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
For a Kaiser Permanente member, coverage includes exclusive access to top-notch doctors and hospitals. A physician-led team works together to ensure the care a member receives is tailored to his or her needs. The care team is connected to the member’s electronic health record, which makes it easy to share information, review the member’s health history, and deliver high-quality, personalized.
The Kaiser Permanente HMO plan integrates care and coverage to provide efficient access to high‑quality health services. Through a coordinated network of physicians, hospitals and health plans, members receive comprehensive care designed to support their overall health with confidence and ease.
Kaiser generally covers preventive, wellness, emergency, surgical, and hospital services. For most covered services, members pay a copay or coinsurance. Many preventive services are covered at little or no cost. Once the out‑of‑pocket maximum is met, copays and coinsurance for most covered services are waived for the remainder of the calendar year, providing important financial protection in the event of a serious illness or injury. The Kaiser Permanente plan also includes prescription drug coverage.
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.