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Hawai’i Medicaid

Looking for no-cost health coverage? Learn about UnitedHealthcare Community plan Medicaid Med-QUEST coverage we offer in Hawai’i.

Everyone deserves affordable health care, including you. That’s why we offer many plans to help you get healthy — and stay healthy. With a large provider network in Hawai’i, members have access to choose doctors and specialists that fit your health care needs. We cover adults, kūpuna, people with disabilities, hāpai moms and keiki. We offer Dual Special Needs plans for those who qualify for both Medicaid and Medicare.

See why Hawai’i chooses UnitedHealthcare

We offer more ways to use your benefits and get the most out of your plan.1

Live chat

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UnitedHealthcare Healthy First Steps® (Hāpai Mālama)

Learn how we can help you have a healthy pregnancy and baby

Virtual visits

Skip the waiting room and chat online

UnitedHealthcare® app

Access your health information on the go with our easy-to-use mobile app

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Find plans

Medicaid plans

UnitedHealthcare Community Plan QUEST Integration Program

The QUEST Integration program is a Hawai‘i Medicaid Managed Care program administered by the State of Hawai'i, Department of Human Services, Med-QUEST Division. We provide health coverage for members of Hawai‘i Medicaid. With UnitedHealthcare Community plan, you will receive all of your regular Medicaid benefits.

View QUEST Integration program details
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Dual Special Needs plans (D-SNPs)

Dual Special Needs plans (also called Dual Health plans or D-SNPs for short) are for people who have both Medicaid and Medicare. D-SNPs offer more benefits than those you get with original Medicare or Medicaid. They cover most doctor visits, hospital stays and prescription drugs.

View all Dual Special Needs plans

Eligibility and enrollment

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Eligibility

UnitedHealthcare Community plans offer health coverage to people who qualify for Hawai’I Medicaid. The State of Hawai‘I determines eligibility for this coverage. Our plans offer no-cost medical coverage to adults, kūpuna, people with disabilities, hāpai moms and keiki.

Enrollment

Join or switch to UnitedHealthcare Community plan QUEST Integration program. Open enrollment is available year-round.

Applying for Medicaid is easy and can be done in-person, by phone or online. To learn more about eligibility and enrolling in Medicaid, visit the steps to enroll page.

Steps to enroll

Renewals

Don’t lose benefits

Your health plan renewal date might be coming soon. If you haven't already, you may need to renew your UnitedHealthcare coverage to keep receiving Medicaid benefits.

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Benefits and features

We want to help you live healthier lives and to have the best possible member experience.

Get the Calm Health app for no-cost mental health support

With the Calm Health app, there's an easier way to care for your mental health and well-being. As a member of UnitedHealthcare Community Plan, you can use it anytime at no cost. The app offers:

  • Mental health screening
  • Self-guided digital programs
  • Support for your emotional well-being

To get started, download the UnitedHealthcare app and go to Coverage & Benefits to find the Calm Health app.

Malu Kou Community Connection Center

Malu Kou is a center dedicated to providing a supportive space for our community ‘ohana. Our mission is to provide support and services to individuals and families. This includes:

  • Offering important resources
  • Building connections and relationships
  • Promoting healthy living

Download more information about Malu Kou (PDF)

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Pregnancy coverage

We help mother and baby:

  • Find a provider and a pediatrician (child's doctor)
  • Get an OB/GYN, nurse-midwife
  • Schedule rides for doctor visits

Healthy First Steps® / Hāpai Mālama offers:

  • Gift card rewards
  • Baby scripts™ pregnancy app 
  • Baby and breastfeeding supplies  
  • Women, Infants and Children (WIC) services and more

24/7 Virtual visits

Skip the waiting room and chat with a doctor 24/7 on UHC Doctor Chat. Talk to a doctor privately, online via a computer or tablet. Get your questions answered and get help from the pharmacy staff, if needed.

Use UHC Doctor Chat for:

  • Sick kids
  • Coughs, fevers or sore throat
  • Earaches or stomach problems
  • Rashes or allergic reactions
  • Back pain, sports injuries and more

Transportation

Our Med-QUEST plan provides unlimited round trips to and from health care locations. That includes rides to:

  • Doctor or therapy visits
  • Health departments
  • Vision clinics
  • Urgent care centers
  • Pharmacies
Extra member benefits Extra member benefits

Additional benefits

Sometimes you need a little extra help. That’s why we give you more options for your care and well-being at no cost to you. Some of the benefits you may qualify for include:

  • Vison and dental coverage
  • Mail order prescription drug coverage
  • Mental health coverage
  • Substance use disorder treatment services
  • Personal health coaching for weight loss, quitting smoking and more

To contact us, call Member Services: 1-888-980-8728

7:45am – 4:30pm, local time Monday - Friday

Download the Medicaid newsletter

Our HealthTalk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics.

You can read it whenever, wherever you want.


Disclaimer information

(scroll within this box to view)

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Special Needs plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. Benefits, features and/or devices may vary by plan/area.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only. Access to this service is subject to terms of use.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2026.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.