HMSA Akamai Advantage Select Plus (HMO)

HAWAII MEDICAL SERVICE ASSOCIATION (HMSA) · 2027 plan year

Plan ID H2561-001-000

HMONew for 2027
MOOP (in-network)
$5,200
MOOP (combined)
—
Monthly premium
$45/mo
Part C $0 + Part D $45, before Extra Help
Prescription drugs
Included

Plan information

Contract / Plan / Segment
H2561-001-000
Medical deductible
$0 — no deductible
Part D premium
$45/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
Part D deductible
$450/yr
Also owed
Your Medicare Part B premium, paid separately

More HAWAII MEDICAL SERVICE ASSOCIATION (HMSA) plans in HI

Benefits & cost sharing

Hospital

BenefitIn-network
Worldwide Urgent Care Coverage10% coinsurance
Inpatient Hospital — Acute$460/day for days 1–4, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$460/day for days 1–4, $0 after

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$35
Mental Health — Group Sessions$35
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
Other Health Care Professional Services0%-20% coinsurance
Psychiatric Services — Individual Sessions$35
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Therapeutic Shoes & Inserts20% coinsurance
Diabetic MonitorsNo charge
Dental — X-RaysNo charge
Dental — Fluoride TreatmentNo charge
Dental — Other Preventive ServicesNo charge
Hearing — ExamsNo charge
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Vision — Eyeglass LensesNo charge
Vision — Eyeglass FramesNo charge
Vision — Eyewear UpgradesNo charge
Podiatry Services$35
Ambulance ServicesSee plan details
Ground Ambulance$300
Supervised Exercise Therapy (SET)$20
Medicare-Covered Preventive ServicesSee plan details
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)$195-$1,395
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage10% coinsurance
Psychiatric ServicesSee plan details
Psychiatric Services — Group Sessions$35
Physical Therapy & Speech-Language Pathology$30
Air Ambulance$600
Durable Medical Equipment (DME)20% coinsurance
Diabetic SuppliesNo charge
Dialysis Services20% coinsurance
Dental — Prophylaxis (Cleaning)No charge
Hearing — ExamsSee plan details
Dental — Oral ExamsNo charge
Skilled Nursing Facility (SNF)$10/day for days 1–20, $215/day for days 21–60, $0 after
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions$30
Intensive Cardiac Rehabilitation — Additional Sessions$35
Pulmonary Rehabilitation — Additional Sessions$25
Emergency Services$115
Urgently Needed Services$35
Vision — Contact LensesNo charge
Worldwide Emergency Transportation10% coinsurance
Partial Hospitalization Program$35
Intensive Outpatient Program (IOP)$35
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$30
Physician Specialist Services$35
Additional Telehealth Services (Part B)No charge
Opioid Treatment Program Services$35
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests20% coinsurance
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology20% coinsurance
Therapeutic Radiology20% coinsurance
X-Ray Services20% coinsurance
Outpatient Hospital Services0%-20% coinsurance
Hospital Observation Services$460/day
Ambulatory Surgical Center (ASC)0%-20% coinsurance
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions$35
Substance Abuse — Group Sessions$35
Outpatient Blood ServicesNo charge
Other Supplemental Benefit20% coinsurance
Home-Based Palliative CareNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)$35
Dental — Medicare-Covered Services$35
Dental — PreventiveSee plan details
Dental — ComprehensiveSee plan details
Dental — Restorative ServicesNo charge
Dental — Endodontics (Root Canal)No charge
Dental — Periodontics (Gum Care)No charge
Dental — Oral & Maxillofacial SurgeryNo charge
Vision — Eye ExamsNo charge
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — Other Eye ServicesNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details

Service area

  • HI: 1 county

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