HMSA Akamai Advantage Dual Care (PPO D-SNP) in Kalawao County, Hawaii — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
HMSA Akamai Advantage Dual Care (PPO D-SNP) (H8481-001) is a $42-premium Medicare Advantage PPO D-SNP from Hawaii Medical Service Association available in Kalawao County, Hawaii in 2026, with a —-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Hawaii Medical Service Association |
|---|---|
| Plan name | HMSA Akamai Advantage Dual Care (PPO D-SNP) |
| Contract ID | H8481 |
| Plan ID | 001 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | PPO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $42.30 |
| Part C premium | $0.00 |
| Part D basic premium | $42.30 |
| Part D total premium | $42.30 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | — |
How this plan is structured
- $42 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- PPO D-SNP plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $9,250 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Kalawao County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Kalawao County
The CMS CY2026 Landscape file lists 7 Medicare Advantage plans in Kalawao County, Hawaii, of which 0 carry a 5.0-star overall rating and 0 have a $0 consolidated monthly premium. Consolidated premiums range from $20.00 to $151.00 per month, and in-network out-of-pocket maximums range from $5100.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Kalawao County, Hawaii.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H8481-001.
- Call the plan (Hawaii Medical Service Association) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H8481-001 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H8481-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 8481 are the contract number issued to the organization, and the three-digit 001 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is HMSA Akamai Advantage Dual Care (PPO D-SNP) an HMO or PPO?
HMSA Akamai Advantage Dual Care (PPO D-SNP) is a PPO D-SNP Medicare Advantage plan.
Does HMSA Akamai Advantage Dual Care (PPO D-SNP) include prescription drug coverage?
Yes — HMSA Akamai Advantage Dual Care (PPO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for HMSA Akamai Advantage Dual Care (PPO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for HMSA Akamai Advantage Dual Care (PPO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer HMSA Akamai Advantage Dual Care (PPO D-SNP) (H8481-001)?
HMSA Akamai Advantage Dual Care (PPO D-SNP) (H8481-001) is offered in five Hawaii counties: Hawaii County, Honolulu County, Kalawao County, Kauai County, and Maui County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.