Request More Information on Hawaii Medicaid Coverage.



 
Featured Videos:

Understanding Medicare Special Needs Plans



Call Medicare Plan Finder
Free Prescription Card | Medicare Plan Finder

Your Ultimate Guide to MedQuest, Hawaii Medicaid

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.

Click below to learn more about Hawaii Medicaid:

Hawaii Medicaid Benefits

Some of the Med-QUEST Hawaii Medicaid covered benefits include but are not limited to: 

  • Behavioral/mental health services
  • Diagnostic tests (imaging, labs, etc.)
  • Dialysis
  • Durable medical equipment
  • Emergency care and transportation
  • Home and community-based services like adult day care, meal delivery, etc.
  • Hospice
  • Immunizations
  • Institutional services, like nursing facilities
  • Inpatient hospital stays
  • Non-emergency medical transportation (when required)
  • Outpatient hospital services
  • Outpatient medical services including home health, podiatry, smoking cessation, urgent care, and more
  • Pregnancy-related services
  • Prescription drugs
  • Rehabilitation

Hawaii Medicaid Plans

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: 

Why Choose AlohaCare?

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.

Medicare Games

Hawaii Medicaid Doctors

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.

Hawaii Medicaid Eligibility

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.

Hawaii Medicaid Eligibility

State of Hawaii Medquest Application

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).

Oahu

801 Dillingham Blvd., Fl 3

Honolulu, HI 96817-4582

587-3540 (fax 587-3543)

-

Kapolei

Kakuhihewa State Office Building

601 Kamokila Blvd, Rm 415

Kapolei, HI 96707-2021

692-7364 (fax 692-7379)

-

East Hawaii

1404 Kilauea Ave.

Hilo, HI 96720-4670

933-0339 (fax 933-0344)

-

West Hawaii

Lanuhau Professional Center

75-5591 Palani Rd., Ste 3004

Kailua-Kona, HI 96740-3633

243-5780 (fax 243-5788)

-

Maui

Millyard Plaza

210 Imi Kala St., Ste 110

Wailuku, HI 96793-1274

243-5780 (fax 243-5788)

-

Lanai

730 Lanai Ave.

Lanai City, HI 96763

553-1758 (fax 553-3833)

-

Molokai

State Civic Center

65 Makaena St., Rm 110

Kaunakakai, HI 96748

553-1758 (fax 553-3833)

-

Kauai

Dynasty Court

4473 Pahee St., Ste A

Lihue, HI 96766-2037

241-3575 (fax 241-3583)

How to get Both Medicare and Medicaid in Hawaii

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.

You can qualify for Medicare by:

Think you’re eligible for both programs? Give us a call at 833-438-3676 for help finding a Special Needs Plan near you.

Turning 65 and Medicare

Have questions? Ask a Licensed Agent!
Before You Go - Don't Forget!
Save Money on Your Prescriptions with a FREE Discount Drug Card!
Yes! I Want My FREE Prescription Discount Card
No Thanks!
close-link
FEATURED DOWNLOAD

Why Spend, When You Could Save?

Click the button to get your FREE personalized prescription discount card!
Prescription Discount Card
close-link
Translate »