Oahu Plans Summary for 2019

You now have more Medicare health plan choices than ever. You can choose an HMO or PPO plan that fits your health, budget, and lifestyle needs.

Choose HMSA for:
  • Convenient access to quality network of doctors, hospitals, and other providers.
  • Prescription drug benefits.
  • Routine vision and eyewear benefits.
  • Well-being programs to keep you healthy, including no-cost fitness center membership.
  • No-cost annual wellness visit and other preventive care services.
Essential Advantage (HMO)

Essential Advantage (HMO)

Plan too new to be measured.

At just $20 a month, you’ll pay the lowest premium of all our Medicare Advantage plans. With this HMO plan, you’ll get quality care from a primary care provider in the Essential Advantage network.

This may be for you if you:

  • Want lower monthly premiums.
  • Like the convenience of having your PCP coordinate your care.
  • Are in relatively good health.
  • Like choosing from a quality network of providers.
  • Only need travel coverage for urgent and emergent care.


Complete (PPO)

Complete (PPO)

4.5 out of 5 stars

4.5 out of 5 Star Rating (H3832).

This may be for you if you:

  • Want to choose your doctors.
  • Want low monthly premiums.
  • Are in relatively good health.
  • Don’t see doctors often and don't take a lot of medications.
  • Have a high tolerance for some financial risk.
  • Want peace of mind knowing that you’re covered while traveling.


Complete Plus (PPO)

Complete Plus (PPO)

4.5 out of 5 stars

4.5 out of 5 Star Rating (H3832).

This may be for you if you:

  • Want to choose your doctors.
  • Want lower out-of-pocket costs for medical services and prescription drugs.
  • Have multiple medical conditions.
  • See doctors often and take multiple medications.
  • Want the highest level of financial protection.
  • Want peace of mind knowing that you’re covered while traveling.


Extra Help

Low Income Subsidy can help pay for your prescription medications and monthly premiums.

HMSA Disclaimer

  • This plan information is effective January 1, 2019.
  • This information is not a complete description of benefits. Contact the plan for more information.
  • Medicare beneficiaries may also enroll in HMSA Akamai Advantage and Essential Advantage through the CMS Medicare Online Enrollment Center at www.medicare.gov.
  • Every year, Medicare evaluates plans based on a 5-star rating system.
  • HMSA Akamai Advantage is a PPO plan and Essential Advantage is an HMO plan with a Medicare contract. Enrollment in HMSA Akamai Advantage and Essential Advantage depends on contract renewal.

You’re eligible to enroll in HMSA Medicare Advantage if you:

  • Are entitled to Medicare Part A and enrolled in Medicare Part B.
  • Continue to pay your Part B premium.
  • Are a U.S. citizen or lawfully present in the United States.
  • Are a permanent resident of Honolulu County.

People with ESRD are not eligible for enrollment in this plan. Some exceptions may be applicable, please speak with a sales agent to determine eligibility.

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