Medicaid is both a federal and state-funded program for individuals and families with low income. Eligibility and benefits can change slightly in each state. This guide can help you determine what you are eligible for if you live in Hawaii.
When you become eligible and your application for Hawaii Medicaid is accepted, you’ll be automatically assigned a health plan. You will have the option to switch into a different one within 15 days of your enrollment notice. Regardless of if you change in that 15-day period, you’ll be able to make one change in your first 90 days. If you miss that period, you won’t be able to change again until the enrollment period from October 1 through October 31. Hawaii Medicaid health plan options are:
AlohaCare is a local, non-profit option that was founded in 1994. It’s now the third-largest plan in Hawaii. AlohaCare features a new basic dental plan (annual exams, six-month cleanings and fluoride treatments, bitewing and periapical X-rays, and non-emergency fillings and extractions. They also have a Medicare contract and offer a Special Needs Plan for Hawaiians eligible for both Medicare and Medicaid.
Why Choose HMSA Quest?
HMSA Quest offers health education workshops, credit monitoring and identity theft protection, as well as a savings program. HMSA365 Discounts provides savings on gym memberships, fitness classes, vision and hearing services, acupuncture, and massages. You can also get a 20% discount on CVS/pharmacy health items.
Why Choose Kaiser?
Kaiser Permanente has ten locations on Oahu and three on Maui, providing easy access to medical facilities. Within Kaiser’s facilities, you can receive care from any nurse, specialist, therapist, pharmacist, etc.
Why Choose Ohana?
Ohana Health Plan, a part of WellCare, has offices in Kapolei, Hilo, Kahului, and Honolulu. Ohana features a free 24-hour nurse advice hotline and a Healthy Rewards program. Through this program, you can get a prepaid Visa debit card or gift card for completing activities like visiting your doctor, getting yearly screenings, attending prenatal visits when pregnant, and doing what your providers ask you to do to manage your diseases.
Why Choose UnitedHealthcare?
UnitedHealthcare offers two dual-eligible Medicare/Medicaid plans as well as a Med-QUEST Hawaii program. Some of the featured Med-QUEST benefits include scheduled rides to certain medical appointments, a 24-7 nurse line, language interpreter services, vaccines, health education classes, and more.
Looking for a doctor who accepts Hawaii Medicaid? The Hawaii Medicaid Med-QUEST website has its own provider search tool. You can search according to your health plan, your island and city, and what specialty you’re looking for. You can also search by language and by whether or not the doctor is accepting new patients.
Eligibility for Hawaii medical assistance programs is based largely on your income level and household size. If you have low income and are unable to pay your medical bills, it may be worth applying to find out if you are eligible. Applying is the only way to know for sure.
You can apply for Hawaii Medicaid online on the Med-QUEST Hawaii website. You can start by taking the pre-assessment to find out if you might be eligible, or you can dive right in and click “apply now.” You’ll create an account (if you haven’t already), which will allow you to log in and check your application status and details relating to your Medicaid.
Hawaii Medicaid Offices
If you have questions or need help with your application, you can contact or visit the Med-QUEST Eligibility Branch office on your island. You can also reach the main Hawaii Medicaid customer service line for Oahu at 808-524-3370 (TTY 808-692-7182) and Neighbor Islands at 1-800-316-8005 (TTY 1-800-603-1201).
If you qualify for Medicare based on your age or disability status, and you also qualify for Hawaii Medicaid, you might qualify for a Dual-Eligible Medicare Advantage Special Needs Plan, or DSNP. DSNPs can provide coverage for additional services and often come at no or very little cost.
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