RANKING · 2024 ACS · 58 SHOWN OF 58

Most uninsured people, Hawaii cities

Hawaii cities with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 58 cities in Hawaii that qualify, ranked against each other statewide.

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SAME RANKING BYCounties States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Honolulu, HIHI341,86811,895−4%

02Waipahu, HIHI40,4822,393+5%

03Kailua CDP (Hawaii County), HIHI21,8181,608+7%

04Ewa Gentry, HIHI26,5631,518+18%

05Hilo, HIHI50,4041,456+16%

06Kihei, HIHI21,5671,338−1%

07Pearl City, HIHI44,5471,314+59%

08Kahului, HIHI28,2881,155−30%

09East Honolulu, HIHI51,3601,069+43%

10Kailua CDP (Honolulu County), HIHI39,640870−32%

11Wahiawa, HIHI17,996807+29%

12Kaneohe, HIHI37,355807+62%

13Kula, HIHI6,791763+43%

14Makaha, HIHI10,066716+22%

15Kapolei, HIHI22,232673+6%

16Nanakuli, HIHI12,383655+19%

17Maili, HIHI11,570572−17%

18Makakilo, HIHI20,735565+63%

19Waimalu, HIHI13,061544+20%

20Waihee-Waiehu, HIHI10,988481−18%

21Wailuku, HIHI16,926463−3%

22Hawaiian Paradise Park, HIHI13,203435−1%

23Waianae, HIHI12,918423−39%

24Lahaina, HIHI10,162412−61%

25Waimea CDP (Hawaii County), HIHI9,286391−47%

26Haiku-Pauwela, HIHI9,178389−22%

27Mililani Mauka, HIHI21,278373+27%

28Halawa, HIHI14,385360−43%

29Waipio, HIHI10,870359+11%

30Mililani, HIHI27,668352−45%

31Laie, HIHI5,699335−43%

32Aiea, HIHI9,087312+41%

33Royal Kunia, HIHI13,555299−9%

34Kapaa, HIHI11,094276−50%

35Ewa Beach, HIHI14,376271−46%

36Wailea, HIHI6,352266−8%

37Kahaluu, HIHI5,619248+48%

38Waikoloa, HIHI7,543241+0%

39Napili-Honokowai, HIHI7,308210−47%

40Kaiminani, HIHI11,465198−58%

41Lihue, HIHI7,901182−57%

42Waipio Acres, HIHI5,332179+6%

43Wailua Homesteads, HIHI5,431177−59%

44Ocean Pointe, HIHI17,085163−46%

45Iroquois Point, HIHI5,158158+37%

46Makawao, HIHI7,353151−38%

47Ewa Villages, HIHI7,415139−55%

48Waikele, HIHI7,528137−1%

49East Kapolei, HIHI7,551113+109%

50Schofield Barracks, HIHI16,270106−13%

51Hickam Housing, HIHI9,42589+19%

52Pukalani, HIHI8,67981−66%

53Waimanalo, HIHI6,05481−59%

54Ahuimanu, HIHI8,45277−22%

55West Loch Estate, HIHI5,54451−4%

56Kaneohe Base, HIHI10,91950+233%

57Kahaluu-Keauhou, HIHI5,15046−30%

58Heeia, HIHI5,14443−62%

SHOWING 1–58 OF 58

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES