Medicaid in Hawaii
Looking for Medicaid eligibility in Hawaii? Here is how this coverage lane works specifically for Hawaii residents, what it costs, and how to get it.
Hawaii expanded Medicaid under the ACA, so adults with income up to 138% of the Federal Poverty Level may qualify regardless of whether they have children.
Medicaid in Hawaii provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.
If you do not qualify for Medicaid in Hawaii, a subsidized Marketplace plan through HealthCare.gov is usually the next best option.
Hawaii expanded Medicaid under the ACA, so adults with income up to about 138% of the Federal Poverty Level may qualify for comprehensive coverage year-round.
Medicaid rules in Hawaii still depend on household size, income, and category (for example pregnancy or disability). An application through HealthCare.gov or the state Medicaid agency is the reliable way to confirm.
Given Hawaii's approximate 4.2% uninsured rate, an annual eligibility check is worthwhile whenever wages, hours, or household composition change.
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Frequently asked questions
- Who qualifies for Medicaid in Hawaii?
- Adults with income up to about 138% of the Federal Poverty Level, plus children, pregnant women, and others who meet income rules.
- Can I apply for Medicaid any time in Hawaii?
- Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.
- Did Hawaii expand Medicaid?
- Yes. Hawaii adopted ACA Medicaid expansion, which generally opens coverage to more low-income adults.
Sources
- Medicaid.gov — federal Medicaid program information · reviewed 2026-01-15
- KFF (Kaiser Family Foundation) — health policy research · reviewed 2026-01-15
- OLYRON HealthMatch editorial methodology — how we source and rate options · reviewed 2026-01-15