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. The median across all 58 is 359. Biggest climber in the top 100 since 2020: Makakilo, HI, up 17 places to #18.

HawaiiAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Honolulu, HIHI341,86811,895−4%

02Waipahu, HIHI40,4822,393+5%

03▲1Kailua CDP (Hawaii County), HIHI21,8181,608+7%

04▲2Ewa Gentry, HIHI26,5631,518+18%

05▲3Hilo, HIHI50,4041,456+16%

06▼1Kihei, HIHI21,5671,338−1%

07▲3Pearl City, HIHI44,5471,314+59%

08▼5Kahului, HIHI28,2881,155−30%

09▲2East Honolulu, HIHI51,3601,069+43%

10▼3Kailua CDP (Honolulu County), HIHI39,640870−32%

11▲7Wahiawa, HIHI17,996807+29%

12▲14Kaneohe, HIHI37,355807+62%

13▲11Kula, HIHI6,791763+43%

14▲6Makaha, HIHI10,066716+22%

15▲2Kapolei, HIHI22,232673+6%

16▲7Nanakuli, HIHI12,383655+19%

17▼3Maili, HIHI11,570572−17%

18▲17Makakilo, HIHI20,735565+63%

19▲11Waimalu, HIHI13,061544+20%

20▲1Waihee-Waiehu, HIHI10,988481−18%

21▲7Wailuku, HIHI16,926463−3%

22▲9Hawaiian Paradise Park, HIHI13,203435−1%

23▼10Waianae, HIHI12,918423−39%

24▼15Lahaina, HIHI10,162412−61%

25▼13Waimea CDP (Hawaii County), HIHI9,286391−47%

26▼1Haiku-Pauwela, HIHI9,178389−22%

27▲13Mililani Mauka, HIHI21,278373+27%

28▼12Halawa, HIHI14,385360−43%

29▲8Waipio, HIHI10,870359+11%

30▼15Mililani, HIHI27,668352−45%

31▼12Laie, HIHI5,699335−43%

32▲13Aiea, HIHI9,087312+41%

33▲3Royal Kunia, HIHI13,555299−9%

34▼12Kapaa, HIHI11,094276−50%

35▼8Ewa Beach, HIHI14,376271−46%

36▲5Wailea, HIHI6,352266−8%

37▲11Kahaluu, HIHI5,619248+48%

38▲5Waikoloa, HIHI7,5432410%

39▼5Napili-Honokowai, HIHI7,308210−47%

40▼11Kaiminani, HIHI11,465198−58%

41▼8Lihue, HIHI7,901182−57%

42▲5Waipio Acres, HIHI5,332179+6%

43▼11Wailua Homesteads, HIHI5,431177−59%

44▼5Ocean Pointe, HIHI17,085163−46%

45▲6Iroquois Point, HIHI5,158158+37%

46▼4Makawao, HIHI7,353151−38%

47▼9Ewa Villages, HIHI7,415139−55%

48▲1Waikele, HIHI7,528137−1%

49▲7East Kapolei, HIHI7,551113+109%

50Schofield Barracks, HIHI16,270106−13%

51▲3Hickam Housing, HIHI9,42589+19%

52▼8Pukalani, HIHI8,67981−66%

53▼7Waimanalo, HIHI6,05481−59%

54▼1Ahuimanu, HIHI8,45277−22%

55▲2West Loch Estate, HIHI5,54451−4%

56▲2Kaneohe Base, HIHI10,91950+233%

57▼2Kahaluu-Keauhou, HIHI5,15046−30%

58▼6Heeia, HIHI5,14443−62%

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