Hawaii Medical Assurance Association

What you need to know

Medical benefits are administered by Hawaii Medical Assurance Association (HMAA). The plan offers a low deductible and coinsurance for most services through in-network providers. The HMAA plan includes more than just medical and prescription drug coverage, it also includes dental and vision coverage.

Who’s eligible

Most employees in Oahu are eligible to participate in HMAA. If you’re eligible, you can also enroll certain family members.

Eligible family members

• Legal spouse
• Children under age 26, including:
– Biological and step children
– Adopted children or children placed for adoption
– Foster children or children of whom you have legal guardianship
– Adult children, until they reach the end of the month of their 26th birthday
• Your or your spouse’s child of any age who becomes disabled while the child is enrolled in the plan and is dependent on you

You will need to provide supporting documentation, such as a marriage or birth certificate, for your spouse and/or any family members you enroll within 75 days from the date of your event.

What you pay — annual deductible

	In-Network
Deductible	Individual $100	Family $300

What you pay — after deductible

	In-Network
Preventive Care	$0 no deductible
Coinsurance	10%
Out-of-Pocket Maximum	Individual $600	Family $1,800

What you pay — prescription drugs

	In-Network
Generic	Retail – $5 per prescription Mail order – $10 per prescription
Preferred Brand	Retail – $20 per prescription Mail order – $45 per prescription
Non-Preferred Brand	Retail – $35 per prescription Mail order – $75 per prescription
Specialty	20%

Top tip

Before receiving care, make sure your provider is in-network. Review the Certificate of Coverage document on the Documents page for more information about what is covered.