Financial & Insurance Information
Wahiawā Health also accepts certain state and private insurance. Additionally, we welcome military families (Tricare Select, Medicare, Medicaid or private health insurance).
If patients do not have insurance, Wahiawā Health can assist with enrollment, regardless of ability to pay. We provide discounted services on a sliding fee scale.
Insurance Currently Accepted
- Wahiawā Health accepts most major insurance!
- We aim to keep this list as current as possible. For any questions regarding insurance please call us at 808-622-1618. Please remember that in order to safeguard our patients’ protected health information, all patients will be asked to provide their insurance card and a photo ID at check-in.
At Wahiawā Health our goal is to provide our community with quality healthcare regardless of health insurance status. If you do not currently have insurance, we offer a sliding fee scale and we can help you apply for Medicaid benefits
Good Faith Estimate
Don’t have insurance or are not using insurance?
Under the law, health care providers need to give patients who don’t have insurance or who are not using their health insurance coverage an estimate of the bill for medical and/or dental items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like appointment cost, medical tests, prescription drugs, and equipment fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least one (1) business day before your medical service or item, if the service is scheduled at least three (3) days in advance. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate and the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (800) 985-3059.
Disclaimer: This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
Right to Dispute: Contact us to let us know that the billed charges are higher than the GFE. You can ask to update the bill to match the GFE, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolutions process with the US Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the process within 120 calendar days of the date on the original bill. There is a $25 fee to use the dispute process. If after reviewing it is determined in your favor you would pay the price on the GFE, if resolution is with us then you would pay the higher amount.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call (800) 985-3059.
Insurance companies accepted by Wahiawā Health
- HMAA/HWMG (Hawaiʻi Medical Assurance Association)
- HMN (Hawaiʻi Mainland Administers)
- HMSA PPO, Quest, MEDICARE
- MDXHi (AETNA, CIGNA, Desert Mutual, HYGEIA, United Healthcare – Private, Humana, AARP)
- Medicaid – State/UnitedHealthcare (UHC)
- Medicare (Regular and Children with special needs)
- ʻOhana Health Plan
- UHA (United Health Alliance)
- UnitedHealthcare Community Plan Hawai’i
- Tricare Prime/Standard/Tricare for Life
- Wahiawā General Hospital