Best Cheap Health Insurance in Hawaii (2026)

Kaiser Permanente is the best health insurance company in Hawaii. Silver plans from Kaiser start at $533 per month before discounts.

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Best and cheapest health insurance in Hawaii

Rates for the cheapest Silver plan in Hawaii for a 40-year-old who doesn't qualify for subsidies.

Cheapest health insurance companies in Hawaii

The cheapest health insurance plans in Hawaii are from Kaiser Permanente and HMSA, with Silver plans starting at $533 per month before discounts based on your income.

Cheapest health insurance companies in Hawaii

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Affordable health insurance plans in Hawaii

Company
Cost
Kaiser Permanente logo
Kaiser Permanente$533-$559
Hawaii Medical Service Association (BCBS) logo
HMSA$695-$695
  • Kaiser Permanente sells the cheapest plans throughout Hawaii. But Kaiser makes you use certain doctors and hospitals, which limits where you can get medical care.
  • If you want the flexibility to see any doctor, HMSA is a better option. Its plans are more expensive, but you can see specialists without a referral. Plus, you'll still have some coverage for out-of-network doctors.

Best health insurance companies in Hawaii

Kaiser Permanente is the best health insurance company in Hawaii.

Not only does Kaiser have the cheapest rates in the state, it also gets a perfect 5-out-of-5 score from HealthCare.gov. That means that Kaiser's plans are high quality and have excellent customer satisfaction.

But all of Kaiser Permanente's plans are HMOs, which limit your doctor and hospital choices. The company also gets slightly fewer complaints than an average company its size. If you want to see any doctor, an HMSA plan is a better choice.

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Best-rated health insurance companies in Hawaii

Company
ACA rating
VP rating
Kaiser Permanente
HMSA

Best doctor network in Hawaii: HMSA

stethoscope

Hawaii Medical Service Association, or HMSA, sells plans that let you see any doctor and still have coverage.

That's because all of HMSA's plans are PPOs. With a PPO, you'll pay less when you see an in-network doctor, but you'll still have some coverage when you go to a doctor that isn't in your plan's network. You can also see a specialist without a referral, which can make getting medical care easier.

Because of the added flexibility, HMSA plans are usually more expensive than plans from Kaiser Permanente. HMSA gets a high rating from HealthCare.gov but does have a history of complaints, with nearly 156% more complaints than expected. HMSA is part of Blue Cross Blue Shield.


How much does health insurance cost in Hawaii?

Health insurance in Hawaii costs $583 per month, but you could potentially pay an average of $287 per month if you get discounts based on your income.

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Health Insurance Rates in Hawaii
  • The plan tier you buy affects how much you pay for health insurance. You'll pay more for higher-tier plans like Platinum or Gold compared to lower-tier plans like Bronze and Catastrophic. Keep in mind that although high-tier plans have expensive monthly rates, you'll pay less when you go to the doctor or fill a prescription.
  • Your age is another big factor that influences your health insurance rates. In Hawaii, a 60-year-old will pay more than twice as much as a 40-year-old for the same coverage.

Health insurance discount changes in Hawaii for 2026

If you have a low income, you could pay an average of $287 per month for health insurance in Hawaii.

savings icon
savings icon

That's because people with low incomes qualify for discounts, called subsidies or tax credits, that make your health insurance cheaper each month.

However, the expanded subsidies that helped keep costs lower won't apply to 2026 plans. You may still qualify for subsidies and lower rates based on your income, but the discounts you'll get may not be as big as you're used to.

If you can get subsidies, you might also get another discount that lets you spend less when you go to the doctor. It's called a cost-sharing reduction. Subsidies make your monthly rate cheaper, but cost-sharing reductions make your medical bills cheaper. You can only get them if you buy a Silver plan, though.

Health insurance rates in Hawaii after subsidies (2025 vs. 2026)

Income
2025 rate
2026 rate
Difference
$30,000$23$125443%
$40,000$108$247129%
$50,000$231$38768%
$60,000$358$49839%
$70,000+$493$54110%

Average cost after subsidies for a single 40-year-old with a Benchmark Silver plan.

  • How to qualify: If you're single, you have to make between $17,990 and $71,960 per year to get subsidies. If you're part of a family of four, the range is $36,980 to $147,920 per year. But if you can get Medicaid, you can't get subsidies.
  • How to use subsidies: You can use a subsidy to buy any Bronze, Silver, Gold or Platinum plan from any company on HealthCare.gov. You can't use subsidies on Catastrophic plans.
  • How much you'll save: You can use a subsidy calculator to see how much of a discount you could get on your health insurance.

Cheap Hawaii health insurance plans by city

Kaiser Permanente sells the cheapest health insurance in Honolulu.

