Part-Time & Temporary Employees

2025-2026 plan summary

   wcagtext
Annual deductible $500 per person
$1,500 (maximum) per family
Annual out-of-pocket max $5,000 per person
$10,000 per family
Services You Pay
Office visits 30%
Annual preventive health evaluation $0
Hospital room and board 30%*
Surgical procedures 30%*
Diagnostic tests 30%*
Emergency room 30%*
Ambulance 30%*
Hearing aids
One hearing aid per ear every 60 months
30%*
Plan documents

*Annual deductible applies

  Monthly Premium
Single $516.24
Two-party (Sub+Dep) $877.56
Family (Sub+Deps) $1,238.94

Premiums are effective July 1, 2025 – June 30, 2026.

How to Apply

Mail the completed form and your first month's premium to:
HMSA 8-AMS
P.O. Box 860
Honolulu, HI 96808

Please make checks payable to HMSA.

Annual preventive health exam

This important preventive care visit includes:

  • A health assessment
  • A review of your health history
  • Discussion of health risks
  • Review of prior screening test results
  • Additional screenings
What’s the copayment or coinsurance?
$0 for PPO, HMO, and retiree plans

How to Apply

Mail the completed form and your first month's premium to:
HMSA 8-AMS
P.O. Box 860
Honolulu, HI 96808

Please make checks payable to HMSA.

Need help choosing a plan?

Learn about a PPO vs. an HMO
See if your doctor is part of HMSA's network
Find out what you get with your plan

2024 Plan documents

Guide to Benefits [PDF]
P000610

By phone:

Monday – Friday: 7 a.m.-7 p.m.
Saturday: 9 a.m.-1 p.m.
808-948-6499
1-800-776-4672

Out-of-pocket maximum

The out-of-pocket maximum is the most you'll have to pay per calendar year for covered health care services. Once you reach this amount, your plan pays 100 percent of the allowed amount for covered services excluding taxes.

There's a maximum for each person on the plan and a maximum for everyone on the plan.

Annual deductible

A deductible is the fixed dollar amount you must pay each calendar year for certain services and products before your health plan pays.