Hawaiʻi residents present under COFA seeking to sign up for a health care plan under the connector can receive help at the following places/dates/times:
Oʻahu: St. Elizabeth's Episcopal Church, every Saturday until February 28, 12 noon - 5 p.m.
**SPECIAL EVENT: COFA Health Connect Day: Saturday, February 7, at St. Elizabeth's Episcopal Church, 11:30 a.m. - 5:00 p.m.** (click on flier to the right-->)
Kaua'i: Hanapēpē Hawaiian Congregational Church, Saturday, February 7, 8 a.m. - 8 p.m.
Hilo/Hawaiʻi Island: University of Hawaiʻi at Hilo, Pacific Islander Student Center, Saturday, January 24, all day.
Or, contact a Hawai'i Healthcare Connector Kōkua for assistance in signing up for a plan: (877)628-5076 (V/TTY for the hearing impaired: (855)585-8604). Languages spoken by Kōkua: Chuukese (Maui, O'ahu), Marshallese (Hawai'i Island, Maui, O'ahu), Pohnpeian (Maui, O'ahu), Yapese (Maui), Kosraean (Maui, O'ahu)
January 26, 2015: UPDATED INFORMATION REGARDING "SILVER" HAWAI'I HEALTH CONNECTOR PLANS ELIGIBLE FOR FEDERAL AND STATE PREMIUM SUBSIDIES (FOR QUALIFYING INCOME LEVELS):
CLICK HERE TO REVIEW THE MOST UP-TO-DATE INFORMATION ON INSURANCE PLANS FOR COFA RESIDENTS
See additional updates in RED below.
**Check back for more announcements and updates relating to the Med-QUEST transition.**
IMPORTANT ANNOUNCEMENT FOR MED-QUEST ENROLLEES!!
MED-QUEST COVERAGE FOR COFA RESIDENTS WILL CHANGE AS OF MARCH 1, 2015. Many (but not all) COFA citizens who are on Med-QUEST will no longer be eligible for Med-QUEST or Med-QUEST type coverage.* In addition, those who do not obtain an alternative health insurance plan may be subject to federal financial penalties.
IF YOU ARE ENROLLED IN MED-QUEST, YOU SHOULD HAVE OR SHOULD SOON BE RECEIVING A LETTER NOTIFYING YOU OF THE UPCOMING CHANGES. IF YOU DO NOT RECEIVE A LETTER, CALL THE HEALTHCARE CONNECTOR AT (877) 628-5076. **PLEASE SAVE ANY LETTER YOU RECEIVE FROM THE STATE REGARDING YOUR MED-QUEST COVERAGE. IT MAY HELP TO PROVE YOUR ELIGIBILITY FOR HEALTHCARE COVERAGE SHOULD COMPLICATIONS ARISE**
SEE BELOW FOR EXCEPTIONS TO THE MED-QUEST TERMINATION ON MARCH 1, 2015.
For everyone else not listed under the exceptions below:
1. To avoid being subject to federal penalties, and to avoid substantial medical fees should you need medical assistance, you must choose a healthcare plan using the Hawai'i Health Connector -- or one may be chosen for you (see #2 below).
Choosing a "silver plan" may make you eligible for federal and state subsidies that will reduce your premium costs (click to review). Plans should be carefully reviewed to ensure that they provide sufficient services for your needs, and that you understand what your costs may be (co-pays, etc.) if you get sick. It is strongly recommended that you contact a "KOKUA" or person working with the healthcare connector to guide you through this process, which is very complicated and may be subject to numerous technical difficulties. Contact a Hawai'i Healthcare Connector Kōkua for assistance in signing up for a plan: (877)628-5076 (V/TTY for the hearing impaired: (855)585-8604).
**UPDATE: Please note that community health centers (i.e., Kōkua Kalihi Valley, Kalihi-Pālama Health Center, etc.) and training clinics (Queen Emma, Mililani Physician Center, etc.) cannot accept Kaiser insurance plans. Therefore, if you would like to continue receiving services from these organizations, you must choose a non-Kaiser (i.e. HMSA) insurance plan. If you are automatically enrolled in a Kaiser plan, you will have 60 days to switch to an HMSA plan to continue seeing a service provider at one of these organizations.**
There are 10 "KŌKUA" who speak COFA languages; 10 more are in the process of being hired. For more information, call: (877) 628-5076 (V/TTY for the hearing impaired: (855)585-8604)
2. If you do not already have a new healthcare plan, and you are on Med-QUEST (and not one of the exceptions below), you will be AUTOMATICALLY ENROLLED in one of the following plans. If you are automatically enrolled in an insurance plan, you will have 60 days to choose a different plan that better suits your needs (see #1 above). Contact a Hawai'i Healthcare Connector Kōkua for assistance in switching plans: (877)628-5076 (V/TTY for the hearing impaired: (855)585-8604).
For those on an HMSA Med-QUEST Plan, you will be automatically enrolled on an HMSA silver plan with the lowest premium;
For those on a Kaiser Med-QUEST Plan, you will be automatically enrolled ona Kaiser silver plan with the lowest premium;
All others (i.e. those currently covered under AlohaCare) will be split 50/50 between the Kaiser & HMSA silver plans with the lowest premiums. Click here to review the plans.
Please help spread the word to all you know who may be affected. Translation assistance will be greatly appreciated (contact us if you believe you can help translate). Please check back here for more updates as they arise.
1. Current insurance coverage will continue for pregnant women, until 2 months after they give birth, as well as for COFA citizen children under 19 years old, until they turn 19.
2. Med-QUEST type insurance coverage should also continue for those over 65 years old (“aged”), are blind, or are considered "disabled." We are working to better understand what health conditions constitute being "disabled." If you qualify, you should receive a letter stating whether you are considered "aged, blind, or disabled" and your current health insurance coverage will be automatically continued. IF YOU BELIEVE YOU MAY QUALIFY BUT DO NOT RECEIVE A LETTER SAYING SO, CALL YOUR ISLAND’S MED-QUEST ELIGIBILITY BRANCH OR THE TOLL-FREE MED-QUEST ENROLLMENT SERVICE (numbers provided below).
Med-QUEST Enrollment Service Toll-Free, 1-800-316-8005
(Med-QUEST V/TTY line Toll-Free for hearing impaired users, 1-800-603-1201)
Med-QUEST Eligibility Branch Phone Numbers:
O‘ahu (808) 587-3540 East Hawai‘i (808) 933-0339 Lāna‘i (808) 553-1758
Maui (808) 243-5780 West Hawai‘i (808) 327-4970 Kaua‘i (808) 241-3575
Moloka‘i (808) 553-1758
You may also call the Connector Contact Center for more information at: 1 (877) 628-5076.
(Connector V/TTY line Toll-Free for hearing impaired users, (855)585-8604)
REMEMBER: YOU HAVE A RIGHT TO AN INTERPRETER