Health insurance in Honolulu County, Hawaii
14,488 people here have no coverage and earn in the range a premium tax credit is built for — 50% of everyone uninsured in the county.
Source: US Census Small Area Health Insurance Estimates, 2024 release. Income bands are measured against the federal poverty level.
How many here a premium tax credit would reach
Of the 29,225 people without coverage in Honolulu County, 14,488 — 50% — earn inside the premium tax credit range. That is near the 51% national median. Within that band, only 4.9% are uninsured, so the credit is reaching most of the people it was built for here.
Comparatively few people go uncovered
3.6% of Honolulu County's 819,270 under-65 residents have no health coverage — 29,225 people. That is close to the Hawaii rate of 4.1%, and puts Honolulu County in the bottom quarter of the 3,143 counties measured nationally (3,131st).
Who falls under the Medicaid line
6,558 of Honolulu County's uninsured — 22%, below the 31% typical of counties nationally — earn under $25,337 a year, which in Hawaii is Medicaid territory rather than marketplace territory.
The years before Medicare
5,369 people aged 50 to 64 in Honolulu County have no coverage, a rate of 2.9% — close to the 3.6% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.
Honolulu County against Hawaii
Honolulu County is the largest of the 3 Hawaii counties we publish, by under-65 population. Its uninsured rate tracks the state almost exactly and its subsidy-band share matches the state. Coverage among 50 to 64 year olds matches the Hawaii picture.
| Honolulu County | Hawaii | National median | |
|---|---|---|---|
| Uninsured, under 65 | 3.6% | 4.1% | 9.8% |
| Uninsured in the subsidy band | 14,488 | 23,939 | — |
| Subsidy band as a share of uninsured | 50% | 49% | 51% |
| At or below 138% of poverty | 22% | 25% | 31% |
| Uninsured, 50 to 64 | 2.9% | 3.4% | 8.1% |
Counties of a similar size
| County | Uninsured | In the subsidy band | Share |
|---|---|---|---|
| Westchester County (New York) | 5.9% | 21,465 | 46% |
| Pierce County (Washington) | 7.0% | 28,848 | 52% |
| Bergen County (New Jersey) | 7.6% | 28,042 | 47% |
| Kern County (California) | 8.6% | 34,624 | 51% |
| Capitol (Connecticut) | 6.4% | 23,614 | 48% |
All Hawaii counties · How the credit works · Enrollment dates