In fact, no matter where you live in Hawaii, Kaiser has the cheapest plan.

But just because a plan is cheap doesn't mean it's the best option for you. Make sure you compare each plan's coverage and customer satisfaction so you pick the right plan for your needs. Only two companies, Kaiser Permanente and HMSA, sell plans on HealthCare.gov in Hawaii. That makes it pretty easy to compare your options.

Cheapest health insurance plans by HI county

County
Cheapest plan
Monthly rates
HawaiiKaiser Permanente Standard Silver$533
HonoluluKaiser Permanente Standard Silver$533
KalawaoKaiser Permanente Standard Silver$533
KauaiKaiser Permanente Standard Silver$533
MauiKaiser Permanente Standard Silver$533

Cheapest Silver plan with rates for a 40-year-old

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Best health insurance by level of coverage

The best health insurance for you depends on your budget and your medical needs.

If you go to the doctor often, a higher-tier plan like Platinum or Gold is usually a good idea. You'll pay more each month, but your plan will pay a larger share of your medical bills, making your individual health care more affordable.

If you're young and generally healthy, a lower-tier plan like Bronze can be a good choice. You'll save money on your monthly rate, but you'll pay more when you need medical care.

Plan tiers have nothing to do with covered medical services. A Gold plan doesn't necessarily cover more medical care than a Bronze plan, it just pays for a bigger share of your bills.

Platinum plans: Best for people with serious health issues

platinum plan icon
Platinum plans pay for about 90% of your medical care.

In Hawaii, Platinum plans cost $705 per month, on average.

Platinum plans pay for about 90% of your covered medical bills, so they're a good choice if you need expensive medical treatments. If you have a chronic condition or serious illness, a Platinum plan can be worth it. Even though the monthly rate is higher, you could save money overall because the plan lets you pay less toward your medical bills.

Platinum plans in Hawaii also don't have a deductible, which means your coverage starts right away.

Gold plans: Best for people who need frequent medical care

gold plan icon
Gold plans pay for about 80% of your medical care.

Gold plans cost an average of $598 per month in Hawaii.

Gold plans are a good option if you need medical care often but don't want to pay for a Platinum plan. In Hawaii, Gold plans cost about $100 less each month compared to Platinum plans but still cover about 80% of your medical bills.

With a Gold plan, you could pay an average of $1,090 per year of your own bills before your coverage starts, and up to $8,440 total per year toward your medical bills. So even though the plan covers about 80% of your bills, it's important to still have savings in the bank in case you need expensive care.

Silver plans: Best for most people

silver plan icon
Silver plans pay for about 70% of your medical care.

Silver plans cost $583 per month, on average, in Hawaii.

Silver plans are a good option for most people because they balance affordable monthly rates with good coverage. Silver plans are cheaper than Gold and Platinum plans, but they cover more of your bills than Bronze or Catastrophic plans. If you aren't sure what plan tier to buy, start by looking at Silver plans and see if they fit your needs.

With a Silver plan, you might pay up to an average of $5,050 per year before your coverage starts and up to $8,900 total each year. Overall, a Silver plan will pay for about 70% of your covered medical care.

Bronze plans: Best for healthy people with emergency savings

bronze plan icon
Bronze plans pay for about 60% of your medical care.

In Hawaii, Bronze plans cost $467 per month, on average.

If you're young and healthy, a Bronze plan can help you save money each month. That's because Bronze plans have lower monthly rates. The trade-off is that they only cover about 60% of your medical care, so you have to pay more toward your medical bills when they come up.

You could pay an average of $7,025 of your medical bills yourself each year with a Bronze plan. After that, your coverage kicks in, but since insurance only pays for a portion of your bills, you could still pay up to $9,125 total out of pocket for your medical care each year. So if you buy a Bronze plan, it's important to have savings to pay for your medical bills.

Catastrophic plans: Best as a last resort

Catastrophic plans cost an average of $297 per month in Hawaii.

Catastrophic plans have the cheapest monthly rates but cover the lowest share of your medical bills. They're only a good option if you can't afford anything else and you don't qualify for Medicaid.

You can only buy a Catastrophic health plan if you're under the age of 30 or you qualify for a hardship exemption. Catastrophic plans are rarely worthwhile because of their high deductibles. You also can't get subsidies with Catastrophic plans.


Cheap or free health insurance in Hawaii if you have a low income

If you don't make much money and can't afford health insurance, you might be able to get free coverage from Medicaid. Otherwise, consider buying a Silver plan and using discounts to make your rate and medical care cheaper.

Medicaid plans in Hawaii

Medicaid is a type of free government health insurance that is available to people who earn a low income.

In Hawaii, you qualify for Medicaid if you make less than about $24,826 per year as a single person or $51,032 per year as a family of four.

