Humana Medicare Advantage Plans Hawaii 2025

Explore the potential Humana Medicare Advantage plans in Hawaii for 2025, featuring tailored HMO, PPO, and PFFS options that could match your healthcare needs.

This guide cuts straight to the chase, presenting only what matters: the possible plan benefits, costs, and straightforward enrollment instructions for Humana Medicare Advantage Plans Hawaii 2025.


Key Takeaways


  • Some possible benefits of certain plans may go beyond basic medical coverage and could potentially include supplementary benefits like dental, vision, and hearing coverage. Availability and details of some of these plans may vary by ZIP code, with special attention to veterans through Humana USAA Honor.


  • Understanding the potential costs is crucial. Humana could potentially offer lower-cost preferred pharmacies and Dual Eligible Special Needs Plans for those qualifying for both Medicare and Medicaid, possibly adding financial benefits and comprehensive coverage.


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Overview of Humana Medicare Advantage Plans in Hawaii


Humana Medicare Advantage Plans Hawaii 2025, Overview of Humana Medicare Advantage Plans in Hawaii (2025)


Humana offers three types of Medicare Advantage plans in Hawaii – Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Private Fee-For-Service (PFFS).

These may be designed with a unique approach to offer affordability, stability, and value to Medicare-eligible consumers, based on comprehensive research conducted in states like Maryland, Maine, Michigan, and Minnesota.

However, geographical location could play a significant role in determining the potential costs, coverage, and possible benefits of certain Humana’s Medicare Advantage plans. Whether you reside in the bustling streets of Honolulu or the peaceful shores of Kauai, your location may influence the potential details of your plan.

But rest assured, regardless of your location, Humana ensures that every beneficiary has access to suitable plans.


Possible Benefits and Features of Humana Plans

A Medicare Advantage plan from Humana in Hawaii could potentially provide extensive coverage for both inpatient and outpatient services, which may include:

  • Doctor’s visits


  • Ambulance services


  • Emergency and urgent care


  • Durable medical equipment (DME) for beneficiaries of all disability statuses.


Some of Humana’s Medicare Advantage plans may even extend beyond basic medical coverage. Some of these plans might include supplementary benefits such as:

  • Dental



  • Hearing Health


  • Prescription and over-the-counter medications


These potential benefits could be designed to cater to the holistic health and well-being of all beneficiaries.


Plan Availability by ZIP Code

Humana’s commitment to providing tailored healthcare solutions to all may be evident in the way their Medicare Advantage plans will likely be made available.

The availability of these plans may vary based on the ZIP code, possibly ensuring that beneficiaries could have access to suitable plans in their specific area.

With Humana USAA Honor, Humana continues to demonstrate their dedication to serving those who have served our country.

You can check the availability of Humana plans in your area by entering your ZIP code on the Humana website.

This could provide you with the relevant information, which may include the specific Humana Medicare Advantage plans available in your area. For instance, in Hawaii, the Humana Gold Plus HMO (H0028-049-002) and Humana Choice PPO (H5216-232-002, H5216-233-002) may be available.


Comparing Humana’s Top-Rated Medicare Advantage Plans in Hawaii


Humana Medicare Advantage Plans Hawaii 2025, Comparing Humana's Top-Rated Medicare Advantage Plans in Hawaii


After identifying the available plans in your area, the subsequent step might involve comparison. To assist in this process, the Centers for Medicare & Medicaid Services (CMS) may evaluate the potential Medicare Advantage plans using a rating scale ranging from one to five stars.

A five-star rating represents the highest attainable rating for a plan, which might serve to inform beneficiaries about the potential quality and effectiveness of each plan.

The HumanaChoice H5216-233 (PPO) and Humana Gold Plus H0028-048 (Medicare Advantage HMO) will likely be some of the top-rated Humana Medicare Advantage plans, including Medicare Advantage HMO PPO options, in Hawaii

Garnering high ratings from CMS, some of these plans may be recognized for their extensive coverage and possible supplementary benefits that could be tailored to meet the needs of beneficiaries.


How to Compare Plans Using Our Website

By entering your zip code into any of the zip code boxes on this website, you can:

  • Compare different Medicare Advantage and Prescription Drug Plans


  • Focus on drug coverage and costs to find the perfect fit for your healthcare needs


  • Input your information and sort through a variety of plans


  • Weigh the pros and cons of each based on your situation


Our website could be a convenient method to evaluate Humana’s potential plan offerings and compare various Medicare Advantage and Part D plans.

