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  1. 🏠
  2. Medicare Options
  3. Hawaii
  4. Kauai County

2026 Medicare Plans & Options in Kauai County, HI

Last update: August 14, 2026.

Learn about Medicare coverage options available in Kauai County, Hawaii, including Original Medicare, Medicare Advantage, Part D, Medigap plans, and local support resources.

Medicare Options at a Glance

Residents of Kauai County, Hawaii can choose from several Medicare coverage types, each offering a different balance of access, cost, and benefits. The main options are:

  • Original Medicare: Provides broad access to providers across the country.
  • Medicare Advantage: Offers all-in-one coverage, often with lower upfront costs.
  • Part D: Covers prescription drugs when paired with Original Medicare.
  • Medigap: Reduces gaps in coverage and limits out-of-pocket expenses.
  • SNPs: Tailored plans for individuals with qualifying health or financial needs.
  • Other Options: Includes VA coverage, employer-sponsored plans, and local support programs.

Because each option works in a different way, understanding the differences is critical when choosing Medicare coverage in Kauai County.

Medicare Advantage Options in Kauai County

Medicare Advantage plans in Kauai County provide an all-in-one private coverage option that includes hospital and medical benefits, often with prescription drug coverage and additional extras. Plan availability, types, and cost limits vary by county.

Medicare Advantage Snapshot Kauai County
Total Medicare Advantage plans 16
$0 premium plans 9
HMO plans 3
PPO plans 13
Plans with drug coverage 13
Lowest MOOP $5,100
Highest MOOP $9,250
Highest Part B giveback $91.40

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
AARP Medicare Advantage from UHC HI-5 4.0 ★ 5,662
HMSA Akamai Advantage Standard Plus 3.5 ★ 4,942
HumanaChoice H5216-313 3.5 ★ 4,445

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Humana Gold Plus H0028-082 3.5 ★ 5,094
DEVOTED CORE 005 HI 0.0 ★ 358
DEVOTED GIVEBACK 002 HI 0.0 ★ 113

Medicare Advantage options are shaped mainly by provider network type, prescription drug inclusion, and annual out-of-pocket exposure. Beneficiaries who want bundled coverage and extra benefits often start here, but network access and plan rules matter.

See Medicare Advantage plans in Kauai County

Medicare Part D Plans in Kauai County

Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
AARP Medicare Rx Saver from UHC $0.00 $615 6,424
SilverScript Choice $14.70 $615 5,593
Wellcare Classic $21.70 $615 3,657

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $21.60 $615 4,088
AARP Medicare Rx Preferred from UHC $139.20 $130 2,672
Humana Value Rx Plan $51.60 $601 646

Part D plan choice depends less on the number of plans and more on whether your drugs are covered at your preferred pharmacy at a reasonable cost.

See Medicare Part D plans in Hawaii

Medigap Plans in Kauai County

Medigap plans supplement Original Medicare by covering deductibles, copayments, and coinsurance. Unlike Medicare Advantage, these plans do not replace Original Medicare and typically require a separate Part D plan for prescription drug coverage.

Across 10 insurers, sample data shows monthly premiums starting near $32 and rising above $1,057 based on plan type and pricing approach. Even with standardized benefits, pricing can vary significantly due to different rating methods and available discounts.

Medigap Snapshot Kauai County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

Many residents of Kauai consider Medigap when they want nationwide provider access under Original Medicare, rather than relying on the network restrictions of Medicare Advantage plans.

Sample Plan G Pricing in Hawaii

Plan G typically ranges from $115 to $970.

Carrier Plan Low High
AARP - UnitedHealthcare G $155 $456
Humana G $259 $970
Mutual of Omaha G $128 $365

Sample Plan N Pricing in Hawaii

Plan N typically ranges from $88 to $557.

Carrier Plan Low High
AARP - UnitedHealthcare N $103 $268
Mutual of Omaha N $93 $330

Explore all Medicare Supplement plans in Hawaii for more details.

Special Needs Plans (SNPs) in Kauai County

Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.

SNP Snapshot Kauai County
Total SNP plans 7
D-SNP plans 6
C-SNP plans 1
I-SNP plans 0

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete HI-Y1 0.0 ★ 17,628
HMSA Akamai Advantage Dual Care 0.0 ★ 4,333
UHC Dual Complete HI-S001 0.0 ★ 4,293

Top C-SNP Plans by Enrollments

Plan CMS Rating Enrollment
DEVOTED C-SNP PLUS 003 HI 0.0 ★ 242

SNP availability in Kauai depends on eligibility. These plans are not general Medicare options for everyone, but they can be important for beneficiaries with Medicaid or qualifying chronic health conditions.

See Special Needs Plans in Kauai County

VA Coverage and Local Medicare Help in Kauai County

Some beneficiaries may have additional coverage or support beyond standard Medicare plans, including VA health benefits, retiree coverage, and local counseling programs.

Additional Support Options Kauai County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability Hawaii SHIP
Local help resource State Health Insurance Assistance Program

How to Choose the Right Medicare Coverage for You in Kauai County

Choosing Medicare coverage comes down to how you want to receive care, manage Medicare costs, and access providers. Most decisions begin by choosing between Medicare Advantage and Original Medicare.

Medicare Advantage plans combine hospital, medical, and often prescription drug coverage into a single plan. These plans may offer lower monthly premiums and additional benefits, but typically require you to use a provider network.

Original Medicare allows you to see providers nationwide who accept Medicare. Many beneficiaries add a Part D prescription drug plan and a Medigap policy to help manage out-of-pocket costs and provide more predictable coverage.

Special Needs Plans (SNPs) may be available for individuals with specific health conditions or eligibility, including those with Medicaid. These plans are not available to everyone but can offer targeted benefits when you qualify.

The right choice depends on your preferred doctors, prescription needs, and how you want to balance monthly premiums with out-of-pocket costs.

To explore your options in more detail, start by reviewing available plans and coverage types in Kauai County.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-07

County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "How to get prescription drug coverage" — Last accessed May 2, 2026
  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed May 7, 2026
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed May 6, 2026
  • Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?" — Last accessed May 6, 2026

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.

Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.

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