Use cost-sharing reductions for cheaper medical insurance

If you don't qualify for Medicaid, you can still get cheap health insurance. If you make between $17,990 and $71,960 per year as a single person or between $36,980 and $147,920 as a family of four, consider buying a Silver plan. You'll qualify for discounts on your monthly rate and extra discounts called cost-sharing reductions (CSRs). These discounts let you pay less when you go to the doctor.

The less you make, the bigger your discount will be. CSRs can even make your Silver plan cover more of your medical costs than a Gold or Platinum plan.


Are health insurance rates going up in Hawaii in 2026?

Overall, health insurance in HI is 12% more expensive in 2026 compared to 2025.

Catastrophic plans saw the biggest increase and cost 16% more in 2026. Platinum plans had the lowest price jump, but they're still 10% higher in 2026 compared to 2025. Since 2022, Silver plans have gone up in price by 19%.

Catastrophic

Bronze

Silver

Gold

Platinum

Year
Cost
Change
2022$197
2023$177-10%
2024$21220%
2025$25621%
2026$29716%

Monthly costs are for a 40-year-old.

Catastrophic

Year
Cost
Change
2022$197
2023$177-10%
2024$21220%
2025$25621%
2026$29716%

Monthly costs are for a 40-year-old.

Bronze

Year
Cost
Change
2022$413
2023$365-12%
2024$3907%
2025$4197%
2026$46712%

Monthly costs are for a 40-year-old. Expanded Bronze plans are included in 2024, 2025 and 2026 averages, when they're offered.

Silver

Year
Cost
Change
2022$490
2023$482-2%
2024$4902%
2025$5237%
2026$58311%

Monthly costs are for a 40-year-old.

Gold

Year
Cost
Change
2022$480
2023$4933%
2024$5103%
2025$5365%
2026$59812%

Monthly costs are for a 40-year-old.

Platinum

Year
Cost
Change
2022$558
2023$5865%
2024$6175%
2025$6394%
2026$70510%

Monthly costs are for a 40-year-old.

Why is health insurance expensive in Hawaii in 2026?

Health insurance rates are expensive in 2026 because of the rising costs of health care.

Insurance companies are facing higher costs because of inflation, increasing costs for care and the popularity of expensive medicine, such as GLP-1 drugs like Wegovy and Ozempic. When these happen, companies charge higher prices to make up for them.

Additionally, the larger tax subsidies that lowered rates for many Americans are on track to not be offered 2026, causing rates to go up.

Rather than pay more, many Americans who are generally healthy may cancel their medical insurance. This can mean that most people who keep their insurance use it more often, driving up costs further.

Health insurance rates in Hawaii are 12% higher for 2026.

How to save on Hawaii health insurance in 2026

In Hawaii, you can buy an Affordable Care Act (ACA) plan, sometimes called an "Obamacare" plan, on HealthCare.gov between Nov. 1 and Jan. 15 each year. This is called open enrollment. If you move, get married, lose your job or go through another qualifying life change, you can buy a plan outside of open enrollment.

No matter what plan tier you buy, you'll have coverage for at least 10 health situations.

  1. Doctor visits
  2. Prescription medicines
  3. Emergency services
  4. Laboratory services
  5. Hospital stays
  1. Pregnancy and newborn care
  2. Mental health care
  3. Rehab services and devices
  4. Wellness and chronic disease care
  5. Pediatric services

The plan tier you buy doesn't affect what services are covered. It only affects how much your plan pays toward your bills. Higher-tier plans like Gold and Platinum pay for a bigger share of your medical bills than lower-tier plans like Bronze and Catastrophic.


Average cost of health insurance by family size in Hawaii

You can expect to pay a higher monthly rate for health insurance as the size of your family grows. In Hawaii, two married 40-year-olds will pay $1,165 per month for a Silver plan, on average, while a single parent with a minor child will pay $931 per month on average.

Add $349 for each child under the age of 15 to get an idea of how much you'll pay for your family's health insurance.

Family size
Average monthly cost
Individual$583
Individual and child$931
Couple$1,165
Family of three $1,514
Family of four $1,863
Show All Rows

Averages based on a Silver plan for 40-year-old adults and children who are under age 15.


Short-term health insurance in Hawaii

No companies are selling short-term health insurance in Hawaii for 2025.


Health insurance enrollment by income level in Hawaii

In Hawaii in 2025, two-thirds of people with marketplace plans made less than $52,000.

The changes to health insurance discounts in 2026 impact Hawaiians with low incomes the most. That's because people with lower incomes tend to buy health insurance through Healthcare.gov instead of getting coverage through an employer.

