Best Health Insurance Plans Hawaii
Hawaii is composed entirely of islands and is renowned for its scenic beauty, amazing culture and adventure.
Earlier Hawaii Health Connector was the health insurance marketplace where residents of this state used enroll in a plan, compare plan prices, change plan and apply for cost assistance. Post 2016, residents are using HealthCare.Gov, which is the official Hawaii state marketplace to enroll and compare plans and to apply for health insurance under Obamacare. During the open enrollment period for 2019 coverage, 20,193 people enrolled in private plans through Hawaii exchange, which was 2% increase over the previous year. Hawaii has been one of the U.S. states that has seen upward trend in enrollment in the recent years and that use the federally-run exchange. In the year 2019, there are two insurers in Hawaii exchange that offer coverage for individual and family.
Highlights and Updates
- Hawaii has the federally run exchange at HealthCare.gov, which residents can use to enroll in plans and apply for coverage.
- Open enrollment for 2020 coverage in Hawaii will end on December 15, however enrollment will be open for Hawaiians having qualifying events.
- In 2019, two insurance carriers are offering coverage through the Hawaii exchange.
- By the end of 2018 around 19,800 Hawaiians enrolled in coverage through Hawaii exchange.
- The market for short-term plans was effectively eliminated from the Hawaii state.
- In Hawaii the weighted average premium increase in 2019 was 5.3%.
- Only 19% Hawaiians are enrolled in Medicare plans.
- The ACA’s Medicaid expansion was implemented in Hawaii in 2014.
Individual and Family Health Insurance
All individual and family health insurance plans in Hawaii must comply with the ACA and should include coverage of the ten essential health benefits regardless of the area where they are sold. When Hawaiians residents enroll in ACA compliant individual and family health plans offered through the health insurance exchange, they have the option to apply for income-based financial assistance that allows them reduce their monthly health insurance premiums and out-of-pocket expenses for healthcare. Individual and family health insurance premium amounts are determined by the insurer’s age at the time of purchasing the plan and the number of members that will be covered. Hawaii’s exchange has two insurers that offer individual market coverage for 2019. Major Individual and Family
Individual Health Insurance Plans Available in Hawaii
Individuals seeking individual and family health plans in Hawaii can choose from any of the given plans:
Indemnity plans typically have a deductible, which is the amount which insured has to pay before the insurance carrier starts paying benefits. It is only after their covered expenses exceed the deductible amount then the benefits are paid as a percentage of actual expenses. Indemnity plans offer the more flexibility to insured in terms of choosing the healthcare provider.
Preferred Provider Organization Plans
In these plans insurance companies make a contract with a network of doctors and hospitals who agree to render healthcare services at a discounted rate. All the member of the PPO plan will be able to access healthcare services from the network doctors and hospitals and also from a doctor or hospital from out-of-the-network, but they will have to pay a higher deductible or co-payment.
Health Maintenance Organization Plans
In these plans insured have to choose a primary care physician from a list of network providers, who is responsible for managing the insured healthcare. If one requires care from any physician other than primary care physician then one has to get a referral from the primary care physician. In order to receive their claim through the HMO insured need to receive care from a network provider.
Point of Service Plans
POS plans are the mix of the PPO and HMO plans. POS plans are flexible than HMO plans but require insured to select a primary care physician. Insured can also avail health care from an out-of-network provider but need to pay more of the cost. However, if the primary care physician refer to an out-of-network doctor then the cost will be paid by the plan carrier.
Short-term Health Insurance Plans in Hawaii
Due to the legislation enactment in 2018 in Hawaii the sale of short-term plans has been prohibited and insurers have stopped offering these plans in the state. As per this law anyone eligible to buy an ACA compliant health plan in the state’s exchange during the previous year is not allowed to purchase a short-term plan. The short-term plans can be offered for a duration of not more than 90 days and even renewals are prohibited. Thereby, this law has effectively eliminated the short-term plans market in Hawaii.
Dental Plans in Hawaii
In Hawaii dental coverage is included in some of the individual and family health insurance plans but still one can get a stand-alone dental plan by paying a separate premium. In the Hawaii health insurance marketplace, one can get dental coverage either as a part of a health plan or as a stand-alone dental plan. There are two categories of dental plan in Hawaii, High and Low. The high coverage dental plan has higher premiums but lower co payments and deductibles. This means that one needs to pay higher premium amount every month but pay less for the dental care services availed. The low coverage dental plan has lower premiums but co payments and deductibles are higher, which means that one will pay less premium every month but need to pay more when availing dental care services.
A vision insurance policy is not the same as health insurance. Regular health insurance plans protect you against financial losses due to unexpected eye injuries or disease. Vision insurance, on the other hand, is a wellness benefit designed to provide routine eye care, prescription eye wear and other vision-related services at a reduced cost.