Medicaid health plans in Hawaii, Kauai, and Kalawao service area, HI

Member services: 1-888-846-4262

No rating available. See NCQA ratings ↗

• Rides to health visits

  Non-emergency medical transportation is arranged through Modivcare, plus a separate Ride Assist line for help getting to appointments.

• Dental coverage

  Dental benefits are provided through Community Case Management Corporation (CCMC).

• Vision coverage

  Vision benefits are provided through a plan vision vendor, including routine eye exams.

• Over the counter items

  Members can order over the counter health items from a plan catalog available in multiple languages.

• ‘Ohana Health Plan Retrieved 2026-07-17
• ‘Ohana Health Plan Retrieved 2026-07-17
• ‘Ohana Health Plan Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against captured Med-QUEST Division sources: the live Choose a Health Plan page (medquest.hawaii.gov, hi-quest-health-plans-choose.txt) and the official 2025 QUEST Member Handbook PDF (hi-quest-member-handbook-2025.txt). Both area roster facts (areas.honolulu-maui.plans and areas.hawaii-kauai-kalawao.plans) are quote-gate verified against the same Member Handbook, which lists Your five choices for a QUEST health plan are: AlohaCare, HMSA, Kaiser Permanente (O'ahu and Maui only), 'Ohana Health Plan, UnitedHealthcare Community Plan. Geography is modeled as regions rather than a single statewide area because that same tier one source explicitly limits Kaiser Permanente to Oahu and Maui, a restriction independently corroborated on Kaiser's own official enrollment page (kpquest.org/enrollment: Kaiser Permanente participates in QUEST for those who live on Oahu or Maui). UnitedHealthcare Community Plan's own official Hawaii page separately states it is available in Hawaii, Honolulu, Kalawao, Kauai, and Maui counties, corroborating that the other four plans are available statewide while only Kaiser is restricted. Hawaii's county of Maui statutorily includes the islands of Maui, Molokai, and Lanai; neither Med-QUEST nor Kaiser states whether Kaiser's network reaches Molokai or Lanai specifically, so this file conservatively includes all of Maui County in Kaiser's service area based on the literal wording available, flagged here for a human reviewer to confirm directly with Kaiser if precision for Molokai and Lanai residents matters. enrollment.choice_window_days is honestly not_found: the live Choose a Health Plan page states a member has within 15 days of the date of your enrollment choice notice to report a different plan choice, while the official 2025 QUEST Member Handbook PDF states the same step as within 90 days of the date of your enrollment choice notice, an unresolved conflict between two tier one Med-QUEST sources that this file will not silently guess between; choice_window_note describes the process without asserting either number. Both sources agree on the 12 month rule reflected in switch_note. Hawaii has no dedicated third party enrollment broker; Med-QUEST Division, the state agency itself, runs enrollment directly by phone, fax, and mail (the Member Handbook's Step 3: Submit Your Choice), so broker_name names the state division and enrollment.portal_url points to Med-QUEST's own official Choose a Health Plan page rather than an interactive self-service tool, since none was found. Hawaii Medicaid managed care does not use one shared statewide preferred drug list: Med-QUEST's own MCO Formulary Search page links out to each of the five plans' own separate formulary, confirmed live on medquest.hawaii.gov/en/plans-providers/pharmacy/drug-coverage/mco-formulary-search.html, so each plan's formulary_url points to that plan's own drug list rather than a shared state list; that page was not quote-gate captured as a snapshot because no fact cites it directly. Per-plan member_phone numbers match the Med-QUEST roster page and were cross-checked live on each plan's own official Medicaid page; provider_directory_url, formulary_url, and extra_benefits were independently verified live on each plan's own official Medicaid page (AlohaCare, HMSA, Kaiser Permanente, 'Ohana Health Plan, UnitedHealthcare Community Plan) but are not yet cited by a quote-gated fact, the same standing as TX.json, CA.json, and NY.json today. Carrier legal names for HMSA (Hawaii Medical Service Association), Kaiser Permanente (Kaiser Foundation Health Plan, Inc., Hawaii Region, confirmed on a Med-QUEST contract document), and 'Ohana Health Plan (WellCare Health Insurance of Arizona, Inc., a Centene Corporation subsidiary) were independently confirmed; a precise formal corporate suffix for AlohaCare and for UnitedHealthcare Community Plan of Hawaii could not be confirmed from the public pages retrieved, so those two carrier fields use the plan's own descriptive self-identification rather than an unverified formal suffix. NCQA ratings stay null for every plan, the same standing as every other state file, because NCQA ratings are never independently verifiable by this corpus.

