Home › Knowledge › Compare Medicare Plans by State
CJ Karrer
Writer · Reviewed by Richard ChanUpdated Jun 12, 2026
12 min read
Medicare beneficiaries in Hawaii have access to Original Medicare, Medicare Advantage (Part C), and Medicare Part D prescription drug plans.
Hawaii offers standardized Medigap plans to help residents cover out-of-pocket costs associated with Medicare Part A and Part B.
To enroll in a Medicare Advantage plan in Hawaii, individuals must be enrolled in both Medicare Part A and Part B and live in the plan's service area.
Let’s be honest: Navigating Medicare can feel like trying to solve a puzzle in the dark. It’s a vital federal health insurance program for adults 65 and older, as well as younger people with certain disabilities or serious conditions like end-stage renal disease. Yet, making sense of it is rarely straightforward.
Because the program is fractured into multiple parts—each wrapped in its own complex rules and subtle state-by-state variations—residents of Hawaii are often left facing a maze of choices. Finding the right mix of benefits can have major implications for both your health and your wallet.
We’ll guide you through the different Medicare plan types available in the Aloha State. From breaking down the top regional providers to sharing actionable enrollment tips, our goal is to help you confidently secure the coverage you need at a price you can actually afford.
For 2026, the Part A annual deductible sits at $1,736. If you’ve been paying Medicare taxes for a decade or more, you’re in luck—you won't owe a monthly premium. If you haven't hit that 10-year mark, you can expect to pay either $285 or $518 per month, depending on your work history.
As of 2026, the annual deductible for Part B is $283 (representing a welcome 17% drop from the previous year). However, the standard monthly premium has edged up by $10.30 to $202.90.
While Original Medicare is robust, it isn't completely free. You’ll still face monthly premiums, annual deductibles, and out-of-pocket coinsurance that can fluctuate depending on your lifetime earnings and financial situation.
Medicare Advantage (often called Part C) offers an all-in-one alternative. These private plans bundle the protections of Original Medicare while frequently tossing in highly sought-after extras like prescription drug coverage, routine dental and vision care, hearing aids, and sometimes even gym memberships.
| Carrier | Average CMS Star Rating | Monthly Premium | Annual Deductible | Max Out-of-Pocket |
| United Healthcare | 3.93? | $0 | $0 | $6,700 |
| Humana | 3.63? | $0 | $1,000 | $7,550 |
| Devoted | 4.28? | $0 | $590 (tiers 3-5) | $9,200 |
Data sourced from CMS.gov and direct provider plans. Comparison based on Honolulu Zip Code 96817.
A few of the heavy-hitting Medicare Advantage providers operating in Hawaii right now include:
Securing the right Medicare plan isn’t just about ticking a box; it’s about ruthlessly optimizing your coverage so you aren't paying a dime more than you have to for the care you deserve.
Prescription costs can quickly spiral out of control, which is where Medicare Part D steps in to help shoulder the burden of your medication expenses.
If you stick with Original Medicare and need medications, you'll need to buy a standalone Part D policy. Alternatively, many Medicare Advantage plans bundle drug coverage directly into their overall package.
When evaluating a Part D plan, you really need to drill down into two vital details:
Your Part D benefits aren't a blank check at any counter. They are strictly tied to a specific network of contracted pharmacies. Before signing up, verify that your local, preferred pharmacy is in-network; otherwise, you might face strict limits or crippling out-of-network fees.
Every Part D plan operates using a formulary—a tiered list of covered drugs that dictates your copays. Scrutinize these formularies carefully. The same medication could cost pennies on one plan and dollars on another, depending entirely on which tier it occupies.
A quick snapshot of Part D options in Hawaii:
| Plan Name | Premium | Deductible | CMS Star Rating |
| AARP Medicare Rx Saver from UHC | $0 | $590 | 2? |
| Humana Basic Rx Plan | $49.80 | $590 | 3.5? |
| Cigna Healthcare Extra Rx | $90.10 | $175 (for tiers 3, 4, and 5) | 2.5? |
Data sourced from MedicareWire.com. Information reflects publicly available data as of 2026.
Because Original Medicare leaves you exposed to copays, coinsurance, and deductibles, many turn to Medicare Supplement (or Medigap) policies to plug the financial leaks. To protect consumers from surprise bills, the federal government standardizes these policies across Hawaii and the rest of the nation.
You can choose from 10 lettered Medigap plans (A, B, C, D, F, G, K, L, M, and N). For most shoppers, the decision boils down to Plan G or Plan N.
Plan G commands a higher monthly premium, but it delivers massive peace of mind by covering nearly all Original Medicare out-of-pocket costs, minus the Part B deductible.
