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Population: 1,285,498
(Source: U.S. Census Bureau)
Uninsured: 108,000
(Source: U.S. Census Bureau)
Health Benefits Direct is a licensed insurance broker for Hawaii health insurance policies. Click here to view our registration with the Hawaii Office of Insurance (We're listed as HBDC). |
Hawaii has the 44th highest number of uninsured in the U.S.
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Health Insurance News in Hawaii
Buying Individual Insurance Policies in Hawaii
State regulation of individual health insurance differs greatly from state to state. For you, this means certain conditions or providers covered in one state may not be covered in another.
Each state has its own health insurance mandates. Those mandates require that insurance companies and health plans cover, or offer coverage for, certain conditions, benefits, providers and patient populations.
Here is a list of mandated and non-mandated conditions, covered persons and providers in Hawaii:
(Source: Health Insurance Mandates in the States 2008¹, Council for Affordable Health Insurance. Last updated Jan 2008.)
| Mandated (Covered) Conditions |
Non-Mandated Conditions |
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- Alcoholism
- Ambulatory Surgery
- Contraceptives
- Diabetes Self Management
- Diabetic Supplies
- Drug Abuse Treatment
- Emergency Services
- Hospice Care
- In Vitro Fertilization
- Mammogram
- Maternity
- Maternity Stay
- Mental Health General
- Mental Health Parity
- PKU/Formula
- Well-Child Care
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- Alzheimer's
- Ambulance Services
- Anti-Psychotic Drugs
- Autism
- Birthing Centers/Midwives
- Blood Lead Poisoning
- Blood Products
- Bone Marrow Transplants
- Bone Mass Measurements
- Breast Reconstruction
- Cancer Medications
- Cervical cancer/HPV Screening
- Chemotherapy
- Chlamydia
- Cleft Palate
- Clinical Trials
- Colorectal Cancer Screening
- Congenital Bleeding Disorders
- Dental Anesthesia
- Early Intervention Services
- Habilitative Services
- Hair Prostheses
- Hearing Aid
- Home Health Care
- HPV Vaccine
- Kidney Disease
- Long Term Care
- Lyme Disease
- Mastectomy
- Mastectomy Stay
- Minimum Hysterectomy Stay
- Minimum Testicular Cancer Stays
- Morbid Obesity Treatment
- Neurodevelopment Therapy
- Newborn Hearing Screening
- Newborn Sickle-Cell Testing
- Off-Label Drug Use
- Orthotics/Prosthetics
- Ostomy Related Supplies
- Other Infertility Services
- Ovarian Cancer Screening
- Port-wine Stain Elimination
- Prescription Drugs
- Prostate Cancer Screening
- Psychotic Drugs
- Rehabilitation Services
- Second Surgical Opinion
- Smoking Cessation
- TMJ Disorders
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| Mandated Covered Persons |
Non-Mandated Covered Persons |
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- Adopted Children
- Continuation/Employees
- Handicapped Dependents
- Newborns
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- Continuation/Dependents
- Conversion to Non-Group
- Dependent Students
- Grandchildren
- Non-Custodial Children
- Domestic Partners
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| Mandated (Included) Providers |
Non-Mandated Providers |
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- Marriage Therapists
- Nurses
- Psychologists
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- Acupuncturists
- Chiropodist
- Chiropractors
- Dentists
- Denturists
- Dieticians
- First Nurse Assistant
- Lay Midwives
- Licensed Health Professional
- Massage Therapists
- Naturopaths
- Nurse Anesthetists
- Nurse Midwives
- Nurse Practitioners
- Occupational Therapists
- Opticians
- Optometrists
- Oral Surgeons
- Osteopaths
- Pain Management Specialist
- Pastoral Counselor
- Pharmacists
- Physical Therapists
- Physician Assistants
- Podiatrists
- Professional Counselors
- Psychiatric Nurse
- Public or Other Facilities
- Social Workers
- Speech or Hearing Therapists
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Although health insurance coverage for a particular condition or provider may not be mandated in your state, insurance carriers may still provide coverage for the condition or provider. Please keep in mind that major medical health insurance plans are subject to health underwriting and that mandates do not necessarily guarantee coverage. If you're not sure whether you could receive coverage, one call to Health Benefits Direct can help you determine if you're eligible to buy an individual health insurance policy in Hawaii.
Health Benefits Direct provides free health insurance quotes on affordable health insurance plans for Hawaii residents. We work with highly rated insurance carriers to deliver quality health insurance plans to families and individuals across Hawaii.
¹Authors: Victoria Craig Bunce & JP Wieske
Please note that information contained on this page can change at any time. Consequently, while we seek to present as up-to-date information as possible, Health Benefits Direct in no way warrants the accuracy of the information.
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