Income
% of total enrollment
Less than $17,3104%
$17,310 to $23,8886%
$23,889 to $25,9659%
$25,966 to $34,62020%
$34,621 to $43,27517%
Show All Rows

Enrollment in 2025 marketplace plans made during the 2024-2025 Open Enrollment period. Total may not be 100% due to rounding

Frequently asked questions

Is $200 a month expensive for health insurance in Hawaii?

No, $200 per month is cheap for a medical insurance plan in Hawaii. The statewide average for a Silver health plan is $583 for a 40-year-old.

What is the best health insurance to have in Hawaii?

Kaiser Permanente plans are the best and cheapest. in Hawaii. Its Silver plans start at $533 per month. Kaiser also gets great reviews for customer service. But if you want to be able to see any doctor, HMSA is a better option.

Does Hawaii have free health care?

Yes, you might be able to get free health insurance in Hawaii if you have a low income. If you make less than $24,826 per year as a single person or $51,032 per year as a family of four, you might qualify for Medicaid. If you get Medicaid, your health care will likely be free or cost very little.

How much is health insurance in Hawaii per month?

Health insurance in Hawaii costs $583 per month, on average, without subsidies. Your rate will change depending on what company you choose, what plan tier you buy, how old you are, where you live, how many people are on your plan and whether or not you smoke or use tobacco.

How can I qualify for subsidies in 2026?

To qualify for subsidies, you'll typically need to make between $17,990 and $71,960 for an individual, $24,320 and $97,280 as a couple or $36,980 and $147,920 as a family of four. If you make less, you may qualify for free or low-cost health insurance through Medicaid.

When you start shopping for insurance on Healthcare.gov, enter your income information to see if you qualify for subsidies and how much of a discount you'll get.


Methodology

Hawaii health insurance rate data for 2026 is from the Centers for Medicare & Medicaid Services (CMS) government website. ValuePenguin's experts used the public use files (PUFs) to find average rates for different plan tiers, geographic locations and family sizes.

Rates

Rates are based on a 40-year-old with a Silver plan, unless otherwise noted. Rates for Bronze plans include regular and Expanded Bronze plans for 2024, 2025 and 2026, when the plans are available. Your costs and plan options will vary; plans aren't always available in all parts of a state or county.

Subsidies

Rates after subsidies are estimates for a 40-year-old with a Benchmark Silver plan and are based on how subsidies were structured before 2021. Prices are calculated using KFF's rates for full-price Benchmark plans, federal poverty levels (FPLs), IRS rules about premium tax credits and Congressional reports about expanded tax credits. The total cost in the state uses rates calculated by income, which are weighted using CMS data on the incomes of those who purchased plans during last year's open enrollment. The median was used for each income range. Unknown incomes were excluded from the calculations. Incomes of 100% of the federal poverty line and 500% of the federal poverty line were assumed for enrollees who earn less than 100% FPL and more than 500% FPL, respectively. Information about state subsidies, when available, was sourced from state marketplaces.

Ratings

ValuePenguin's experts rank companies based on cost, coverage options, customer satisfaction and unique value. Ratings are out of 100 possible points. ACA ratings show how the company performs in Hawaii for medical care, member experience and plan administration. This 2026 plan quality data from CMS is based on data from last year. Ratings are not available for new plans or plans with low enrollment.

More sources

Additional sources include the National Association of Insurance Commissioners (NAIC) and S&P Global Capital IQ.

About the Author
Portrait of Cate Deventer
Cate Deventer

Insurance Writer

Cate Deventer is a ValuePenguin writer who specializes in health insurance, Medicare, auto and home insurance. She's been a licensed insurance agent since 2011.


She started her insurance career working as a customer service agent for State Farm. She later moved to an independent agency, where she worked with several insurance companies and hundreds of clients. She quoted policies, filed claims and answered insurance questions. In 2021, she pivoted her career and began writing about insurance for Bankrate. She moved to ValuePenguin in 2023 and began writing about health insurance and Medicare.


Cate has a passion for helping readers choose insurance to fit their needs. She enjoys knowing that her research and knowledge help people choose insurance products that make a positive difference in their lives.

How insurance helped Cate

Cate used her health insurance knowledge to navigate a surgery in 2023. Understanding how her policy worked let her focus on recovery instead of worrying about bills.

Expertise

  • Health insurance
  • Medicare & Medicaid
  • Auto insurance
  • Home insurance
  • Life insurance

Credentials

  • Licensed Life, Accident & Health Insurance Agent
  • Licensed Property & Casualty Insurance Agent

Referenced by

  • CBS
  • NBC
  • Wall Street Journal

Education

  • BA, Theatre, Purdue University
  • BA, English, Indiana University

Editorial note: The content of this article is based on the author's opinions and recommendations alone. It has not been previewed, commissioned or otherwise endorsed by any of our network partners.

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