Medicare in Hawaii County, Hawaii

Hawaii County covers the entire Big Island — the largest island in the state by land area. Hilo is the county seat and the largest city, with Kailua-Kona as the second major population center on the western coast. Medicare access varies significantly between the more populated coastal areas and the rural interior.

Hawaii County at a glance

  • Largest city: Hilo
  • Island(s): Hawaii Island
  • Approximate population: 201,000

Medicare plan options in Hawaii County

Hawaii County Medicare beneficiaries can choose from:

  • Original Medicare (Parts A & B) plus a Medigap policy and a stand-alone Part D drug plan
  • Medicare Advantage (Part C) plans from carriers operating in your zip code
  • Dual-Eligible Special Needs Plans (D-SNP) if you also qualify for Med-QUEST

Specific carriers and plan availability vary by zip code. Use Medicare.gov Plan Finder or talk to a Sage PLUS counselor or licensed agent for plans available at your address.

Senior services in Hawaii County

Each Hawaii county has its own Area Agency on Aging that administers Older Americans Act services, the Aging and Disability Resource Center (ADRC), and Kupuna Care. For Hawaii County:

Major hospitals on the Big Island

  • Hilo Medical Center (Hilo) — windward / east side
  • Kona Community Hospital (Kealakekua) — leeward / west side
  • North Hawaii Community Hospital (Waimea)
  • Ka'u Hospital (Pahala) — rural south

The Big Island's size and rural areas mean some Medicare beneficiaries travel to Oahu for specialty care.

Free Medicare counseling for Hawaii County

Sage PLUS — Hawaii's State Health Insurance Assistance Program — offers free, unbiased Medicare counseling to Hawaii County residents. Call 1-888-875-9229 statewide.

Find a Medicare agent in Hawaii County

Licensed Medicare agents serve Hawaii County and can compare plans, verify your providers and medications, and enroll you — at no cost. Find a Hawaii County agent.

Frequently asked questions

What Medicare plans are available in Hawaii County?

Hawaii County has access to Medicare Advantage, Medigap, Part D, and D-SNP plans. Specific plans depend on your zip code. Use PlanMatch.com or talk to a Sage PLUS counselor at 1-888-875-9229 to see your options.

How do I find a Medicare agent in Hilo?

Visit MedicareAgents.com to find licensed Medicare agents serving Hilo and Hawaii County. Free service, no cost to you.

Where can I get free Medicare help in Hawaii County?

Call Sage PLUS Hawaii at 1-888-875-9229 for free, unbiased Medicare counseling. The Hawaii ADRC at 643-ADRC handles broader senior services.

Ready to find the right plan in Hawaii?

Talk to a licensed Medicare agent in Hawaii — it's free.

Find a Hawaii agent

Or visit Medicare.gov · 1-800-MEDICARE · Sage PLUS Hawaii: 1-888-875-9229