs Plans are tailored for individuals qualifying for both Medicare and Medicaid, offering supplementary benefits and coverage options crafted to meet their unique healthcare needs.

 

Lower Cost Preferred Pharmacies

Recognizing the financial strain that prescription drug costs can pose for beneficiaries, Humana is committed to easing this burden. In all their Medicare Advantage plans, Humana offers the advantage of lower-cost preferred pharmacy benefits.

These designated pharmacies have pledged to provide medications at a reduced cost specifically for Humana Medicare members, offering a solution to alleviate the financial impact of prescription medications.

The potential savings from this initiative are considerable. Beneficiaries stand to benefit from reduced cost sharing and discounts on prescription drug costs when utilizing lower-cost preferred pharmacies.

The exact amount of savings may vary based on the specific pharmacy and the prescribed drugs. Nevertheless, the prospect of significant savings is tangible, providing a substantial financial benefit for Humana members.

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Dual Eligible Special Needs Plans

Humana’s dedication to delivering thorough healthcare solutions is evident in their commitment to individuals eligible for both Medicare and Medicaid.

The Dual Eligible Special Needs Plans (D-SNPs) from Humana are tailored to meet the unique needs of these individuals, providing exclusive benefits, including:

  • Prescription drug coverage
  • Coordinated Medicare and Medicaid benefits
  • Advanced features surpassing regular Medicare Advantage plans

 

These plans ensure comprehensive and integrated care by combining multiple coverages and addressing the specific requirements of those eligible for both Medicare and Medicaid.

To enroll in a Dual Eligible Special Needs Plan with Humana in Hawaii, individuals must be enrolled in both Medicare and Medicaid and meet the relevant eligibility criteria.

Enrollment can be conveniently done online, over the phone, or in person. For detailed information and the application process, individuals can visit the official Humana website.

 

Enrollment Process and Checklist for Humana Medicare Advantage Plans in Hawaii

 

Humana Medicare Advantage Plans Hawaii 2025 Enrollment Process and Checklist for Humana Medicare Advantage Plans in Hawaii

 

Once you’ve gained a comprehensive understanding of Humana’s Medicare Advantage Plans, the next step is the enrollment process. Humana simplifies this step by offering a downloadable checklist, meticulously designed to assist you through the enrollment procedure.

The checklist will require personal details such as your date of birth, address, and Medicare number, conveniently located on your government-issued Medicare card.

It’s crucial to note that the continuation of your enrollment in any Humana plan is contingent on contract renewal. Periodically renewing your contract with Humana is necessary to ensure the uninterrupted coverage of your plan.

Fortunately, Humana is committed to providing all the essential information and support needed to facilitate a seamless renewal process.

 

Important Dates and Deadlines

As you gear up for the enrollment process in a Humana Medicare Advantage plan, it’s crucial to stay informed about the pertinent dates and deadlines.

In Hawaii, the notable dates for Medicare Advantage enrollment in 2025 fall within the period from October 15 to December 7, 2023. Additionally, the open enrollment window for Humana Medicare Advantage plans extends from January 1st to March 31st.

For individuals looking to make adjustments or discontinue their Medicare Advantage Plan, the opportunity to do so arises annually from January 1st to March 31st. There is also a dedicated Medicare Advantage disenrollment period spanning from January 1st through February 14th, allowing beneficiaries to disenroll and revert to Original Medicare if needed.

 

Free Language Interpreter Services

Humana underscores its dedication to inclusivity and accessibility by offering complimentary language interpreter services. These services encompass oral interpretation in over 200 languages and video interpretation in 24 languages, facilitating diverse beneficiaries in accessing healthcare information in their preferred language.

Beneficiaries seeking these services can easily connect by dialing the dedicated number, 1-877-320-2233, to schedule an appointment for assistance. This service guarantees personalized language support throughout the enrollment process, ensuring that individuals who speak languages other than English and those of any national origin, age, or disability can fully grasp and actively participate in managing their healthcare.

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Medicare Advantage plans 2025 agents

Hawaii Medicare Resources and Assistance

 

Humana Medicare Advantage Plans Hawaii 2025 Hawaii Medicare Resources and Assistance

 

In addition to Humana’s extensive support, various local and state agencies in Hawaii extend assistance to Medicare beneficiaries, catering to the needs of residents in the state.

The State Health Insurance Assistance Program (SHIP) in Hawaii stands out, delivering complimentary health insurance information, education, counseling, and referral services to individuals with Medicare.

Several other local agencies contribute to providing assistance and resources, including:

  • The Senior Medicare Patrol (SMP) Hawaii, specializing in fraud prevention services
  • Med-QUEST, the Hawaii Medicaid Program, offering healthcare coverage for eligible individuals
  • Non-profit organizations like AlohaCare, playing a crucial role in providing Medicare coverage and assistance to beneficiaries in Hawaii.

