Hawaii Medicare Insurance Plans
Medicare is a federally sponsored health insurance program available to those over the age of 65, as well as to individuals who have certain disabilities. At the state level, however, there exist specific organizations that help beneficiaries better understand the Medicare process, and Medicare recipients may even qualify to receive state subsidies, depending on their circumstances. Consider the following information if you are interested in obtaining Medicare coverage in the state of Hawaii.
MEDICARE SUPPLEMENT INSURANCE (MEDIGAP) POLICIES
Hawaii is a state that requires Medigap insurance companies to sell you a Medigap policy, even if you’re under 65 according to CMS.
Mini-COBRA Policies (Small Group)
If you work for an employer that has under 20 full-time employees, Hawaii does not have a law for employees to continue coverage under their previous employer. Find more details here.
Hawaii Medicare Savings Program
Hawaii has four Medicare Savings Programs available, depending on your income level.
*The following data is from 2016 and is based on federal amounts. These amounts may increase in 2017. If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.*
- *Qualified Medicare Beneficiaries (QMBs): For QMBs, Hawaii covers all premiums for Medicare Part B and all copayments and deductibles for Medicare Parts A and B. This program is for individuals with a monthly income below $1,160 and couples with a monthly income below $1,556.
- *Specified Low-Income Medicare Beneficiaries (SLMBs): For individuals with a monthly income above $1,387 but under $1,863 (or couples with income above $1,548 but under $1,853 per month), the state pays premiums for Medicare Part B under a second-tier plan for Specified Low-Income Medicare Beneficiaries.
- *Qualified Individuals (QIs): The state will pay Medicare Part B premiums for individuals with a monthly income under $1,558 (or couples with a combined monthly income under $2,094).
- *Qualified Disabled and Working Individuals (QDWIs): For individuals with a monthly income under $4,642 (or couples with combined monthly income below $6,229) the state will cover premiums for Medicare Part A.
*Data from ssa.gov
According to ssa.gov, you should be aware that several States may even disregard all resources for individuals or couples in certain categories.
Health Insurance Counseling and Advocacy Program (SHIP)
Local Hawaii SHIP centers (previously known as Sage Plus until April 1, 2015) are there to help you understand the variety of Medicare programs available. Hawaii SHIP provides local counseling sessions and personal phone and office consultations for patients throughout the state as a means to educate you about the wide variety of medical care and insurance options available (which can vary from region to region), including:
- Medicare (Parts A and B)
- Medicare Advantage Plans (Part C)
- Medicare Prescription Drug Plans (Medicare Part D)
- Medicare Supplement Insurance (Medigap)
- Prescription assistance programs
- Long-term care and payment options
- Health care rights and protections
- Low-income assistance programs
Hawaii SHIP also works on your behalf to deal with claims and disputes through a network of hundreds of trained, certified SHIP volunteers throughout the state of Hawaii
(Extra Help) for Prescription Drugs
In 2016, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple) and up to $13,640 in resources ($27,250 for a married couple).
If you are a Hawaii resident looking for answers about the best plan available to you in your area, consult with a licensed sales agent at MedicareSolutions.com. Knowledgeable MedicareSolutions.com licensed sales agents can tailor the best solutions to your needs based on both your income and location.