How To Find the Best Health Insurance in Hawaii

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By comparing plans from different carriers, you can find a Hawaii health insurance plan that best fits your needs and budget. While the “Aloha State” has a stellar health care system and average rates that are close to the national average, you will still want to shop around to maximize your savings.

Keep reading to learn more about Hawaii health insurance, including the most affordable plans, costs in some of the state's largest cities and the different kinds of health care available.

Key Takeaways

  • The average monthly cost of a benchmark Marketplace health plan is $493 in Hawaii — just slightly cheaper than the national average of $497.
  • Uninsured residents in Hawaii will not face any tax penalty for not having health insurance.
  • Kaiser Permanente offers the lowest monthly premiums in the silver tier for Hawaii, although Hawaii Medical Service Association may offer better rates or services depending on your location and other factors.
  • Open enrollment in Hawaii lasts from November 1st to January 15th, with coverage starting on January 1st if you make a plan selection by December 15th.
  • Hawaii’s Medicaid programs, including CHIP, can provide financial assistance for health insurance to qualifying individuals who meet specific income requirements or other qualifications for their respective programs.

Is Health Insurance Required in Hawaii?

Hawaii effectively makes health insurance optional for its residents, as the state does not impose fines or taxes on those who choose not to have coverage. Under the Affordable Care Act (ACA), Americans who didn’t enroll in a plan with minimum essential health benefits once faced a federal tax penalty, but this penalty has been reduced to $0 since 2018.[1][2]

Hawaii Health Insurance Rankings

The Commonwealth Fund ranked Hawaii among the best in the nation, placing 2nd out of 51 in a comprehensive analysis of health care systems across the U.S. and Washington, D.C. The state ranked 26th in prevention and treatment but achieved its highest score, first, in healthy lives. Overall, Hawaii was the top-ranked state among six Western states, including California, Oregon and Washington.[3]

Below is an overview of Hawaii’s national rank in each of the dimensions analyzed by the Commonwealth Fund:[3]

Dimension

National Rank

Reproductive & Women’s Health

11

Access & Affordability

2

Prevention & Treatment

26

Avoidable Hospital Use & Cost

2

Healthy Lives

1

Income Disparity

3

Racial & Ethnic Health Equity

2

How Much Does Health Insurance Cost in Hawaii?

HI Monthly Premium for Cheapest Plan by Metal Tier

Marketplace benchmark plans in Hawaii cost $493 per month on average, slightly cheaper than the nationwide average of $497 per month. On average, Hawaii residents pay a monthly premium of $373 for the lowest-cost bronze plan available in the state, $486 for the lowest-cost silver plan and $501 for the lowest-cost gold plan.[4]

Average Cost Benchmark Premium by State 2025

Cheapest Health Insurance Options in Hawaii

The cheapest monthly Marketplace premiums are on bronze-tier health insurance plans. Bronze plans usually have lower premiums in exchange for higher deductibles, copays and coinsurance. These plans are generally better for healthy people who don't think they will need regular medical services.[5]

If you think you will use health services often during the year, you might want to look into a gold or platinum plan. These plans can save you money on out-of-pocket costs, but the monthly costs are usually higher.

health insurance tiers

Health maintenance organization (HMO) plans usually have lower monthly payments than preferred provider organization (PPO) plans, which means that choosing an HMO plan could save you even more money. However, HMOs might not be able to meet everyone's needs, and they usually don't offer as many benefits as PPOs or other plan types. For instance, HMOs often don't cover out-of-network care that isn't an emergency, and you may need a referral from your primary care doctor to see a specialist.

What Is the Average Cost of Health Insurance in Hawaii by City?

During our research, we discovered that the same health care plans were offered across the zip codes we used for Honolulu, Waipahu, Ewa Beach, Mililani and Kaneohe, resulting in a consistent median monthly rate of $450.41. This quote is for 30-year-olds making $40,000 per year, across all metal tiers, before considering premium tax credits. However, it is possible that your specific zip code can yield different plans and prices.[6]

Which Health Insurance Companies Are the Most Affordable in Hawaii?

