Medicare made clear · Every island in Hawaii

Medicare in Hawaii, explained by someone who actually teaches it.

Turning 65, retiring from the state or the county, or wondering whether your plan still covers the specialist you fly to Oahu for? Sit down with a credentialed independent agent who will walk you through Medicare Advantage, Medigap and Part D in plain English — patiently, and at no cost to you.

No cost, no obligation, no pressure.

Request your free Medicare review

Tell us a little about you and Darin will reach out. Prefer to talk now? Call (702) 706-6564.

We never ask about your health on this form. See our Privacy Policy. This is a solicitation for insurance. Not connected with or endorsed by the U.S. government or the federal Medicare program.

Licensed in Hawaii · HI License #18580338 · NPN 18580338 Gerontologist & RSSA® 22-year U.S. Air Force veteran Always free to you

Hawaii is different

Three things about Medicare in Hawaii that the national websites gloss over

Hawaii has two health plans that most of the state already belongs to, an ocean between most residents and the nearest specialist, and one of the highest Medicare Advantage enrollment rates in the country. Start with what is actually for sale on your island.

Kaiser or HMSA decides more than the premium

Most of Hawaii gets care through Kaiser Permanente’s own clinics and Moanalua Medical Center, or through HMSA’s network of Queen’s, Hawaii Pacific Health and independent doctors. Medigap does not pay inside Kaiser; keeping Kaiser on Medicare means Kaiser Senior Advantage. Which system you use decides the shortlist before price does.

How Advantage works in Hawaii

Your island decides your menu

Advantage plans are sold by county, and Kaiser Senior Advantage’s service area is Honolulu County, most of Hawaii Island and the island of Maui. On Kauai, Molokai and Lanai the choice is shorter, and specialty care is often a flight away. A Medigap policy works at any Medicare provider on any island or the mainland.

Neighbor islands & traveling for care

Retirees with rules of their own

State and county retirees on EUTF must take Part B and get the premium reimbursed. Oahu’s military retirees reach 65 with TRICARE For Life waiting, and veterans who use the Matsunaga VA or the Akaka clinic still need Part B on time. Each is a different calculation.

Veterans & Medicare

Medicare in 2026, at a glance

The numbers that matter this year

Premiums and deductibles change every year. Here are the current 2026 Original Medicare figures — we refresh them annually so you are never reading last year’s numbers.

$202.90
Part B premium
Standard monthly, 2026
$283
Part B deductible
Annual, 2026
$1,736
Part A deductible
Per hospital benefit period, 2026
$2,100
Part D drug cap
Yearly out-of-pocket max, 2026

Source: Centers for Medicare & Medicaid Services, 2026 Medicare Parts A & B Premiums and Deductibles (released November 14, 2025) and 2026 Part D parameters. Higher earners may pay an income-related surcharge (IRMAA) — see our 2026 costs & IRMAA page.

Where to start

Four ways people in Hawaii get covered

There is no single “best” plan — only the one that fits your doctors, your prescriptions, your island and your travel. Here is the plain-English version of your choices.

Medicare Advantage

All-in-one Part C plans, often $0 premium, that use a local network — in Hawaii that usually means choosing between Kaiser, HMSA and a few national carriers, island by island.

How Advantage works

Medicare Supplement

Medigap pairs with Original Medicare and lets you see any provider that accepts Medicare — Queen’s, Straub, Hilo Benioff, or a specialist on the mainland.

How Medigap works

Part D drug plans

Standalone drug coverage chosen around your medications and pharmacy. 2026 out-of-pocket cap: $2,100.

How Part D works

Special Needs Plans

Advantage plans built for a chronic condition, for nursing-facility care, or for people with both Medicare and Med-QUEST.

About SNPs

Your situation matters

Help for specific circumstances

The rules change a lot depending on what else you have and where you get your care. These are the situations Hawaii residents ask us about most.

Neighbor islands & traveling for care

Which plans follow you to Queen’s or Straub from Hilo, Lihue or Kaunakakai, what HMSA’s interisland travel benefit actually covers, and when a Medigap policy is the safer bet.

Neighbor island Medicare

EUTF retirees

Retiring from the state, the DOE, UH or a county? EUTF requires Part B, reimburses the premium, and has a 60-day proof deadline that catches people. What to do and when.