So, whether you’re in Hawaii, New York, Ohio, Oregon, Pennsylvania, or even MD, ME, MI, or MN you may be able to identify a plan that could align with your medical and financial requirements.


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Understanding Potential Costs and Coverage: Humana Medicare Advantage Plans in Hawaii


Humana Medicare Advantage Plans Hawaii 2025, Understanding Costs and Coverage: Humana Medicare Advantage Plans in Hawaii


Deepening your understanding of the potential Humana Medicare Advantage plans may involve learning about the associated costs and coverage.

Humana could potentially offer additional financial benefits to members.  Some lower-cost preferred pharmacies, for instance, might offer prescriptions at a discounted price, possibly resulting in significant savings or reduced out-of-pocket expenses for certain prescription drugs.

Moreover, some of Humana’s Dual Eligible Special Needs Plans could potentially cater to individuals who qualify for both Medicare and Medicaid, possibly offering supplementary benefits and coverage choices that could be designed to meet their specific healthcare requirements.


Lower Cost Preferred Pharmacies

Humana understands that prescription drug costs could be a significant burden for many beneficiaries. That’s why Humana might provide lower-cost preferred pharmacies with possible benefits in some of their Medicare Advantage plans.

These potential preferred cost-share pharmacies will likely be committed to offering medications that might come at a reduced cost for Humana Medicare members, possibly helping them pay less for prescription medications.

Some of these potential savings might be substantial. Beneficiaries may be able to achieve savings on certain prescription drug costs at particular lower-cost preferred pharmacies through reduced cost sharing and discounts.

The precise savings amount may differ based on the pharmacy and the prescribed drugs. However, regardless of these variables, the potential for significant savings is real and could potentially provide a tangible financial advantage for members.


Dual Eligible Special Needs Plans

Humana’s commitment to providing comprehensive healthcare solutions may also extend to those who qualify for both Medicare and Medicaid. The Dual Eligible Special Needs Plans (D-SNPs) that may offered by Humana could potentially cater to these individuals, possibly offering distinct benefits, such as:

  • Prescription drug coverage


  • Coordinated Medicare and Medicaid benefits


  • Potential advanced features and advantages in comparison to regular Medicare Advantage plans


Some of these plans might provide comprehensive and cohesive care by potentially integrating multiple coverages that might address some of the specific requirements of dual-eligible individuals.

To apply for a Dual Eligible Special Needs Plan with Humana in Hawaii, individuals must be enrolled in both Medicare and Medicaid and fulfill the relevant eligibility requirements.

Enrollment can be completed by calling one of our licensed agents at 1-833-641-4938 (TTY 711), Mon-Fri 8 am-9 pm EST. They can provide comprehensive information, personalized guidance, and ongoing assistance to navigate the enrollment process for private insurance companies, making it easier for beneficiaries to make informed decisions about their healthcare.


Enrollment Process and Checklist for Humana Medicare Advantage Plans in Hawaii


Humana Medicare Advantage Plans Hawaii 2025, Enrollment Process and Checklist for Humana Medicare Advantage Plans in Hawaii


With a clear understanding of Humana’s Medicare Advantage Plans, you can proceed to the enrollment step.

To simplify this process, Humana may provide a downloadable checklist that will likely be designed to guide you through the enrollment process. This might require personal information such as your date of birth, address, and Medicare number, which may be located on your government-issued Medicare card.

Keep in mind that maintaining your enrollment in most Humana plans requires contract renewal. This means that you might need to renew your contract with Humana periodically to maintain your coverage.

But don’t worry; Humana will likely provide you with all the necessary information and support to ensure a smooth renewal process.


Important Dates and Deadlines

As you prepare to enroll in a Humana Medicare Advantage plan, it’s important to be aware of the relevant dates and deadlines.

The significant dates for Medicare Advantage enrollment in Hawaii are from October 15 to December 7, 2023. Furthermore, the open enrollment period for Humana Medicare Advantage plans is from January 1st to March 31st.

If you wish to alter or discontinue your Medicare Advantage Plan, you may do so from January 1st to March 31st each year.

There is also a Medicare Advantage disenrollment period from January 1st through February 14th, during which beneficiaries can disenroll and return to Original Medicare.


Free Language Interpreter Services

Humana demonstrates its commitment to diversity and accessibility by potentially providing free language interpreter services.