Member services: 1-877-973-0712

No rating available. See NCQA ratings ↗

• Native Hawaiian Healing Program

  AlohaCare offers a Native Hawaiian Healing Program that includes Ho'oponopono, 'Ai Pono, hula, and lomilomi as part of its whole person approach to care.

• Fitness Program

  AlohaCare lists a Fitness Program among its QUEST extra benefits.

• Educational Programs

  AlohaCare lists Educational Programs among its QUEST extra benefits.

• AlohaCare Retrieved 2026-07-17
• AlohaCare Retrieved 2026-07-17
• AlohaCare Retrieved 2026-07-17
• AlohaCare Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against captured Med-QUEST Division sources: the live Choose a Health Plan page (medquest.hawaii.gov, hi-quest-health-plans-choose.txt) and the official 2025 QUEST Member Handbook PDF (hi-quest-member-handbook-2025.txt). Both area roster facts (areas.honolulu-maui.plans and areas.hawaii-kauai-kalawao.plans) are quote-gate verified against the same Member Handbook, which lists Your five choices for a QUEST health plan are: AlohaCare, HMSA, Kaiser Permanente (O'ahu and Maui only), 'Ohana Health Plan, UnitedHealthcare Community Plan. Geography is modeled as regions rather than a single statewide area because that same tier one source explicitly limits Kaiser Permanente to Oahu and Maui, a restriction independently corroborated on Kaiser's own official enrollment page (kpquest.org/enrollment: Kaiser Permanente participates in QUEST for those who live on Oahu or Maui). UnitedHealthcare Community Plan's own official Hawaii page separately states it is available in Hawaii, Honolulu, Kalawao, Kauai, and Maui counties, corroborating that the other four plans are available statewide while only Kaiser is restricted. Hawaii's county of Maui statutorily includes the islands of Maui, Molokai, and Lanai; neither Med-QUEST nor Kaiser states whether Kaiser's network reaches Molokai or Lanai specifically, so this file conservatively includes all of Maui County in Kaiser's service area based on the literal wording available, flagged here for a human reviewer to confirm directly with Kaiser if precision for Molokai and Lanai residents matters. enrollment.choice_window_days is honestly not_found: the live Choose a Health Plan page states a member has within 15 days of the date of your enrollment choice notice to report a different plan choice, while the official 2025 QUEST Member Handbook PDF states the same step as within 90 days of the date of your enrollment choice notice, an unresolved conflict between two tier one Med-QUEST sources that this file will not silently guess between; choice_window_note describes the process without asserting either number. Both sources agree on the 12 month rule reflected in switch_note. Hawaii has no dedicated third party enrollment broker; Med-QUEST Division, the state agency itself, runs enrollment directly by phone, fax, and mail (the Member Handbook's Step 3: Submit Your Choice), so broker_name names the state division and enrollment.portal_url points to Med-QUEST's own official Choose a Health Plan page rather than an interactive self-service tool, since none was found. Hawaii Medicaid managed care does not use one shared statewide preferred drug list: Med-QUEST's own MCO Formulary Search page links out to each of the five plans' own separate formulary, confirmed live on medquest.hawaii.gov/en/plans-providers/pharmacy/drug-coverage/mco-formulary-search.html, so each plan's formulary_url points to that plan's own drug list rather than a shared state list; that page was not quote-gate captured as a snapshot because no fact cites it directly. Per-plan member_phone numbers match the Med-QUEST roster page and were cross-checked live on each plan's own official Medicaid page; provider_directory_url, formulary_url, and extra_benefits were independently verified live on each plan's own official Medicaid page (AlohaCare, HMSA, Kaiser Permanente, 'Ohana Health Plan, UnitedHealthcare Community Plan) but are not yet cited by a quote-gated fact, the same standing as TX.json, CA.json, and NY.json today. Carrier legal names for HMSA (Hawaii Medical Service Association), Kaiser Permanente (Kaiser Foundation Health Plan, Inc., Hawaii Region, confirmed on a Med-QUEST contract document), and 'Ohana Health Plan (WellCare Health Insurance of Arizona, Inc., a Centene Corporation subsidiary) were independently confirmed; a precise formal corporate suffix for AlohaCare and for UnitedHealthcare Community Plan of Hawaii could not be confirmed from the public pages retrieved, so those two carrier fields use the plan's own descriptive self-identification rather than an unverified formal suffix. NCQA ratings stay null for every plan, the same standing as every other state file, because NCQA ratings are never independently verifiable by this corpus.

