Hawaii Medical Service Assn. (HMSA) is the Blue Cross affiliate in Hawaii. They are the largest medical insurer in the state and are generally very good. Employers in Hawaii are required to provide health coverage, and HMSA is the largest provider. I had them when I was employed, and my Obummercare plan now is provided by HMSA. So they have the largest customer base, and the most experience among the state population in aggregate to provide health insurance.
So of course I looked into their Medicare plans. Again, there are two tier offerings. Oahu island only (urban Honolulu) and the neighbor islands are lumped into another plan. The costs for the neighbor island plans are even higher than the United Healthcare stuff I was looking at. …just can’t win.