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Retirees under 65

Find information about specific benefits, ranging from preventive care to surgery or diagnostic lab services.

2025 plan summary

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

CompMED with Prescription Drug

Health Plan Hawaii (HPH) with Prescription Drug

Annual deductible

$100 per person
$300 maximum per family

Annual deductible
None

Annual Out-of-pocket Maximum

$3,000 per person
$9,000 maximum per family

Annual Out-of-pocket Maximum

$2,500 per person
$7,500 maximum per family

Find a doctor1
Choose from more than 5,000 doctors and specialists close to where you live or work.

Find a doctor1
Choose from more than 5,000 doctors and specialists close to where you live or work.

Plan Benefits


Annual Preventive Health Evaluation
$0

  • Office Visits - $14
  • Maternity Care** - 10%
  • Emergency Room - $100
You pay 20% of costs for these services
  • Hospital Room and Board*
  • Surgical Procedures (outpatient surgery)
  • Diagnostic Tests
  • Outpatient X-ray and Other Radiology
  • Ambulance (ground)

Plan Benefits


Annual Preventive Health Evaluation
$0

Office Visits
$20

Maternity Care**
$0

Emergency Room
$25

Hospital Room and Board
$75 per day

Surgical Procedures (outpatient surgery)
$0 (outpatient surgical center)
$20 (professional charges)

Diagnostic Tests
$20

Outpatient X-ray and Other Radiology
$20 per X-ray

Ambulance (ground)
$0
CompMED with Prescription Drug

Full plan benefit details
 Health Plan Hawaii (HPH) with Prescription Drug

Full plan benefit details

Every plan includes:

Annual preventive health evaluation

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 and HMO plans

*A service dollar maximum may apply. You may owe amounts in addition to your copayment. Refer to your Guide to Benefits for details.

** Routine Prenatal Visits, Delivery and Postpartum Visit

CompMED with Prescription Drug

Annual deductible

$100 per person
$300 maximum per family

Annual Out-of-pocket Maximum

$3,000 per person
$9,000 maximum per family

Find a doctor1
Choose from more than 5,000 doctors and specialists close to where you live or work.

Plan Benefits


Annual Preventive Health Evaluation
$0

  • Office visits - $14
  • Maternity Care** – 10%
  • Emergency Room - $100
You pay 20% of costs for these services:
  • Hospital Room and Board*
  • Surgical Procedures (outpatient surgery)
  • Diagnostic Tests
  • Outpatient X-ray and Other Radiology
  • Ambulance (ground)
CompMED with Prescription Drug

Full plan benefit details

Health Plan Hawaii (HPH) with Prescription Drug

Annual deductible

None

Annual Out-of-pocket Maximum

$2,500 per person
$7,500 maximum per family

Find a doctor1
Choose from more than 5,000 doctors and specialists close to where you live or work.

Plan Benefits


Annual Preventive Health Evaluation
$0

Office Visits
$20

Maternity Care**
$0

Emergency Room
$25

Hospital Room and Board
$75 per day

Surgical Procedures (outpatient surgery)
$0 (outpatient surgical center)
$20 (professional charges)

Diagnostic Tests
$20

Outpatient X-ray and Other Radiology
$20 per X-ray

Ambulance (ground)
$0
Health Plan Hawaii (HPH) with Prescription Drug

Full plan benefit details

Every plan includes:

Annual preventive health evaluation

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 and HMO plans

*A service dollar maximum may apply. You may owe amounts in addition to your copayment. Refer to your Guide to Benefits for details.

** Routine Prenatal Visits, Delivery and Postpartum Visit

2024 Full plan benefit details

CompMED with Prescription Drug
Health Plan Hawaii (HPH) with Prescription Drug
P000610

By phone:

Monday – Friday: 7 a.m. to 7 p.m.
Saturday: 9 a.m. to 1 p.m.
808-948-6079 on Oahu
1-800-776-4672 toll-free, Neighbor islands