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Qualify for Hawaii Health Access Program

To be eligible to enroll and remain enrolled, you must meet all the following requirements:

  • Live in the Kaiser Foundation Health Plan, Inc. service area on Maui island.
  • You must live in a household with an annual income up to 300 percent of the Federal Poverty Level (FPL).
    • For example, the 2023 FPL for Hawaii (annual income) is up to $50,310 for an individual or $103,500 for a household of 4.
  • You aren’t eligible for other public or private health coverage such as, but not limited to, Medicaid, Medicare, a job-based health plan, or financial help through a health benefit exchange.
Household/Family Size Monthly Household Income no more than: Annual Household Income no more than:
1 $4,193 $50,310
2 $5,670 $68,040
3 $7,148 $85,770
4 $8,625 $103,500
5 $10,103 $121,230
6 $11,580 $138,960

You don’t need to be U.S. citizens to qualify for the Hawaii Health Access Program.

Need more information? Check out our Hawaii Enrollment Guide.

Kaiser Permanente service areas

You must live in a Kaiser Permanente service area to qualify for the Hawaii Health Access Program. Explore our service areas below.

 

We review each member’s eligibility for the Hawaii Health Access Program by regularly sending you a form to confirm household income and other information. If you no longer meet the eligibility requirements, you will be disenrolled from Kaiser Permanente’s Hawaii Health Access Program. You will remain enrolled in the HI Standard Platinum 0/10 Off plan, but you’ll have to pay the full monthly premiums and out-of-pocket cost unless you ask us to end your membership or until you fail to pay the full premium.

Other Kaiser Permanente coverage options

If you do not meet the requirements for the Hawaii Health Access Program, financial help from the government could help you get affordable health coverage for you and your family. Other Kaiser Permanente health coverage options include:

Quest Integration (Medicaid)

This option may be available to applicants born in the United States or who are lawful permanent residents, and who meet additional eligibility requirements such as:

  • Adults 19 – 64 with household income up to 138% FPL ($23,143 for an individual or $47,610 for a family of 4 in 2023).
  • Children younger than 19 with household income at or below 313% of the federal poverty level ($52,490 for an individual or $107,985 for a family of 4 in 2023).

Kaiser Permanente is a Quest Integration provider and may be available to you.

Please note: Many Hawaii residents-including non-citizens-now qualify for Quest Integration. Those who qualify for Quest Integration are not eligible for the Hawaii Health Access Program.

Learn more about Quest Integration with Kaiser Permanente.

Health insurance plans through the health benefit exchange

Buy health care coverage through the health benefit exchange. If you qualify, you may get help paying for your plan premiums or out-of-pocket costs. Remember to enroll during the health benefit exchange open enrollment period. If you wait until after the open enrollment period ends, you’ll need a qualifying life event to enroll in a new plan. For more information, visit: buykp.org

A range of other plans are available

Call us at 1-800-488-3590 (TTY 711) or visit buykp.org to learn about other Kaiser Permanente for Individuals and Families plan choices.

Consider Medicare, a federal program available to people ages 65 or older. There are different periods in which you may be eligible to enroll in a Medicare health plan. Visit kp.org/medicare for more information. If you have limited household income, you may qualify for Medicare. Please visit kp.org/medicaid/hi to learn more.

*Continued eligibility for the Hawaii Health Access Program is not guaranteed. We reserve the right to close enrollment or change the HHAP eligibility rules at any time. If you are approved for HHAP, the subsidy period is limited and we will contact you in the future to confirm that you still qualify.

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