2025 Data · HI
Senior Care Costs in Hawaii
Monthly medians for all major care types — and how Hawaii compares to the national average.
$6,435/mo
vs. national median
+41% ($1,859 more)
National: $4,576/mo
Based on 44 hours per week of non-medical in-home care. Skilled home health (nursing, therapy) is often covered by Medicare.
$4,750/mo
vs. national median
-7% ($350 less)
National: $5,100/mo
Private room in a community with meals, housekeeping, and daily living assistance included.
$6,000/mo
vs. national median
-3% ($200 less)
National: $6,200/mo
Secured memory care unit. Includes dementia-specific programming and lower staff ratios.
$14,296/mo
vs. national median
+58% ($5,262 more)
National: $9,034/mo
Semi-private room in a Medicare/Medicaid-certified skilled nursing facility. Post-acute rehab stays are often covered by Medicare (days 1–100).
$2,340/mo
vs. national median
+38% ($650 more)
National: $1,690/mo
5 days per week. Medicaid waivers may cover this in many states — eligibility varies.
Hospice care in Hawaii: Covered by Medicare
Medicare Part A covers hospice care fully for eligible individuals. There are no out-of-pocket costs for hospice services in most cases. Medicare coverage details →
How families pay for care in Hawaii
Medicaid in Hawaii
Hawaii Medicaid covers long-term nursing home care and, through HCBS waivers, may also cover assisted living and home care. Eligibility requires meeting asset and income limits. Contact your local Area Agency on Aging for current program availability.
Long-Term Care Insurance
If your parent purchased a policy, benefits typically activate when they need help with 2+ Activities of Daily Living. Review the policy's benefit amount, elimination period, and covered care types.
Veterans' Benefits
VA Aid & Attendance pays up to $2,300/month for qualifying veterans needing help with daily activities. Often overlooked and significantly underutilized.
Private Pay
Most families start paying out of pocket. Home equity (reverse mortgage), retirement accounts, and life insurance conversions are common sources.
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