Health insurance in Hawaii
Hawaii has one of the lowest uninsured rates in the country at 4.1%. The 23,939 still uninsured in the subsidy range are the ones a credit would reach.
Source: US Census Small Area Health Insurance Estimates, 2024 release.
Who is uninsured in Hawaii
48,504 people under 65 in Hawaii have no health coverage — 4.1% of the under-65 population, among the lowest uninsured rates in the country. Of those, 23,939 earn inside the premium tax credit range — 49% of the state's uninsured.
12,056 uninsured Hawaii residents (25% of the total) earn under $25,337. Hawaii expanded Medicaid, so that group mostly qualifies for it instead — and it enrolls year-round.
Where Hawaii residents enroll, and by when
Hawaii uses HealthCare.gov. You compare and enroll there, and the federal deadlines apply.
Open Enrollment for Hawaii: November 1, 2026 to January 15, 2027.
Checked 2026-09-01. 2027 dates moved nationally after a court ruling — what changed and why.
How enrollment works · If you missed the window
The 3 largest counties in Hawaii
By under-65 population — 95% of Hawaii's under-65 residents, from 4 counties with published estimates.
| County | Under 65 | Uninsured | In subsidy range | Share | Uninsured 50–64 |
|---|---|---|---|---|---|
| Honolulu County | 819,270 | 3.6% | 14,488 | 50% | 2.9% |
| Hawaii County | 172,551 | 5.7% | 4,686 | 48% | 5.3% |
| Maui County | 137,129 | 4.7% | 3,205 | 50% | 3.7% |
Source: US Census Small Area Health Insurance Estimates, 2024 release. "In subsidy range" counts uninsured under-65 residents earning 138–400% of the federal poverty level.