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Medicare Advantage Plans in Hawaii 2027: HMSA Changes, Carriers and Premiums

Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated October 28, 2026

HMSA is closing two Akamai Advantage plans for 2027, and about 16,000 Hawaii members got letters saying their plan won’t be offered next year. Hawaii still has 46 Medicare Advantage plans to choose from, up from 44 in 2026.

For 2027, CMS’s plan data lists 46 individual Medicare Advantage plans from 7 companies across all 5 Hawaii counties. Annual Enrollment runs October 15 to December 7, 2026, for coverage that starts January 1, 2027.

✔ Licensed across all 50 states✔ Built on CMS 2027 data✔ No-cost plan comparison

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Medicare Advantage plans in Hawaii 2027 overview: ma plans in hawaii 46 (up from 44 in 2026), average ma premium 2027 $53.04 (vs. $53.44 in 2026), ppo plans 28 (most common plan type), $0 premium access 100% (of Hawaii residents with Medicare)

Hawaii Medicare Advantage Plans by the Numbers for 2027

Here is how Hawaii’s 2027 individual Medicare Advantage plans break down by plan type:

Plan Type 2027 Plans in Hawaii What It Means
PPO 28 You can see out-of-network providers, usually at a higher cost
HMO 18 You generally use the plan’s network and a primary care doctor
Special needs plans (included above) 9 6 dual plans and 3 chronic condition plans
Part B giveback plans (included above) 9 Plans from Devoted and Humana that may lower your Part B premium

Source: CMS 2027 Plan Benefit Package and plan service area data, individual (non-employer) Medicare Advantage plans.

Honolulu County has the most choices, with 29 plans, followed by Maui, Kauai and Hawaii. Kalawao County has the fewest, with 6. Learn how the plan types differ in our guide to Medicare Advantage plans for 2027.

Hawaii Medicare Advantage Changes for 2027

These are the biggest changes for Hawaii Medicare Advantage shoppers this year:

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HMSA is closing two plans. Akamai Advantage Complete Plus and Standard Plus close December 31, and about 16,000 members were notified, according to the Honolulu Star-Advertiser. New versions with the same names cost $240 a month.

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HMSA premiums are going up. The Complete PPO on Oahu rises to $55 a month from $20, and the Standard PPO on the neighbor islands rises to $50 from $20.

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New HMSA HMO, without Queen’s. HMSA’s new Select Plus HMO on Oahu costs $45 a month, but Queen’s says its hospitals and clinics will be out of network for that plan.

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More plans overall. Hawaii has 46 Medicare Advantage plans for 2027, up from 44, and CMS reports 100% of Hawaii residents with Medicare have access to a $0 premium plan.

CMS projects the average Hawaii Medicare Advantage premium at $53.04 a month for 2027, about the same as $53.44 in 2026 and well above the national average. Part D out-of-pocket drug costs are capped at $2,400 in 2027.

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Hawaii Medicare Advantage carriers 2027 by plan count: Devoted Health 19, UnitedHealthcare 8, Humana 6, Kaiser Permanente 6, HMSA Akamai Advantage 5, AlohaCare 1, HMSA Akamai Advantage Dual Care 1

Who Sells Medicare Advantage in Hawaii for 2027

These are the companies selling individual Medicare Advantage plans in Hawaii for 2027:

Carrier 2027 Plans Counties Plan Names to Know
Devoted Health 19 4 Devoted Choice, Devoted Choice Giveback, Devoted Choice Premium
UnitedHealthcare 8 5 UHC Medicare Advantage, UHC Medicare Advantage Patriot No Rx, UHC Dual Complete
Humana 6 3 HumanaChoice, Humana Total Complete, Humana USAA Honor Giveback
Kaiser Permanente 6 3 Kaiser Permanente Senior Advantage Enhanced, Kaiser Permanente Senior Advantage Basic, Kaiser Permanente Senior Advantage Maui
HMSA Akamai Advantage 5 5 HMSA Akamai Advantage Select Plus, HMSA Akamai Advantage Standard, HMSA Akamai Advantage Complete
AlohaCare 1 5 AlohaCare Advantage Plus
HMSA Akamai Advantage Dual Care 1 5 HMSA Akamai Advantage Dual Care

Source: CMS 2027 Plan Benefit Package and plan service area data, individual (non-employer) plans. Plan counts include special needs plans.

HMSA and AlohaCare are Hawaii-based plans. Devoted Health has the most Hawaii plans for 2027, with 19 in four counties, and Kalawao County has the fewest choices. Read more in our guides to Devoted Medicare Advantage plans, UnitedHealthcare Medicare Advantage plans, Humana Medicare Advantage plans and Kaiser Medicare Advantage plans.

Hawaii PPO and Part B Giveback Options

If you want flexibility to see doctors outside a network, Hawaii has these options for 2027:

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28 PPO plans from Devoted, UnitedHealthcare, Humana, HMSA Akamai and HMSA Dual Care.

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9 Part B giveback plans that may lower your Part B premium, from Devoted and Humana.

