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Hawaii residents nearing 65 often ask “What are the eligibility requirements for Medicare in Hawaii?” and “What Medicare plans are available for Hawaiian seniors?” HealthMarkets can answer your questions and help you get the coverage that you need, all at no additional cost to you. If you are ready, get started comparing plans today.

Does Medicare Cover You in Hawaii?

Yes, Medicare can cover you if you are Medicare-eligible in Hawaii. You may be eligible for Medicare in Hawaii if you’re a U.S. citizen or a permanent legal resident who has lived in the U.S. for more than five years and one or more of the following applies to you:1

  • You are 65 or older.
  • You’re under 65, disabled, and receive disability benefits from Social Security or the Railroad Retirement Board.
  • You have End-Stage Renal Disease (ERSD).
  • You have ALS (Amyotrophic Lateral Sclerosis), also known as Lou Gehrig’s disease.

Once you know you’re eligible for Medicare (or soon will be), it’s time to review your options.

Your Options With Hawaii Medicare Eligibility

More than 278,000 Hawaiians took advantage of Medicare benefits as of 2020.But what makes up Medicare coverage? The first two “parts,” Part A and Part B are called Original Medicare.

  • Part A: Also called hospital insurance, Part A covers hospitalization, hospice care, and some home health services.
  • Part B: Also referred to as medical insurance, Part B covers doctor visits, diagnostic testing, medical equipment, and lab work.1

If you receive Social Security, you will automatically be enrolled in Original Medicare. Those with Original Medicare have the option to purchase a separate Part D drug coverage planand a Medicare Supplement plan to supplement your benefits.

Another option is Part C. Also known as Medicare Advantage, Medicare Part C is provided by private health insurance companies. It bundles Part A, Part B, and often other coverage such as prescription drugs, dental, vision, and hearing plans, into a single plan.4

How Do I Apply for Medicare in Hawaii?

You can apply for Medicare in Hawaii through the Social Security Administration, either by phone or online.

Not sure which plan is right for you? HealthMarkets can make it easy. Our FitScore® can recommend and compare plans to help you find the one that fits your needs — at no additional charge to you. You could even discover that you might qualify for Extra Help, a program that helps you pay less for prescription drug coverage. Over 47% of Medicare-eligible Hawaii residents who applied were deemed eligible for Extra Help in 2020.5

Get your FitScore and begin comparing Medicare plans today. 


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*Medicare has neither reviewed nor endorsed this information.

References:
1.Original Medicare (Part A and B) Eligibility and Enrollment, CMS. 2020. Retrieved from https://www.cms.gov/Medicare/Eligibility-and-Enrollment/OrigMedicarePartABEligEnrol | 2. Total Number of Medicare Beneficiaries, KFF. 2020. Retrieved from https://www.kff.org/medicare/state-indicator/total-medicare-beneficiaries/ | 3. What Medicare Part D drug plans cover, Medicare. 2020. Retrieved from https://www.medicare.gov/drug-coverage-part-d/what-medicare-part-d-drug-plans-cover | 4. Understanding Medicare Advantage Plans, Medicare. 2020. Retrieved from https://www.medicare.gov/Pubs/pdf/12026-Understanding-Medicare-Advantage-Plans.pdf | 5. Social Security Administration (SSA) Annual Data for Extra Help with Medicare Prescription Drug Plan Costs. SSA. 2019. Retrieved from https://www.ssa.gov/open/data/Data-about-Extra-Help-with-Medicare-Prescription-Drug-Plan-Cost.html 

HealthMarkets’ FitScore intends to identify plans that fit your needs. You should carefully review official plan materials.

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