Medical Plan Options for Hawaii Residents
If you are a resident of Hawaii, you will have two medical plan options: HMSA and Kaiser-Hawaii. (The Healthy Focus medical plan options are not available to employees who live in Hawaii). Hawaii is exempt from federal law that allows employers to offer nationwide health programs. Leidos is required to continue plans which meet state requirements in Hawaii. Both the HMSA and Kaiser-Hawaii plans satisfy the state's requirements.
For more information about the HMSA and Kaiser Hawaii plans, participants should refer to the plan's Evidence of Coverage.
HMSA Hawaii
The HMSA medical plan is a Preferred Provider Organization (PPO) available to employees who reside in Hawaii. With HMSA, members have access to quality care from their choice of doctors and specialists and Hawaii’s top hospitals. This plan offers flexibility in the way a member gets medical benefits (e.g., office visits, inpatient facility services, outpatient services, etc.). In general, to get the best benefits possible, a member should seek services from HMSA participating providers. If a member chooses to visit a non-participating provider, the out-of-pocket costs may be higher.
Kaiser Hawaii
The Kaiser HMO Plan requires that participants receive all medical care exclusively from the HMO's network of providers in order for them to receive benefits. When a participant enrolls in an HMO, he or she, as well as his or her covered dependents should see their primary care physician (PCP) for all routine medical care and will need a referral to a network specialist whenever he or she needs specialty care.
If you are intending to enroll in the Kaiser-Hawaii medical plan, please note you must review the Kaiser Foundation Health Plan Hawaii - Arbitration Agreement.
Note: If you do not agree to the arbitration agreement, you should choose a different medical plan option.