name = "Atlas Commons research objects — Medicare plans in Kauai, Hawaii (CY2026)"
description = "CMS CY2026 Medicare Advantage and Part D plans available in Kauai, Hawaii: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/hi/kauai.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/hi/kauai/plan-count"
warrant = "DERIVED"
name = "23 Medicare plans are available in Kauai, Hawaii for contract year 2026"
text = "The CMS CY2026 Medicare Landscape Files record 23 Medicare Advantage and Part D plans available in Kauai, Hawaii. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/hi/kauai/premium-range"
warrant = "RECORDED"
name = "Monthly premiums for Medicare plans in Kauai, Hawaii range from $0.00/mo to $151.00/mo (CY2026)"
text = "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Kauai, Hawaii. Across the 23 plans with a published premium, the range is $0.00/mo to $151.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify in the CMS CY2026 Medicare Landscape Files for Kauai, Hawaii. Falsified if the CMS-published per-plan premium figures differ."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/hi/kauai/star-ratings"
warrant = "PROJECTED"
name = "CMS assigned star ratings to 16 of 23 Medicare plans in Kauai, Hawaii (CY2026); average overall: 3.6 stars"
text = "CMS issued Overall star ratings (1–5 stars) to 16 of 23 Medicare plans in Kauai, Hawaii for CY2026. The unweighted average overall star rating across rated plans is 3.6. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 7 unrated plans in this county are not rated, not unqualified."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/hi/kauai/boundary"
warrant = "INTERPRETATION"
name = "What these Medicare plan figures are — and are NOT — for Kauai, Hawaii (the epistemic boundary)"
text = "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Kauai, Hawaii for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/hi/kauai"
falsifier = "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."

[[medicarePlans]]
contract_plan_id = "H0028_082"
plan_name = "Humana Gold Plus H0028-082 (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_041"
plan_name = "AARP Medicare Advantage Patriot No Rx HI-MA01 (PPO)"
category = "MA"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = "N/A"
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_059"
plan_name = "AARP Medicare Advantage from UHC HI-0003 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = 29
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_131"
plan_name = "AARP Medicare Advantage from UHC HI-5 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = 45.6
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2686_004"
plan_name = "DEVOTED CHOICE 004 HI (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Devoted Health"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2686_005"
plan_name = "DEVOTED CHOICE GIVEBACK 005 HI (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Devoted Health"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 8300
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2686_006"
plan_name = "DEVOTED CHOICE PREMIUM 006 HI (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Devoted Health"
monthly_premium_usd = 47.7
overall_stars = 3.5
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2686_007"
plan_name = "DEVOTED CHOICE MA ONLY 007 HI (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Devoted Health"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3832_007"
plan_name = "HMSA Akamai Advantage Standard (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "HMSA Akamai Advantage"
monthly_premium_usd = 20
overall_stars = 3.5
moop_in_network_usd = 7700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3832_008"
plan_name = "HMSA Akamai Advantage Standard Plus (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "HMSA Akamai Advantage"
monthly_premium_usd = 151
overall_stars = 3.5
moop_in_network_usd = 5100
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_234"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 7900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_313"
plan_name = "HumanaChoice H5216-313 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 14
overall_stars = 3.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_464"
plan_name = "HumanaChoice H5216-464 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 39
overall_stars = 3.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_465"
plan_name = "HumanaChoice H5216-465 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 6400
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5397_002"
plan_name = "DEVOTED GIVEBACK 002 HI (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Devoted Health"
monthly_premium_usd = 0
overall_stars = "Not rated"
moop_in_network_usd = 8300
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5397_003"
plan_name = "DEVOTED C-SNP PLUS 003 HI (HMO C-SNP)"
category = "SNP"
plan_type = "HMO C-SNP"
organization = "Devoted Health"
monthly_premium_usd = 42.4
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5397_005"
plan_name = "DEVOTED CORE 005 HI (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Devoted Health"
monthly_premium_usd = 0
overall_stars = "Not rated"
moop_in_network_usd = 6200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5969_002"
plan_name = "AlohaCare Advantage Plus (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "AlohaCare"
monthly_premium_usd = 43
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5969_003"
plan_name = "AlohaCare Advantage (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "AlohaCare"
monthly_premium_usd = 44.4
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6824_001"
plan_name = "UHC Dual Complete HI-S001 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 42.9
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6824_002"
plan_name = "UHC Dual Complete HI-Y1 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 45.6
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H8481_001"
plan_name = "HMSA Akamai Advantage Dual Care (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "HMSA Akamai Advantage Dual Care"
monthly_premium_usd = 42.3
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9916_001"
plan_name = "Wellcare 'Ohana Dual Align (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Wellcare"
monthly_premium_usd = 45.6
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"
