Active Employees

Actives Presentation
2025 presentation 

Presentation for open enrollment.

Thumbnail of benefits flyer
Benefits at-a-Glance [PDF]

Quick view of all plan benefits

2025 plan summary

Benefits shown are for services received from an in-network provider.

Preferred Provider Plan PPO

with Prescription Drug

Annual deductible
None

Annual Out-of-pocket Maximum

$2,500 per person
$7,500 (max) per family

Annual Preventive Health Evaluation:
$0

Office Visits:
$12

You pay 10% for these services:
  • Hospital Room and Board
  • Maternity Care
  • Surgical Procedures (cutting)
You pay 20% for these services:
  • Outpatient Diagnostic Tests
  • Outpatient Laboratory
  • Outpatient X-ray and Other Radiology
  • Ambulance (ground)
Emergency Room:
$75

Preferred Provider Plan PPO

Plan documents

CompMED

with Prescription Drug

Annual deductible
$300 per person
$900 (max) per family

Annual Out-of-pocket Maximum

$3,000 per person
$9,000 (max) per family

Annual Preventive Health Evaluation:
$0

Office Visits:
$17

You pay 20% for these services:
  • Hospital Room and Board
  • Maternity Care
  • Surgical Procedures
  • Diagnostic Tests
  • X-ray and Other Radiology
  • Ambulance (ground)
Outpatient Laboratory:
$0

Emergency Room:
$100

CompMED


Plan documents

Health Plan Hawaii Plus HMO

with Prescription Drug

Annual deductible
None

Annual Out-of-pocket Maximum

$2,500 per person
$7,500 (max) per family

Annual Preventive Health Evaluation:
$0

Office Visits:
$15

You pay $0 for these services:
  • Maternity Care
  • Surgical Procedures
You pay 10% for these services:
  • Outpatient Diagnostic Tests
  • Outpatient X-ray and Other Radiology
  • Outpatient Laboratory
  • Ambulance (ground)
Emergency Room:
$75

Hospital Room and Board:
$75 copayment per day

Health Plan Hawaii Plus HMO


Plan documents

Preferred Provider Plan PPO

with Prescription Drug

Annual deductible


None

Annual Out-of-pocket Maximum

$2,500 per person
$7,500 (max) per family

Annual Preventive Health Evaluation:
$0

Office Visits:
$12

You pay 10% for these services:
  • Hospital Room and Board
  • Maternity Care
  • Surgical Procedures (cutting)
You pay 20% for these services:
  • Outpatient Diagnostic Tests
  • Outpatient Laboratory
  • Outpatient X-ray and Other Radiology
  • Ambulance (ground)
Emergency Room:
$75

Preferred Provider Plan PPO


Plan documents

CompMED

with Prescription Drug

Annual deductible

$300 per person
$900 (max) per family

Annual Out-of-pocket Maximum

$3,000 per person
$9,000 (max) per family
Annual Preventive Health Evaluation:
$0

Office Visits:
$17

You pay 20% for these services:
  • Hospital Room and Board
  • Maternity Care
  • Surgical Procedures
  • Diagnostic Tests
  • X-ray and Other Radiology
  • Ambulance (ground)
Outpatient Laboratory:
$0

Emergency Room:
$100

CompMED


Plan documents

Health Plan Hawaii Plus HMO

with Prescription Drug

Annual deductible

None

Annual Out-of-pocket Maximum

$2,500 per person
$7,500 (max) per family


Annual Preventive Health Evaluation:
$0

Office Visits
$15

You pay $0 for these services:
  • Maternity Care
  • Surgical Procedures
You pay 10% for these services:
  • Outpatient Diagnostic Tests
  • Outpatient X-ray and Other Radiology
  • Outpatient Laboratory
  • Ambulance (ground)
Emergency Room
$75

Hospital Room and Board:
$75 copayment per day

Health Plan Hawaii Plus HMO

Plan documents

More Resources

2024 plan documents

Preferred Provider Plan with Prescription Drug

Health Plan Hawaii Plus with Prescription Drug

P000610

By phone:

Monday – Friday: 8 a.m. to 5 p.m.
808-948-6079 on Oahu
1-800-776-4672 toll-free