Hawaii Medical Plans
The Hawaii Medical Service Association (HMSA) and Kaiser Permanente (in-network only) coverage is available to employees located in Hawaii, based on home ZIP code.
Hawaii Medical Plans
2024 Plan Information
| HMSA | Kaiser Permanente |
|---|---|
| Note | |
The figures in the chart below reflect what the Plan pays, with the exception of deductibles and out-of-pocket maximums, which employees pay. | |
| Individual Annual Deductible | |
In-Network: Out-of-network: | None |
| Family Annual Deductible | |
In-Network: Out-of-Network: | None |
| Individual Out-of-Pocket Maximum | |
In-Network: Prescription coverage: $3,600 Out-of-Network: Prescription coverage: $3,600 | $2,500 |
| Family Out-of-Pocket Maximum | |
In-Network: Prescription coverage: $4,200 Out-of-Network: Prescription coverage: $4,200 | $7,500 |
| Most Preventive Care, Subject to Plan’s Frequency Limits | |
In-Network: Out-of-Network: | Covered at 100% |
| Office Visits (non-preventive) | |
In-Network: Out-of-Network: | 100% after $20 copay |
| Maternity | |
In-Network: Outpatient: 100% Out-of-network: | Delivery and all inpatient care: covered at 90% Prenatal and postnatal care routine care: 100% |
| Fertility Coverage (includes cryopreservation, artificial insemination, IVF, GIFT and ZIFT) | |
In-Network: Out-of-Network: | Contact the plan for details about this coverage |
Medical Plan ID Cards
If you are enrolling for medical coverage for the first time or switching Plan administrators, you will receive a combined medical and prescription drug ID card by mail. If you require proof of coverage before receiving your ID card, you may print a temporary ID card from the Plan administrator’s website.