Hawaii - HMSA Platinum HMO

Hawaii, 2018

  • Plan Type

    HMO

  • Metal Tier

    Platinum

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $0

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $0
Deductible (Family) $0
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $300 Copay per day
Inpatient Physician Data Not Available
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility Data Not Available
Outpatient Surgery Data Not Available

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Hawaii

Plan HMSA Silver PPO 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Platinum PPO Deductible $0 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Bronze HMO Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Gold PPO Deductible $0 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Bronze PPO 7350 Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Gold HMO Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Catastrophic Plan Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Gold PPO 1000 Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Silver PPO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Silver HMO Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,350
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $0
Deductible (Family) $0
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $300 Copay per day
Inpatient Physician Data Not Available
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility Data Not Available
Outpatient Surgery Data Not Available

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Hawaii

Plan HMSA Silver PPO 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Platinum PPO Deductible $0 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Bronze HMO Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Gold PPO Deductible $0 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Bronze PPO 7350 Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Gold HMO Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Catastrophic Plan Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Gold PPO 1000 Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Silver PPO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMSA Silver HMO Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,350