Member services: 1-800-440-0640

No rating available. See NCQA ratings ↗

• Non emergency rides to appointments

  HMSA arranges non emergency medical transportation to covered appointments through Modivcare.

• Dental coverage for adult members

  HMSA covers dental benefits for members over 21 through Community Case Management Corporation (CCMC).

• Pharmacist support by phone or video

  HMSA's TAPP program lets members connect with a pharmacist at no cost by phone or video, plus 90 day mail order supplies for maintenance medications.

• Hawaii Medical Service Association Retrieved 2026-07-17
• Hawaii Medical Service Association Retrieved 2026-07-17
• Hawaii Medical Service Association Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against captured Med-QUEST Division sources: the live Choose a Health Plan page (medquest.hawaii.gov, hi-quest-health-plans-choose.txt) and the official 2025 QUEST Member Handbook PDF (hi-quest-member-handbook-2025.txt). Both area roster facts (areas.honolulu-maui.plans and areas.hawaii-kauai-kalawao.plans) are quote-gate verified against the same Member Handbook, which lists Your five choices for a QUEST health plan are: AlohaCare, HMSA, Kaiser Permanente (O'ahu and Maui only), 'Ohana Health Plan, UnitedHealthcare Community Plan. Geography is modeled as regions rather than a single statewide area because that same tier one source explicitly limits Kaiser Permanente to Oahu and Maui, a restriction independently corroborated on Kaiser's own official enrollment page (kpquest.org/enrollment: Kaiser Permanente participates in QUEST for those who live on Oahu or Maui). UnitedHealthcare Community Plan's own official Hawaii page separately states it is available in Hawaii, Honolulu, Kalawao, Kauai, and Maui counties, corroborating that the other four plans are available statewide while only Kaiser is restricted. Hawaii's county of Maui statutorily includes the islands of Maui, Molokai, and Lanai; neither Med-QUEST nor Kaiser states whether Kaiser's network reaches Molokai or Lanai specifically, so this file conservatively includes all of Maui County in Kaiser's service area based on the literal wording available, flagged here for a human reviewer to confirm directly with Kaiser if precision for Molokai and Lanai residents matters. enrollment.choice_window_days is honestly not_found: the live Choose a Health Plan page states a member has within 15 days of the date of your enrollment choice notice to report a different plan choice, while the official 2025 QUEST Member Handbook PDF states the same step as within 90 days of the date of your enrollment choice notice, an unresolved conflict between two tier one Med-QUEST sources that this file will not silently guess between; choice_window_note describes the process without asserting either number. Both sources agree on the 12 month rule reflected in switch_note. Hawaii has no dedicated third party enrollment broker; Med-QUEST Division, the state agency itself, runs enrollment directly by phone, fax, and mail (the Member Handbook's Step 3: Submit Your Choice), so broker_name names the state division and enrollment.portal_url points to Med-QUEST's own official Choose a Health Plan page rather than an interactive self-service tool, since none was found. Hawaii Medicaid managed care does not use one shared statewide preferred drug list: Med-QUEST's own MCO Formulary Search page links out to each of the five plans' own separate formulary, confirmed live on medquest.hawaii.gov/en/plans-providers/pharmacy/drug-coverage/mco-formulary-search.html, so each plan's formulary_url points to that plan's own drug list rather than a shared state list; that page was not quote-gate captured as a snapshot because no fact cites it directly. Per-plan member_phone numbers match the Med-QUEST roster page and were cross-checked live on each plan's own official Medicaid page; provider_directory_url, formulary_url, and extra_benefits were independently verified live on each plan's own official Medicaid page (AlohaCare, HMSA, Kaiser Permanente, 'Ohana Health Plan, UnitedHealthcare Community Plan) but are not yet cited by a quote-gated fact, the same standing as TX.json, CA.json, and NY.json today. Carrier legal names for HMSA (Hawaii Medical Service Association), Kaiser Permanente (Kaiser Foundation Health Plan, Inc., Hawaii Region, confirmed on a Med-QUEST contract document), and 'Ohana Health Plan (WellCare Health Insurance of Arizona, Inc., a Centene Corporation subsidiary) were independently confirmed; a precise formal corporate suffix for AlohaCare and for UnitedHealthcare Community Plan of Hawaii could not be confirmed from the public pages retrieved, so those two carrier fields use the plan's own descriptive self-identification rather than an unverified formal suffix. NCQA ratings stay null for every plan, the same standing as every other state file, because NCQA ratings are never independently verifiable by this corpus.

