Active Employees

Actives Presentation

2026 presentation
Presentation for open enrollment.

Thumbnail of benefits flyer

Benefits at-a-Glance [PDF]
Quick view of all plan benefits

2026 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

2025 plan documents

P000608

By phone:

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