Turning 65 & EUTF

Veterans & military retirees

TRICARE For Life, Tripler, the Matsunaga VA, the Akaka clinic in Kapolei — and why Part B timing still matters.

Veterans & Medicare

Medicare + Med-QUEST

QUEST Integration, the Medicare Savings Programs that pay your Part B premium, and Dual Special Needs Plans that coordinate both.

Dual-eligible help

Free guide

New to Medicare? Start with Turning 65 in Hawaii.

A clear, step-by-step walk-through of your enrollment windows, the Hawaii-specific choices in front of you — Kaiser or HMSA, EUTF, neighbor island care — and the deadlines that carry a lifelong penalty if you miss them. No sign-up required.

Read the Turning 65 guide Get the free 295-page book

Who you’ll be working with

Darin Weidauer, independent Medicare insurance agent and credentialed gerontologist

Darin Weidauer, MBA, RSSA®

Gerontologist · Registered Social Security Analyst® · U.S. Air Force Veteran

  • NPN 18580338 · licensed in Hawaii, HI License #18580338
  • Credentialed gerontologist (2014)
  • RSSA®
  • 22-yr USAF veteran (retired officer)
  • Author, Retire With Confidence

Darin Weidauer (HI License #18580338) is an independent Medicare insurance agent, credentialed gerontologist, and Registered Social Security Analyst® who helps Hawaii retirees and people approaching 65 make sense of their options — clearly, patiently, and with no cost to them. A 22-year U.S. Air Force veteran who retired as an officer, Darin holds five master’s degrees, including an MBA and a Master’s in Dispute Resolution from Pepperdine and a Master’s in Long-Term Care from USC, and became a credentialed gerontologist in 2014 — studying the human side of aging, not just the paperwork.

A former Professor of Aerospace Studies at Loyola Marymount University who has lectured at more than 50 colleges and universities, Darin now channels that teaching instinct into plain-English Medicare education through one-on-one reviews, no-cost workshops, and his book Retire With Confidence. More about Darin →

Questions Hawaii residents ask

Frequently asked questions

How much does it cost to work with ECOS Medicare Solutions?

There is no cost to you. Independent Medicare agents are paid by the insurance carriers when you enroll, so our help comparing plans, answering questions, and reviewing your coverage each year is free. Your plan premium is the same whether you enroll with our help or on your own.

I have Kaiser now. Can I keep it when I go on Medicare?

Yes, through Kaiser Permanente Senior Advantage, Kaiser’s own Medicare Advantage plan. Kaiser is an integrated system, so a Medigap policy does not pay for care inside it; if you want to keep your Kaiser doctors, Senior Advantage is the way. Its service area is Honolulu County, most of Hawaii County and the island of Maui, so we check that your island and your ZIP code are inside it.

I live on a neighbor island and fly to Oahu for a specialist. Which plan covers that?

Original Medicare with a Medigap policy covers any provider that accepts Medicare, on any island or the mainland, with no referral or travel rule. HMSA’s neighbor island Akamai Advantage plans include help with interisland travel when HMSA refers you to a specialist on another island; Kaiser refers within its own system. We read the plan’s travel rules with you before you enroll.

When can I enroll in or change my Medicare plan in Hawaii?

Most people first enroll during their Initial Enrollment Period, the seven months around their 65th birthday. After that, the Annual Election Period runs October 15 to December 7 each year, and the Medicare Advantage Open Enrollment Period runs January 1 to March 31. Moving to another island, losing a plan, or qualifying for Med-QUEST opens a Special Enrollment Period.

I am retiring from the State of Hawaii. What does EUTF require?

EUTF retiree medical plans require you to enroll in Medicare Part B when you become eligible and to send EUTF proof within 60 days, or the retiree plan is cancelled. EUTF then reimburses eligible retirees for the Part B premium. We walk through the timing so nothing lapses.

Do you offer every Medicare plan available in my area?

No — and we will always be upfront about that. We represent a number of insurance organizations and products in Hawaii, not all of them. The easiest next step is to call us at (702) 706-6564 and we will walk through what fits you. To compare every option on your own, Medicare.gov, 1-800-MEDICARE, and Hawaii SHIP (1-888-875-9229) have the complete list.

Ready when you are

Let’s find the plan that fits your life on your island.

A short, friendly conversation — no pressure, no cost. We’ll look at your doctors, your prescriptions, your island and your travel together.