Kaiser Permanente offers Hawaii's most affordable health insurance plans in the silver tiers. Other insurance companies may offer better rates, depending on your income level, where you live and other factors. For example, while Kaiser Permanente may offer the lowest rates, Hawaii Medical Service Association (HMSA) is the most popular insurance company, providing coverage for 60% of the state’s enrollees.[7]

Below is an overview of Hawaii health insurers with silver plan averages less than $600 before premium tax credits for 40-year-old individuals.[7]

Health Insurance Company

Average Premium

Kaiser Permanente

$474

HMSA

$551

When Is Open Enrollment for Health Insurance in Hawaii?

During the open enrollment period from November 1 to January 15, Hawaii residents can sign up for a health insurance plan through the Marketplace at Healthcare.gov. If you enroll by December 15th, your coverage will start on January 1st; otherwise, it will begin on February 1st.[8]

Certain qualifying life events may trigger a special enrollment period, allowing you to enroll in a health plan outside the regular enrollment window. Events like moving, getting married, starting a family or losing employer-sponsored coverage typically grant a special enrollment period lasting 60 days before or after the event.[9]

What Types of Health Insurance Are Available in Hawaii?

Some of the major types of medical insurance you can purchase in Hawaii include the following:

How To Get Health Insurance in Hawaii

Choose a health insurance plan with the best rates by comparing quotes from three to five providers. However, getting quotes one by one from each insurance provider search can be time-consuming and tedious.

An insurance marketplace like SmartFinancial can help speed things up. After completing a brief questionnaire, we can connect you with a certified insurance agent who can help you find affordable health plans. Click here for a free Hawaii health insurance quote!

Get a Free Hawaii Health Insurance Quote Today!

FAQs

Is health insurance expensive in Hawaii?

Hawaii's benchmark Marketplace plan average costs are nearly on par with the national average, coming in at just $4 less per month.[4]

Is Medicare available in Hawaii?

Yes, you can enroll in Original Medicare or Medicare Advantage plans in Hawaii if you meet the eligibility requirements.

Have health insurance rates gone up in Hawaii?

Yes, but only slightly. The average benchmark premium in Hawaii slightly increased by $9 per month between 2022 and 2025.[4]

What happens if I don’t sign up for health insurance in Hawaii?

In Hawaii, not having health insurance does not result in a tax penalty. That said, unless you are eligible for a special enrollment period, you will be responsible for paying your medical bills out of pocket if you are uninsured, and you won’t be able to enroll until the next open enrollment period.[8]

Is there access to free health care in Hawaii?

Hawaii offers Medicaid services through its QUEST Integration program, which includes CHIP, offering no- and low-cost health care for eligible low-income residents, pregnant persons, children under 19 and other qualifying residents.[10] Additionally, Kaiser Permanente offers the Hawai’i Health Access Program (HHAP) as a no-cost healthcare plan to residents of Maui.[11]

Sources

  1. KFF. “I'm Uninsured. Am I Required To Get Health Insurance?” Accessed Nov. 6, 2024.
  2. HealthCare.gov. “Exemptions From the Fee for Not Having Coverage.” Accessed Nov. 6, 2024.
  3. Commonwealth Fund. “2023 Scorecard on State Health System Performance: Hawaii,” Page 1. Accessed Nov. 6, 2024.
  4. KFF. “Average Marketplace Premiums by Metal Tier, 2018-2025.” Accessed Nov. 6, 2024.
  5. HealthCare.gov. “Bronze Health Plan - Glossary.” Accessed Nov. 6, 2024.
  6. Healthcare.gov. “Health Insurance Plans & Prices.” Accessed Nov. 6, 2024.
  7. ValuePenguin. “Best Cheap Health Insurance in Hawaii.” Accessed Nov. 6, 2024.
  8. HealthCare.gov. “Mark Your Calendar With Key Open Enrollment Dates.” Accessed Nov. 6, 2024.
  9. HealthCare.gov. “Special Enrollment Period (SEP).” Accessed Nov. 6, 2024.
  10. Kaiser Permanente. “Learn About Medicaid in Hawaii.” Accessed Nov. 6, 2024.
  11. Kaiser Permanente. “Free Maui Health Care Plan.” Accessed Nov. 6, 2024.

 

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