Plan N takes a different approach. It features lower premiums but requires you to chip in on certain copayments, and crucially, it won't cover Part B excess charges.
For a standard Plan G in Hawaii, you might see monthly premiums stretching anywhere from $129 to $364 in 2026. If you opt for a high-deductible Plan G, those costs can drop to a much leaner $42 to $78.
Plan N premiums typically fall between $85 and $200.
Keep in mind that your final rate will depend heavily on personal factors, such as your exact age, gender, ZIP code, and whether you use tobacco.
Some of the top-rated Medigap providers serving Hawaii currently include:
Mutual of Omaha
Aetna
Cigna
United American
Capitol Life
Budgeting for healthcare on a fixed income is stressful. To make the numbers a little clearer, here’s a concrete breakdown of the typical costs tied to the various Medicare plan types in Hawaii:
| Plan Type | Average Monthly Premium | Average Deductibles | What It Covers |
| Original Medicare Part A | $0 ($285 or $518 if you do not qualify for free premiums) | $1,736 | Inpatient care, such as hospital stays, skilled nursing facility care, and hospice care. |
| Original Medicare Part B | $202.90 | $283 | Outpatient care, preventative services, and medical equipment. |
| Medicare Advantage | $47.51 | ($0 – $283) (Varies by plan/county) | All Original Medicare + extra benefits like vision, hearing, and dental care. |
| Part D | $46.50 | Capped at $590 for 2026. | Prescription drugs. |
| Medigap Plan G and Plan N | Varies by provider | N/A | Fills gaps in Original Medicare out-of-pocket costs. |
Data sourced from Medicare.gov, CMS.gov, and MedicareWire. Information reflects publicly available data as of 2026.
Sorting through the dozens of carriers vying for your business can be exhausting. Here is a more detailed look at the insurers dominating the Medicare Advantage and Medigap spaces in Hawaii.
It’s tempting to jump at the plan with the lowest monthly premium, but a cheap policy could cost you dearly if it skimps on the benefits you actually use.
A genuinely valuable plan strikes a delicate balance between upfront affordability and practical, day-to-day healthcare utility.
As you weigh your options, look closely at geographic coverage constraints, the quality of extra perks (like dental or vision), and whether the plan easily connects you to your favorite local doctors and specialists.
Medigap shopping requires a different mindset. Since the plans themselves are standardized by the government, the real differentiator is the company behind the policy. You want an insurer with deep pockets, a strong track record, and a reputation for treating its members right.
Checking an independent rating agency like AM Best is a smart move before committing to a provider.
When hunting for a Medigap carrier in Hawaii, focus on:
Take a look at the leading Medigap Plan G options currently available in Hawaii:
| Carrier | Premium | Fee | AM Best Rating |
| AARP | $106.41 | None | A |
| Transamerica | $107.56 | $25 | A+ |
| Loyal American | $112.27 | $20 | A- |
Data sourced from MedicalWire.com. Information reflects publicly available data as of 2026.
If you're willing to take on a few copays for a lower premium, here are the standout Medigap Plan N providers in Hawaii:
| Carrier | Premium | Fee | AM Best Rating |
| AARP | $77.94 | None | A |
| USAA Life | $102.68 | None | A++ |
| Loyal American | $89.51 | $20 | A- |
| Transamerica | $99.85 | $25 | A+ |
Data sourced from MedicalWire.com. Information reflects publicly available data as of 2026.
Making an informed decision starts with taking a hard, honest look at your medical realities.
Once the medical side is sorted, you need to ruthlessly examine the math.
Here’s your financial checklist:
While the rules dictate the coverage, the actual machinery of Medicare enrollment runs through the Social Security Administration (SSA).
If you're already collecting Social Security benefits, you can breathe easy—you'll be automatically enrolled in Original Medicare as soon as you hit 65.
If you aren't drawing benefits yet, the ball is firmly in your court. You'll need to proactively file the paperwork and submit your documentation to get the coverage engine started.
Timing is everything. You have three primary windows to make your moves.
Your IEP kicks off exactly three months before your 65th birthday month, includes your birth month, and lingers for three months after the fact.
During this phase, you have a blank slate to lock in Original Medicare, pivot to a Medicare Advantage policy, or snag a Part D drug plan.
Use this time to hop between Original Medicare and Medicare Advantage, swap Part C providers, or re-calibrate your Part D prescription coverage.
These time-sensitive windows allow you to adjust your health coverage to immediately reflect your new reality, without having to wait for the standard fall enrollment period.
Ready to make it official? Follow this straightforward process to lock in your Hawaiian Medicare plan:
You aren't in this alone. Hawaii boasts a robust network of state-sponsored groups and advocates dedicated to helping seniors untangle their healthcare options.
Some of your best allies include: