Senior Care Costs in Hawaii (2026)
Complete guide to nursing home, assisted living, and home care costs in Hawaii. Costs are 39.3% above the national average.
Nursing Home (Private)
$13,250/mo
National avg: $9,514
Nursing Home (Semi-Private)
$11,960/mo
National avg: $8,582
Assisted Living
$5,250/mo
National avg: $4,612
Home Health Aide
$33.00/hr
$5,808/mo (8hr/day)
Adult Day Care
$1,767/mo
National avg: $1,692
Homemaker Services
$31.00/hr
$5,456/mo (8hr/day)
Senior Care Costs by City in Hawaii
| City | Nursing Home | Assisted Living | Home Health Aide | Adult Day Care |
|---|---|---|---|---|
| Hilo | $14,124/mo | $5,596/mo | $35.18/hr | $1,884/mo |
| Honolulu | $15,476/mo | $6,132/mo | $38.54/hr | $2,064/mo |
| Kailua | $11,575/mo | $4,586/mo | $28.83/hr | $1,544/mo |
| Pearl City | $15,587/mo | $6,176/mo | $38.82/hr | $2,079/mo |
| Waipahu | $12,296/mo | $4,872/mo | $30.62/hr | $1,640/mo |
Medicaid & Medicare Coverage in Hawaii
Hawaii Medicaid covers nursing facilities. QUEST Integration provides managed care including HCBS.
Medicare Coverage (Federal)
- Up to 100 days skilled nursing after hospital stay
- Home health services if homebound
- Does NOT cover custodial/long-term care
How to Pay for Care in Hawaii
- Long-term care insurance
- Medicaid (income/asset eligible)
- VA benefits for veterans
- Personal savings and investments
- Reverse mortgage proceeds
Hawaii Senior Demographics
19.0%
Population 65+
$84,857
Median Household Income
$159,000
Annual Nursing Home Cost
Elder Care Cost Calculator
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Nursing Home (Private Room) in Hawaii
Monthly Cost
$13,250
Annual Cost
$159,000
5-Year Projection
$795,000
Total (12mo)
$159,000
vs. National Average
$3,709/mo higher than national average (+38.9%)
Medicare & Medicaid Coverage
- Medicare: Covers up to 100 days of skilled nursing facility care after a qualifying hospital stay (first 20 days fully covered, days 21-100 with copay).
- Medicaid: May cover nursing home and some home care costs for eligible individuals. Income and asset limits apply and vary by state.
- Long-Term Care Insurance: Can cover costs not paid by Medicare or Medicaid. Premiums depend on age and coverage level.
- VA Benefits: Veterans may qualify for Aid and Attendance benefits to help cover care costs.
* Estimates based on Genworth Cost of Care Survey data. Actual costs may vary by facility, location, and level of care needed. Consult a certified elder care advisor or financial planner specializing in senior care for personalized guidance.
More About Hawaii
Frequently Asked Questions
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Data verified March 2026 · Source: Genworth Cost of Care Survey