HMSA Akamai Advantage Select Plus (HMO)

by HMSA Akamai Advantage

2027 Medicare Advantage plan available in Hawaii

Plan ID H2561-001-0

Additional coverage:

RxHearingVisionDental

Medicare Advantage HMO

Monthly plan premium $45 / mo

Annual deductible $0 / yr

Max out-of-pocket · in-network $5,200 / yr

Drug deductible $450 / yr

Ready to enroll online?

Find your plan and self-enroll online

Enroll online →

Support Our Senior 65+ Partner

Get Sign Up Help

Quote · Compare · Enroll

Speak with a licensed
insurance agent

(888) 763-2752

TTY 711

Medicare Advantage Plans Medicare Prescription Drug Plans Medicare Supplement Insurance Plans

Mon-Fri: 8am-10pm ET

Plan Overview

HMSA Akamai Advantage Select Plus (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Hawaii and offered by the health insurance company HMSA Akamai Advantage. This plan's network type is HMO, which determines the in-network doctors who accept the plan and whether a referral is needed.

Plan Name HMSA Akamai Advantage Select Plus (HMO)

Insurance Carrier HMSA Akamai Advantage

Plan Type Medicare Advantage Plan With Part D Prescription Drug Coverage

Network Type HMO

Cost Summary

HMSA Akamai Advantage Select Plus (HMO) has a monthly premium cost of $45 per month, with an annual deductible of $0 and a maximum out-of-pocket cost sharing of $5,200. The most common costs people evaluate when choosing a plan are listed here; a full list of benefit costs is defined below.

Monthly Premium $45 / mo

Health portion of premium $0

Drug portion of premium $45

Annual Deductible $0 / yr

Max Out-of-Pocket · in-network $5,200 / yr

Primary doctor visit $0 copay

Specialist visit $35 copay

ER visit $115 copay

Ambulance $300 copay

Additional Benefits and Coverage

HMSA Akamai Advantage Select Plus (HMO) is a Medicare Advantage plan which includes Medicare Part D prescription drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. HMSA Akamai Advantage Select Plus (HMO) includes coverage for hearing, vision, dental.

Part D Prescription Drug Coverage Yes

Dental Yes

Vision Yes

Hearing Yes

Nationwide Coverage No

Other benefits

Fitness benefit Not covered

Over-the-counter drug benefits Not covered

In-home support services Not covered

Home & bathroom safety devices Not covered

Meals for short duration Not covered

Annual physical exams Not covered

Telehealth Limited coverage

Medical Benefits

Doctor Services

Primary doctor visit In-network: $0 copay
Out-of-network: $0 copay

Specialist visit In-network: $35 copay
Out-of-network: $35 copay

Tests, labs & imaging

Diagnostic tests & procedures In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Lab services In-network: $0 copay
Out-of-network: $0 copay

Diagnostic radiology services (like MRI) In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient x-rays In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Emergency care $115 copay

Urgent care $35 copay

Hospital Services

Inpatient hospital coverage Tier 1
$460 per day for days 1-4
$0 per day for days 5-90
$0 Lifetime Reserve Days for days 1-60
$0 per stay

Outpatient hospital coverage In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Skilled nursing facility

Skilled nursing facility Tier 1
$10 per day for days 1-20
$215 per day for days 21-60
$0 per day for days 61-100

Preventive services

Preventive services In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance In-network: $300 copay
Out-of-network: $300 copay

Therapy services

Occupational therapy visit In-network: $30 copay
Out-of-network: $30 copay

Physical therapy & speech & language therapy visit In-network: $30 copay
Out-of-network: $30 copay

Mental health services

Outpatient group therapy with a psychiatrist In-network: $35 copay
Out-of-network: $35 copay

Outpatient individual therapy with a psychiatrist In-network: $35 copay
Out-of-network: $35 copay

Outpatient group therapy visit In-network: $35 copay
Out-of-network: $35 copay

Outpatient individual therapy visit In-network: $35 copay
Out-of-network: $35 copay

Opioid treatment services

Opioid treatment services Covered

Other services

Durable medical equipment (like wheelchairs & oxygen) In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Prosthetics (like braces, artificial limbs) In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Diabetes supplies In-network: $0 copay
Out-of-network: $0 copay

Prescription drugs (Part D benefits)

Drug tier standard retail · 1-month supply Initial coverage Catastrophic

Preferred Generic $0.00 copay $0 copay

Generic $5.00 copay $0 copay

Preferred Brand 20% coinsurance $0 copay

Non-Preferred Drug 28% coinsurance $0 copay

Specialty Tier 28% coinsurance $0 copay

Part B drugs

Chemotherapy drugs In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Other Part B drugs In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Extra Benefits

Hearing

Hearing exam In-network: $0 copay
Out-of-network: $0 copay

Fitting/evaluation In-network: $0 copay
Out-of-network: $0 copay

Hearing aids - prescription In-network: $195-$1395 copay
Out-of-network: $195-$1395 copay

Hearing aids - over the counter Not covered

Preventive dental

Oral exam In-network: $0 copay
Out-of-network: $0 copay

Cleaning In-network: $0 copay
Out-of-network: $0 copay

Fluoride treatment In-network: $0 copay
Out-of-network: $0 copay

Dental x-rays In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Restorative services In-network: $0 copay
Out-of-network: $0 copay

Endodontics In-network: $0 copay
Out-of-network: $0 copay

Periodontics In-network: $0 copay
Out-of-network: $0 copay

Prosthodontics, removable Not covered

Prosthodontics, fixed Not covered

Maxillofacial prosthetics Not covered

Implant services Not covered

Oral and maxillofacial surgery In-network: $0 copay
Out-of-network: $0 copay

Orthodontics Not covered

Adjunctive general services Not covered

Vision

Routine eye exam In-network: $0 copay
Out-of-network: $0 copay

Contact lenses In-network: $0 copay
Out-of-network: $0 copay

Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: $0 copay

Eyeglass frames (only) In-network: $0 copay
Out-of-network: $0 copay

Eyeglass lenses (only) In-network: $0 copay
Out-of-network: $0 copay

Upgrades In-network: $0 copay
Out-of-network: $0 copay

Plan documents & tools

Plan details (carrier site)Provider directory Drug list (formulary)

When can I sign up for Medicare?

Enter your birthday month and year to see when you can enroll in each part of Medicare.

Best Hawaii Medicare Advantage Health Insurance Companies for 2027

Health Plan Radar

In this article we rank Hawaii Medicare Advantage plans based on our evaluation of government 5-star quality scores.

New Hawaii Medicare Advantage Health Insurance Companies for 2027