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Being A Member


AlohaCare Advantage Plus (HMO SNP) Plan Costs
AlohaCare Advantage Plus (HMO SNP) is a plan that is specifically designed to meet the special needs of individuals who are currently enrolled in Medicare and have full benefit Medicaid coverage.
  • Monthly Premium – You pay nothing.
  • Deductible – This plan does not have a deductible.
  • Cost Sharing – You will have no cost sharing responsibility for Medicare-covered Part A and B services, based on your level of Medicaid eligibility. You will be responsible for your Part D copayments.

Service Area
Our plan is available to Medicare beneficiaries who live in our service area. Our service area includes the islands of: Oahu, Maui, Hawaii, Kauai, Molokai and Lanai.

Enrollment Form
To enroll into AlohaCare Advantage Plus (HMO SNP):
  • You must be a resident of Hawaii
  • You have full benefit Medicaid coverage
  • You must have Medicare Parts A and B
  • You must continue to pay for your Medicare Part B premium. The State pays the Part B premium for full-dual members who are eligible for AlohaCare Advantage Plus (HMO SNP).

You may enroll online or by printing the enrollment form and mailing it to:
AlohaCare
ATTN: Enrollment
1357 Kapiolani Blvd., Suite 1250
Honolulu, HI 96814

For more information, call 973-6395 or toll-free at 1-866-973-6395. TTY/TDD users call 1-877-447-5990.

Medicare beneficiaries may also enroll in AlohaCare Advantage Plus through the CMS Medicare Online Enrollment Center located at
http://www.medicare.gov. By clicking on the link, you will be leaving the AlohaCare website.

Rights & Responsibilities
It is important that you know your rights and responsibilities as a member of AlohaCare Advantage Plus.

Your rights as a member of the plan
  • We must provide information in a way that works for you (in languages other than English, in Braille, in large print, or other alternate formats, etc.)
  • We must treat you with fairness and respect at all times
  • We must ensure that you get timely access to your covered services and drugs
  • We must protect the privacy of your personal health information
  • We must give you information about the plan, its network of providers, and your covered services
  • We must support your right to make decisions about your care
  • You have the right to make complaints and to ask us to reconsider decisions we have made

Your responsibilities as a member of the plan
  • Get familiar with your covered services and the rules you must follow to get these covered services.
  • If you have any other health insurance coverage or prescription drug coverage in addition to our plan, you are required to tell us.
  • Tell your doctor and other health care providers that you are enrolled in our plan.
  • Help your doctors and other providers help you by giving them information, asking questions, and following through on your care.
  • Be considerate.
  • Pay what you owe.
  • Tell us if you move.
  • Call Customer Service for help if you have questions or concerns

Protected Health Information (PHI)
AlohaCare keeps all of your personal information private. You can request to release your protected health information to another person that you designate.

Rights Upon Disenrollment
Ending your membership with AlohaCare Advantage Plus may be voluntary (your own choice) or involuntary (not your own choice). You might leave our plan because you have decided that you want to leave. There are also limited situations where we are required to end your membership. For example, if you move permanently out of the geographic service area we cover. We cannot ask you to leave our plan because of your health.

If you leave our plan, it may take some time for your membership to end. While you are waiting for your membership to end, you are still a member and must continue to get your care and/or prescription drugs as usual through our plan.

You have the right to make a complaint if we end your membership in our plan. If we end your membership in our plan we will tell you our reasons in writing and explain how you may file a complaint against us if you want to. Visit our Grievance and Appeals section on how to submit a complaint.

For more information on your rights and responsibilities upon disenrollment, contact us at 973-6395 or toll-free at 1-866-973-6395. TTY/TDD users call 1-877-447-5990.

Resources
Below is a list of resources that you may find helpful. By clicking on any of the links, you will be leaving the AlohaCare website.

Additional Information
AlohaCare Advantage Plus (HMO SNP) is an HMO with a Medicare contract and a contract with the Hawaii Medicaid program. Enrollment in AlohaCare Advantage Plus (HMO SNP) depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B Premium. The State pays the Part B premium for full-dual members who are eligible for AlohaCare Advantage Plus (HMO SNP). This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help that you receive. Please contact the plan for further details.

Nondiscrimination
AlohaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. 

PAKDAAR:  Nu saritaem ti Ilocano, ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam.  Awagan ti 1-808-973-6395 (TTY: 1-877-447-5990).

PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 1-808-973-6395 (TTY: 1-877-447-5990).

H5969_400619_17 Approved


Last updated 11/16/2016. Please contact AlohaCare for more information.