Hawaii · 2026 plan year
Medicare Advantage PPO plans in Hawaii
There are 30 Medicare Advantage PPO plans in Hawaii from 5 carriers, averaging 3.63 out of 5 stars across the 26 plans CMS has rated. Nearly all charge no monthly plan premium, so what separates them is network, drug coverage and how much you could owe in a bad year.
30
PPO plans
5
Carriers
5
Counties covered
3.6
Avg stars (26 of 30 rated)
Varies
Avg out-of-pocket max
A $0 plan premium is not a free plan. You still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. Star ratings are published by CMS per contract, so every plan a carrier files under the same contract shares one rating — it describes the carrier’s performance, not this specific plan’s benefits. Estimate your real costs.
Hawaii PPO plans rank 42nd of 51 on star rating.
Across the 26 rated plans here the average overall rating is 3.63 stars, 42nd highest of the 51 states with PPO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Highest rated
Top-rated PPO plans in Hawaii
Showing 5 of 30. See all HawaiiMedicare Advantage plans →
Who sells here
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| Devoted HealthDevoted Health, Inc. | 10 | 3.5 | — |
| UnitedHealthcareUnitedHealth Group, Inc. | 10 | 4.0 | 2 |
| HumanaHumana Inc. | 5 | 3.5 | — |
| HMSA Akamai AdvantageHawaii Medical Service Association | 4 | 3.5 | — |
| HMSA Akamai Advantage Dual CareHawaii Medical Service Association | 1 | — | 1 |
Other plan types in Hawaii
How PPO compares
Nearby on quality
States with similar PPO star ratings
Common questions
Hawaii Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in Hawaii?
Of the Hawaii PPO plans with a published premium, 76% charge $0 a month. A $0 premium does not mean the plan is free: you still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. The number that actually caps a bad year is the plan's out-of-pocket maximum — check it on each plan, since CMS does not publish it uniformly for PPO plans.
What are the star ratings for Hawaii PPO plans?
The 26 rated PPO plans in Hawaii average 3.63 out of 5 stars, with 7 rating 4 or better. CMS rates a contract rather than an individual plan, so every plan a carrier files under the same contract shares one score. A contract that is too new or has too little data is not rated at all, which is different from rating badly.
How many Medicare Advantage PPO plans are available in Hawaii?
There are 30 PPO plans from 5 carriers, sold across 5 counties. Availability is set by county, so the plans you can actually join depend on where you live — the full list is rarely available in any one place. 3 of them are Special Needs Plans with extra eligibility rules (see below).
Do Hawaii PPO plans include prescription drug coverage?
29 of the 30 PPO plans here bundle Part D drug coverage into the plan. That is the usual arrangement for Medicare Advantage and there is no separate drug premium for it — the plan premium covers both. If you join a Medicare Advantage plan without drug coverage, you generally cannot add a standalone Part D plan alongside it.
What is a Special Needs Plan, and are there any in Hawaii?
3 of the 30 PPO plans in Hawaii are Special Needs Plans. SNPs limit enrollment to people who also have Medicaid, live in a nursing home or similar institution, or have a qualifying chronic condition. They often carry richer benefits for that group, but if you do not meet the criteria you cannot join one — so the real number of plans open to you may be lower than the total.
A $0 premium is not the whole cost.
See what a year really looks like.
Simplivera models your actual annual costs across Hawaii Medicare Advantage plans.
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