 

 

State Health Insurance Assistance Program (SHIP)

The State Health Insurance Assistance Program (SHIP) in Hawaii extends a range of valuable services to Medicare beneficiaries, ensuring they receive comprehensive support.

These services encompass:

  • Providing complimentary health insurance information
  • Offering education on Medicare-related matters
  • Delivering counseling services
  • Facilitating referral services

 

Whether you require assistance with Medicare enrollment decisions or guidance through the complexities of the Medicare system, SHIP is dedicated to offering support. This includes individuals with military or veteran status.

Accessing SHIP’s services is straightforward through the official Hawaii SHIP website. The platform serves as a comprehensive resource hub, aiding individuals in making well-informed Medicare enrollment decisions.

With the assistance of local counselors, SHIP simplifies the process for beneficiaries, empowering them to make informed choices.

 

Other Local and State Agencies

In addition to SHIP, various local and state agencies in Hawaii are dedicated to supporting Medicare beneficiaries. One notable example is the Senior Medicare Patrol (SMP) Hawaii, which focuses on safeguarding beneficiaries from healthcare fraud and abuse.

Med-QUEST, the Hawaii Medicaid Program, plays a crucial role in delivering healthcare coverage to eligible individuals.

Non-profit organizations contribute significantly to the assistance available for Medicare beneficiaries. AlohaCare, a non-profit health plan established by Hawaii’s Community Health Centers, offers comprehensive managed care to qualifying individuals and families.

This organization serves as another valuable resource for Medicare beneficiaries in Hawaii.

Summary

Embarking on the Medicare Advantage journey may seem overwhelming, but Humana’s user-friendly plans and unwavering support make the process much more straightforward.

In Hawaii, Humana’s Medicare Advantage plans are crafted to offer a harmonious blend of cost-effectiveness, reliability, and value, addressing the individual needs of each beneficiary.

With comprehensive coverage, access to lower-cost preferred pharmacies, and specialized Dual Eligible Special Needs Plans, Humana is committed to ensuring that every beneficiary can avail themselves of the healthcare services they require.

Whether you reside in Hawaii, similar to Koa, or are a Medicare beneficiary elsewhere, it’s essential to recognize that selecting a Medicare Advantage plan is more than just choosing a healthcare option.

It’s about selecting a partner who will accompany you on your healthcare journey, providing the necessary support, resources, and care for a healthy and fulfilling life.

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Frequently Asked Questions

 

What types of Medicare Advantage plans does Humana offer in Hawaii for 2025?

Humana provides various Medicare Advantage plans, including HMO, PPO, and PFFS options, tailored to meet diverse healthcare needs.

 

How do the benefits of Humana’s Medicare Advantage plans in Hawaii extend beyond basic medical coverage?

In addition to medical coverage, Humana’s plans offer supplementary benefits like dental, vision, and fitness memberships, ensuring comprehensive care for beneficiaries.

 

How does geographical location impact the costs and coverage of Humana’s Medicare Advantage plans in Hawaii?

The costs, coverage, and benefits of Humana’s plans can vary based on the beneficiary’s geographical location in Hawaii, ensuring tailored access to different beneficiaries.

 

What are the top-rated Humana Medicare Advantage plans in Hawaii for 2025?

The top-rated plans include HumanaChoice H5216-233 (PPO) and Humana Gold Plus H0028-048 (Medicare Advantage HMO), recognized for extensive coverage and benefits.

 

How can beneficiaries compare Humana Medicare Advantage plans in Hawaii?

Beneficiaries can use the Medicare.gov Plan Finder Tool by entering their ZIP code, allowing them to compare costs, coverage options, and quality measures of various Humana plans.

 

What financial benefits does Humana offer to members of its Medicare Advantage plans in Hawaii?

Humana provides lower-cost preferred pharmacies, offering discounted prices for prescription medications, resulting in significant savings for members.

 

What are Dual Eligible Special Needs Plans (D-SNPs) offered by Humana in Hawaii?

D-SNPs cater to individuals qualifying for both Medicare and Medicaid, providing benefits such as prescription drug coverage, coordinated Medicare and Medicaid benefits, and enhanced features.

 

How can individuals enroll in Humana’s Medicare Advantage plans in Hawaii?

Enrollment is possible during the Initial Coverage Election Period (ICEP) and the Open Enrollment Period (OEP) by providing necessary documentation like Medicare card, proof of residency, and citizenship status.

 

What are the significant dates for Medicare Advantage enrollment in Hawaii for 2025?

The key dates are from October 15 to December 7, 2023, and the Open Enrollment Period from January 1st to March 31st, offering opportunities to enroll, switch, or disenroll from plans.

 

How does Humana support language diversity for Medicare beneficiaries in Hawaii?

Humana offers free language interpreter services, with oral interpretation in over 200 languages and video interpretation in 24 languages, ensuring accessibility for beneficiaries of diverse backgrounds.

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Speak with a licensed insurance agent

1-844-350-0776
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Mon-Fri : 8am-9pm ET