Member services: 1-888-980-8728

No rating available. See NCQA ratings ↗

• Scheduled rides to health visits

  The plan offers scheduled rides to health related appointments.

• Vision and eyewear coverage

  The plan covers vision exams and eyewear.

• Dental value added services

  The plan lists dental value added services among its QUEST benefits.

• UnitedHealthcare Community Plan Retrieved 2026-07-17
• UnitedHealthcare Community Plan Retrieved 2026-07-17
• OptumRx Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against captured Med-QUEST Division sources: the live Choose a Health Plan page (medquest.hawaii.gov, hi-quest-health-plans-choose.txt) and the official 2025 QUEST Member Handbook PDF (hi-quest-member-handbook-2025.txt). Both area roster facts (areas.honolulu-maui.plans and areas.hawaii-kauai-kalawao.plans) are quote-gate verified against the same Member Handbook, which lists Your five choices for a QUEST health plan are: AlohaCare, HMSA, Kaiser Permanente (O'ahu and Maui only), 'Ohana Health Plan, UnitedHealthcare Community Plan. Geography is modeled as regions rather than a single statewide area because that same tier one source explicitly limits Kaiser Permanente to Oahu and Maui, a restriction independently corroborated on Kaiser's own official enrollment page (kpquest.org/enrollment: Kaiser Permanente participates in QUEST for those who live on Oahu or Maui). UnitedHealthcare Community Plan's own official Hawaii page separately states it is available in Hawaii, Honolulu, Kalawao, Kauai, and Maui counties, corroborating that the other four plans are available statewide while only Kaiser is restricted. Hawaii's county of Maui statutorily includes the islands of Maui, Molokai, and Lanai; neither Med-QUEST nor Kaiser states whether Kaiser's network reaches Molokai or Lanai specifically, so this file conservatively includes all of Maui County in Kaiser's service area based on the literal wording available, flagged here for a human reviewer to confirm directly with Kaiser if precision for Molokai and Lanai residents matters. enrollment.choice_window_days is honestly not_found: the live Choose a Health Plan page states a member has within 15 days of the date of your enrollment choice notice to report a different plan choice, while the official 2025 QUEST Member Handbook PDF states the same step as within 90 days of the date of your enrollment choice notice, an unresolved conflict between two tier one Med-QUEST sources that this file will not silently guess between; choice_window_note describes the process without asserting either number. Both sources agree on the 12 month rule reflected in switch_note. Hawaii has no dedicated third party enrollment broker; Med-QUEST Division, the state agency itself, runs enrollment directly by phone, fax, and mail (the Member Handbook's Step 3: Submit Your Choice), so broker_name names the state division and enrollment.portal_url points to Med-QUEST's own official Choose a Health Plan page rather than an interactive self-service tool, since none was found. Hawaii Medicaid managed care does not use one shared statewide preferred drug list: Med-QUEST's own MCO Formulary Search page links out to each of the five plans' own separate formulary, confirmed live on medquest.hawaii.gov/en/plans-providers/pharmacy/drug-coverage/mco-formulary-search.html, so each plan's formulary_url points to that plan's own drug list rather than a shared state list; that page was not quote-gate captured as a snapshot because no fact cites it directly. Per-plan member_phone numbers match the Med-QUEST roster page and were cross-checked live on each plan's own official Medicaid page; provider_directory_url, formulary_url, and extra_benefits were independently verified live on each plan's own official Medicaid page (AlohaCare, HMSA, Kaiser Permanente, 'Ohana Health Plan, UnitedHealthcare Community Plan) but are not yet cited by a quote-gated fact, the same standing as TX.json, CA.json, and NY.json today. Carrier legal names for HMSA (Hawaii Medical Service Association), Kaiser Permanente (Kaiser Foundation Health Plan, Inc., Hawaii Region, confirmed on a Med-QUEST contract document), and 'Ohana Health Plan (WellCare Health Insurance of Arizona, Inc., a Centene Corporation subsidiary) were independently confirmed; a precise formal corporate suffix for AlohaCare and for UnitedHealthcare Community Plan of Hawaii could not be confirmed from the public pages retrieved, so those two carrier fields use the plan's own descriptive self-identification rather than an unverified formal suffix. NCQA ratings stay null for every plan, the same standing as every other state file, because NCQA ratings are never independently verifiable by this corpus.