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RANKING · 2024 ACS · 58 SHOWN OF 58

Highest Medicaid coverage, Hawaii cities

Hawaii cities ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2024 ACS). This list covers the 58 cities in Hawaii that qualify, ranked against each other statewide. The median across all 58 is 17.5%. Biggest climber in the top 100 since 2020: Pukalani, HI, up 32 places to #21.

Highest Medicaid coverage by state
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RANKPLACESTATEPOPMEDICAIDVS 2020
01▲1Makaha, HIHI10,06646.6%−1.0 pts
02▲1Waianae, HIHI12,91840.2%+2.0 pts
03▲8Ewa Villages, HIHI7,41538.2%+15.5 pts
04Nanakuli, HIHI12,38336.8%−1.1 pts
05▲12Iroquois Point, HIHI5,15832.6%+13.3 pts
06▼5East Kapolei, HIHI7,55131.2%−21.9 pts
07Hawaiian Paradise Park, HIHI13,20331.1%+3.8 pts
08▲13Waikoloa, HIHI7,54330.8%+12.1 pts
09▲3Kailua CDP (Hawaii County), HIHI21,81824.7%+2.3 pts
10▼5Maili, HIHI11,57024.4%−4.9 pts
11▲9Lahaina, HIHI10,16224.1%+5.4 pts
12▲4Wahiawa, HIHI17,99624.1%+3.4 pts
13Waipahu, HIHI40,48223.9%+1.5 pts
14▼8Hilo, HIHI50,40423.4%−4.3 pts
15▲16Kapaa, HIHI11,09423.3%+7.0 pts
16▲7Kahaluu, HIHI5,61922.9%+4.9 pts
17▼9Waimanalo, HIHI6,05422.9%−1.0 pts
18▼8Ewa Beach, HIHI14,37621.6%−1.1 pts
19▲17Waipio Acres, HIHI5,33221.0%+7.8 pts
20▲25West Loch Estate, HIHI5,54421.0%+9.8 pts
21▲32Pukalani, HIHI8,67920.6%+14.1 pts
22▲2Makakilo, HIHI20,73520.5%+2.6 pts
23▼8Kaiminani, HIHI11,46520.4%−0.4 pts
24▼10Makawao, HIHI7,35319.8%−1.2 pts
25▲4Waihee-Waiehu, HIHI10,98819.8%+3.1 pts
26Honolulu, HIHI341,86819.3%+2.0 pts
27▲3Halawa, HIHI14,38518.3%+1.6 pts
28▲13Kaneohe, HIHI37,35518.2%+6.0 pts
29▲9Lihue, HIHI7,90117.5%+4.9 pts
30▼8Kihei, HIHI21,56717.2%−1.2 pts
31▲9Waimea CDP (Hawaii County), HIHI9,28617.0%+4.6 pts
32▼13Wailua Homesteads, HIHI5,43117.0%−2.0 pts
33▼6Napili-Honokowai, HIHI7,30816.4%−0.4 pts
34▼6Wailuku, HIHI16,92616.2%−0.6 pts
35▼2Kapolei, HIHI22,23216.0%+0.8 pts
36▼18Haiku-Pauwela, HIHI9,17815.7%−3.5 pts
37▲2Ewa Gentry, HIHI26,56315.5%+3.1 pts
38▼1Waipio, HIHI10,87015.5%+2.5 pts
39▼30Kahaluu-Keauhou, HIHI5,15015.1%−7.8 pts
40▼8Kahului, HIHI28,28814.5%−0.8 pts
41▲8Royal Kunia, HIHI13,55513.4%+3.3 pts
42▲6Pearl City, HIHI44,54713.4%+3.1 pts
43▼9Waimalu, HIHI13,06113.2%−0.7 pts
44Ahuimanu, HIHI8,45212.5%+1.2 pts
45▼20Kula, HIHI6,79112.1%−5.6 pts
46▼3Wailea, HIHI6,35212.0%+0.6 pts
47▼5Kailua CDP (Honolulu County), HIHI39,64011.7%+0.3 pts
48▼2Laie, HIHI5,69910.5%−0.1 pts
49▼2Mililani, HIHI27,66810.1%−0.2 pts
50▼15Aiea, HIHI9,0879.9%−3.4 pts
51East Honolulu, HIHI51,3609.8%+2.8 pts
52Mililani Mauka, HIHI21,2789.4%+2.6 pts
53▲2Ocean Pointe, HIHI17,0859.1%+3.8 pts
54▼4Waikele, HIHI7,5287.2%−0.7 pts
55▲1Schofield Barracks, HIHI16,2704.1%+0.9 pts
56▼2Heeia, HIHI5,1443.7%−2.0 pts
57▲1Hickam Housing, HIHI9,4253.0%+2.3 pts
58▼1Kaneohe Base, HIHI10,9192.9%+1.3 pts
SHOWING 1–58 OF 58

UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES