Hawaii associate medical,
prescription & vision coverage
Open Enrollment for IMA Hawaii associates will take place from June 8 through June 19, 2026. This is a passive enrollment year, and there are no plan changes.
If you do not wish to make any updates, your current elections will automatically roll over for the new plan year. If you would like to review or make changes, please do so in UKG during the enrollment period. The new cost for coverage is published below.
IMA associates residing in Hawaii have the option of two great medical plans to fit their needs.
| Plan Features | Kaiser HMO | HMSA PPO |
|---|---|---|
| In-Network Only | In-Network | |
| Network Access | Kaiser Network | HMSA Network |
| Annual Deductible Individual/Family | None | None |
| Annual Out-of-Pocket Maximum Individual/Family | $2,500 / $7,500 | $2,500 / $7,500 |
| FSA Eligibility | General Purpose Healthcare and/or Dependent Care FSA | General Purpose Healthcare and/or Dependent Care FSA |
| You pay: | You pay: | |
| Preventive Care Visit | No cost | No cost |
| Telemedicine | Cost share depending on services rendered | Deductible and copays vary depending on services rendered |
| Primary Care Visit | $15 copay | $12 copay |
| Specialist Visit | $15 copay | $12 copay |
| Lab & X-ray | Simple: $15 copay; Complex: 20% after deductible |
Inpatient: 10%; Outpatient: 20% |
| Urgent Care | $15 copay | $12 copay |
| Emergency Room | 20% | 20% |
| Inpatient/Outpatient Hospital Services | 20% | 10% |
| Bariatric Surgery Coverage | 20% of applicable charges when received in a total care service setting | 10% |
| Infertility Services | $15 copay; 20% IVF | Some services may be covered. Contact carrier for details. |
| Prescription Drugs: Retail (up to a 30-day supply) | ||
| Generic | $3 copay maintenance, $10 copay other generic | $7 copay |
| Preferred Brand Formulary | $45 copay | $30 copay |
| Non-Preferred Brand Formulary | $45 copay | $30 copay |
| Specialty/Self-Injectables | $200 copay | $100 copay |
| Prescription Drugs: Mail Order (up to a 90-day supply) | ||
| Generic | $20 copay | $11 copay |
| Preferred Brand Formulary | $90 copay | $65 copay |
| Non-Preferred Brand Formulary | $90 copay | $65 copay |
| Specialty/Self-Injectables | Not covered | Not covered |
*Includes coverage for IVF, GIFT and ZIFT.
Vision coverage is dependent on which medical plan is selected. Provided coverage is as follows:
| Plan Features | Kaiser Vision Plan | HMSA Vision Plan |
|---|---|---|
| In-Network | In-Network | |
| You pay: | You pay: | |
| Exam every 12 months | $15 copay | $10 copay |
| Prescription Glasses Frames Lenses Multifocal Lenses |
Amount above $150 allowance; every 12 months | $110 allowance; every 24 months $25 copay; every 12 months |
| Contact Lenses every 12 months (in lieu of lenses and frames) | Amount above $150 allowance | $110 allowance |
| Plan Type | 2025 – 2026 Medical & Prescription Plan Premiums | ||
|---|---|---|---|
| Employee Only | Employee + 1 Dependent | Employee + 2 or more Dependents | |
| Kaiser HMO | $16.00 | $110.50 | $220.50 |
| HSMA PPO | $17.00 | $137.00 | $274.00 |
| Plan Type | 2026 – 2027 Medical & Prescription Plan Premiums | ||
|---|---|---|---|
| Employee Only | Employee + 1 Dependent | Employee + 2 or more Dependents | |
| Kaiser HMO | $17.00 | $118.00 | $236.00 |
| HSMA PPO | $18.50 | $147.50 | $294.50 |
