65C Plus
HMSA’s 65C Plus is a health plan designed especially for people in Hawaii with Medicare
who want coverage beyond what Medicare provides. Why do Hawaii’s people with Medicare
choose HMSA’s 65C Plus?
Large Provider Network
- HMSA’s 65C Plus network has more than 2,000 providers statewide.
- Personal care physicians work with you to help maintain your health.
- No referrals necessary.
No Medicare Deductibles to Pay
- Coverage for Part A and Part B deductibles for services from 65C Plus contracting
providers
- Set copayments for inpatient hospital care and for each visit to your 65C Plus contracting
provider.
Save Money When You Use 65C Plus Contracting Providers
- Plan covers Medicare Part A and Part B deductibles, and co-insurance amounts.
- You pay a set copayment and co-insurance when using 65C Plus contracting providers.
- Monthly premiums are guaranteed for the calendar year.
It’s Easy
- No paperwork when you use 65C Plus contracting providers.
- No worries about waiting periods or health screenings.
- You’ll never lose your coverage because of your health status.
Health Plan Options to Choose From
HMSA’s 65C Plus offers health plan options:
Each health plan option provides coverage for the following Medicare-approved services:
- Physician services
- Inpatient hospital services
- Outpatient hospital services
- Post-hospital skilled nursing facility services
- Home health care
- Psychiatric services
- Clinical laboratory services
- Ambulance services
- Durable medical equipment
- Prosthetic devices
- Blood and its administration
In addition, High Option offers:
- Worldwide coverage for illness or injury
- Private duty nursing
- Additional inpatient hospital coverage
- HealthPass, an annual health risk assessment
- Limited benefit coverage for noncontracting provider services
If you only have Medicare Part B, you are eligible for Medicare-covered Part B services
only, which do not include inpatient hospital, skilled nursing facility, and hospice
services.
For enrollment information, contact our representatives:
Telephone hours are 8 a.m. to 4 p.m., Monday through Friday.
Oahu: (808) 948-5555
Neighbor Islands Toll-free: 1 (800) 620-4672
For the hearing- and speech-impaired: TTY/TDD 1 (808) 948-6222.
65C Plus has a contract with the Centers for Medicare & Medicaid Services (CMS),
the government agency that runs the Medicare program. This contract renews each
year. At the end of each year, the contract is reviewed, and either 65C Plus or
CMS can decide to end it. It is possible for our contract to end at some other time
during the year, too. If the contract should end, HMSA will provide advance notice
to all 65C Plus members.