Learn more in our guide to Medicare Advantage PPO plans.

Hawaii Special Needs Plans (SNPs) for 2027

Hawaii has 9 special needs plans for 2027, built for people who qualify through Medicaid, a chronic condition or nursing home care:

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Dual plans (D-SNPs) for people with Medicare and Med-QUEST come from Kaiser, UnitedHealthcare, AlohaCare and HMSA Dual Care.

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Chronic condition plans (C-SNPs) come from Devoted.

Learn more in our guide to Medicare Advantage special needs plans.

Benefits Hawaii Medicare Advantage Plans Can Offer

Benefits depend on the plan and county, but Hawaii Medicare Advantage plans may include:

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Prescription drug coverage, with Part D out-of-pocket costs capped at $2,400 in 2027.

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Dental, vision and hearing benefits in many plans.

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Part B premium reductions in giveback plans, where offered.

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Fitness and over-the-counter allowances in some plans.

Not all plans offer all benefits, so check each plan’s 2027 Summary of Benefits before you enroll.

Picking the Right Hawaii Medicare Advantage Plan for 2027

1

If you got a letter that your HMSA plan won’t be offered in 2027, act now. Pick new coverage during Annual Enrollment so you’re covered January 1.

2

Check your doctors and hospitals in each plan’s network, including The Queen’s Health System, Hawai’i Pacific Health, Kaiser Permanente and Adventist Health Castle.

3

Run your prescriptions through each plan’s 2027 drug list.

4

Compare out-of-pocket maximums and hospital copays, not just premiums.

5

Check the star rating. See the 2027 Medicare Advantage star ratings.

6

Enroll on time. Medicare Open Enrollment 2027 runs October 15 to December 7, 2026.

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Medicare Advantage Plans in Hawaii — Frequently Asked Questions

➤ How many 2027 Medicare Advantage plans can Hawaii residents choose from?

CMS’s 2027 plan data lists 46 individual Medicare Advantage plans from 7 companies in Hawaii, including 9 special needs plans. Plans are available across all 5 Hawaii counties.

➤ How many Medicare Advantage plans can you choose from in Honolulu County, Hawaii?

Honolulu County has 29 individual plans for 2027, the most in Hawaii. The median Hawaii county has 24, and Kalawao County has the fewest, with 6.

➤ Is HMSA ending its Medicare Advantage plans?

No. HMSA is closing its Akamai Advantage Complete Plus and Standard Plus plans on December 31, 2026, and about 16,000 members were notified. HMSA is offering new Akamai Advantage plans for 2027, but at higher premiums.

➤ Does Queen’s accept HMSA’s Select Plus HMO?

No. Queen’s says its hospitals and clinics will be out of network for HMSA’s new Select Plus HMO on Oahu. Emergency and urgent care are still covered. HMSA’s other Medicare Advantage plans include Queen’s.

➤ What is the average Medicare Advantage premium in Hawaii for 2027?

CMS projects the average Hawaii Medicare Advantage premium at $53.04 a month for 2027, about the same as $53.44 in 2026. Every Hawaii resident with Medicare has access to a $0 premium plan.

➤ Does HMSA Akamai Advantage sell Medicare Advantage plans in Hawaii for 2027?

Yes. Besides the national carriers, HMSA Akamai Advantage, AlohaCare and HMSA Akamai Advantage Dual Care sell 2027 Medicare Advantage plans in Hawaii. Regional plans are often tied to local hospital systems, so check that your doctors are in network.

➤ How many D-SNP plans does Kaiser Permanente offer in Hawaii for 2027?

Hawaii has 6 dual special needs plans for 2027. Kaiser Permanente offers the most (2), along with UnitedHealthcare, AlohaCare and HMSA Akamai Advantage Dual Care.

➤ How many Medicare Advantage plans does Kaiser Permanente offer in Hawaii for 2027?

Kaiser Permanente offers 6 individual Medicare Advantage plans in Hawaii for 2027, sold in 3 of 5 counties. Source: our analysis of the CMS 2027 plan files.

➤ How many Medicare Advantage plans does HMSA Akamai Advantage offer in Hawaii for 2027?

HMSA Akamai Advantage offers 5 individual Medicare Advantage plans in Hawaii for 2027, sold in 5 of 5 counties. Source: our analysis of the CMS 2027 plan files.

➤ Does AlohaCare cover every county in Hawaii?

Yes. AlohaCare, HMSA Akamai Advantage, HMSA Akamai Advantage Dual Care and UnitedHealthcare sell 2027 plans in all 5 Hawaii counties. Other companies only cover part of the state, so what you can buy depends on your county.

New to Medicare?

If you are new to Medicare, then you can enroll in a 2027 Medicare Advantage plan up to three months prior to your Medicare Part B effective date.

Call one of our licensed insurance agents to see what the best time frame is for you to enroll, based on your current situation. You can contact them at 1-855-454-9051 (TTY 711), Mon–Fri 8am–9pm EST.

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