Medicare Advantage PPO plans in Hawaii
There are 28 Medicare Advantage PPO plans in Hawaii from 5 carriers, averaging 3.44 out of 5 stars across the 25 plans CMS has rated. 42% of those with a published premium charge $0 a month (12 of 28); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 28 PPO plans in Hawaii that publish one, the in-network out-of-pocket maximum has a median of $7,150 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $7,600, which sits above the median — the spread is not symmetric, so the median is the better guide.
PPO plans in Hawaii rate below the national average.
The 25 rated PPO plans here average 3.44 stars against a national median of 4.00. That is a reason to compare carefully rather than to rule the state out — 11 plans here still rate 4 stars or better, and the rating describes the contract, not any one plan's benefits.
Hawaii PPO plans rank 50th of 51 on star rating.
Across the 25 rated plans here the average overall rating is 3.44 stars, 50th 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.
Top-rated PPO plans in Hawaii
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| HumanaChoice H5216-313 (PPO)Humana | 4★ | $5,700 | $20 |
| AARP Medicare Advantage from UHC HI-0002 (PPO)UnitedHealthcare | 4★ | $5,900 | $69 |
| HumanaChoice H5216-464 (PPO)Humana | 4★ | $6,400 | $37 |
| AARP Medicare Advantage from UHC HI-0001 (PPO)UnitedHealthcare | 4★ | $7,150 | $0 |
| AARP Medicare Advantage from UHC HI-0003 (PPO)UnitedHealthcare | 4★ | $7,150 | $29 |
Showing 5 of 28. See all HawaiiMedicare Advantage plans →
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| Devoted HealthDevoted Health, Inc. | 10 | 3.0 | — |
| UnitedHealthcareUnitedHealth Group, Inc. | 8 | 4.0 | 2 |
| HumanaHumana Inc. | 5 | 4.0 | — |
| HMSA Akamai AdvantageHawaii Medical Service Association | 4 | 3.0 | — |
| HMSA Akamai Advantage Dual CareHawaii Medical Service Association | 1 | — | 1 |
How PPO compares
States with similar PPO star ratings
Hawaii Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in Hawaii?
What are the star ratings for Hawaii PPO plans?
How many Medicare Advantage PPO plans are available in Hawaii?
Do Hawaii PPO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in Hawaii?
A $0 premium is not the whole cost.
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