Market overview
Hawaii's commercial insurance market is served by Hawaii Medical Service Association (HMSA), alongside the national carriers that maintain networks in the state.
Major commercial carriers
The national carriers — UnitedHealthcare (behavioral health through Optum), Aetna, and Cigna (behavioral health through Evernorth) — maintain networks in Hawaii.
Profiles: UnitedHealthcare / Optum · Aetna · Cigna / Evernorth
The state's Blue
Hawaii Medical Service Association (HMSA)
Hawaii's Blue Cross Blue Shield licensee.
Kaiser Permanente
Kaiser Permanente operates in Hawaii as an integrated payer-provider with a closed network. Behavioral health is largely delivered in-house through the Permanente medical groups, so external facility contracting typically happens via single-case agreements rather than network contracts.
More in the West
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