Some of these services might include oral interpretation in about 200 languages and video interpretation in 24 languages, possibly enabling a wide range of beneficiaries to access healthcare information in their preferred language.

To access these services, beneficiaries simply need to contact the dedicated number, 1-877-320-2233, to arrange an appointment for assistance.

This service could potentially ensure that tailored language assistance may be offered throughout the enrollment process, helping non-English speakers to comprehensively comprehend and engage in the administration of their healthcare.


Hawaii Medicare Resources and Assistance

Humana Medicare Advantage Plans Hawaii 2025, Hawaii Medicare Resources and Assistance

Beyond Humana’s potential resources and support, numerous local and state agencies in Hawaii may also aid Medicare beneficiaries, including Hawaii residents.

The State Health Insurance Assistance Program (SHIP) in Hawaii, for instance, will likely provide complimentary health insurance information, education, counseling, and referral services to individuals with Medicare.

Other local agencies may also offer assistance and resources, which might include:

  • The Senior Medicare Patrol (SMP) Hawaii might provide fraud prevention services


  • Med-QUEST, the Hawaii Medicaid Program could potentially offer healthcare coverage for eligible individuals


  • Non-profit organizations like AlohaCare may offer Medicare coverage and aid to beneficiaries in Hawaii.


State Health Insurance Assistance Program (SHIP)

The State Health Insurance Assistance Program (SHIP) in Hawaii may offer some of the following services to Medicare beneficiaries:

  • Complimentary health insurance information


  • Education


  • Counseling


  • Referral services


Whether you need help with Medicare enrollment decisions or need assistance navigating the intricacies of Medicare, the SHIP agency could be there to guide you.

Accessing SHIP’s services is as simple as visiting the official Hawaii SHIP website. This platform may provide comprehensive resources to support individuals in making informed Medicare enrollment decisions.

By potentially offering impartial support from local counselors, SHIP may be able to simplify the process for beneficiaries and will likely enable them to make well-informed choices.


Other Local and State Agencies

Apart from SHIP, other local and state agencies in Hawaii may also assist Medicare beneficiaries. The Senior Medicare Patrol (SMP) Hawaii, for instance, could help protect beneficiaries from healthcare fraud and abuse. Med-QUEST, the Hawaii Medicaid Program, may provide healthcare coverage for eligible individuals.

Non-profit organizations might also play a significant role in supporting Medicare beneficiaries. AlohaCare, for instance, is a non-profit health plan founded by Hawaii’s Community Health Centers.

AlohaCare may provide comprehensive managed care to qualifying individuals and families, possibly offering another valuable resource for Medicare beneficiaries in Hawaii.


Navigating the Medicare Advantage landscape may seem daunting, but with Humana’s comprehensive plans and dedicated support, the journey might become much simpler.

Some of Humana’s Medicare Advantage plans in Hawaii could potentially offer a blend of affordability, stability, and value, which may be tailored to the unique needs of each beneficiary. With the possibility of having comprehensive coverage, lower-cost preferred pharmacies, and Dual Eligible Special Needs Plans, Humana may ensure that every beneficiary may have access to the healthcare they need.

So, whether you’re a Hawaiian resident like Koa or a Medicare beneficiary anywhere else, remember – choosing a Medicare Advantage plan is not just about selecting a healthcare plan.

It’s about choosing a partner who will guide you through your healthcare journey, potentially providing the support, resources, and care you need to live a healthy and fulfilling life.


Frequently Asked Questions


→  What is new for Humana 2025?

In 2025, some of the Humana Medicare Advantage plans might offer dental, vision, and hearing benefits. For additional information about the plans for the 2025 calendar year, be sure to keep checking back to this website for updates.


  What is the best Medicare Advantage plan?

Based on data from previous years, the best Medicare Advantage plan will likely be offered by Humana, known for high-quality ratings, good customer satisfaction, widespread availability, and possibly affordable plans, according to Forbes Health and customer reviews.


  What are the advantages of Humana Medicare Advantage?

Some of the advantages of certain Humana Medicare Advantage may include its broad range of choices for doctors and medical offices compared to Original Medicare, as well as potentially lower costs for those with complex medical needs.


 What types of Medicare Advantage plans does Humana offer in Hawaii?

Humana offers Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Private Fee-For-Service (PFFS) plans in Hawaii. These plans provide a range of options for Medicare Advantage coverage.


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Russell Noga
( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.