Hawaii Med-QUEST Eligibility Calculator 2025
Instantly estimate your potential eligibility for Hawaii health coverage based on 2025 income limits. This tool is for informational purposes only.
Disclaimer: This calculator is an informational tool for estimation purposes only and does not guarantee eligibility. The final determination is made by the Hawaii Department of Human Services (DHS), Med-QUEST Division.
Hawaii Medicaid FAQ 2025
What are the income limits for Hawaii Medicaid in 2025?
Income limits vary by household size and category. For example, adults qualify up to 138% FPL (~$2,797/month for family of 2), pregnant women up to 196% FPL, and children up to 313% FPL. Asset limits apply for aged/disabled applicants.
Who qualifies for Hawaii Medicaid?
Low-income residents including children, pregnant women, parents, seniors 65+, blind, disabled, and COFA citizens with income/asset limits specific to each group.
How do I apply for Medicaid in Hawaii in 2025?
Apply online via Hawaii Med-QUEST’s KOLEA portal, by phone at 1-877-628-5076, or by mail with a paper application.
Can I check my Medicaid eligibility online?
Yes, use the Med-QUEST KOLEA online tool to check eligibility and apply for benefits easily.
What does Hawaii Medicaid cover?
It covers primary care, hospital visits, prescriptions, dental for adults, maternity, long-term care, and preventive services for children.
Does Medicaid cover pregnant women postpartum?
Yes, Medicaid covers pregnant women up to 196% FPL and extends coverage for 12 months postpartum.
When do I need to renew my Hawaii Medicaid coverage?
Coverage is typically renewed annually, but Hawaii offers continuous eligibility for children under 6, reducing redetermination frequency.
What happens if I miss the Medicaid renewal deadline?
Missing deadlines may result in loss of benefits; Hawaii Medicaid sends reminders, and you can often request extensions or report changes to avoid gaps.
Can immigrants qualify for Hawaii Medicaid?
Yes, including COFA citizens and some lawfully present immigrants. Eligibility depends on income and immigration status specifics.
Are working adults eligible for Hawaii Medicaid?
Yes, adults earning up to 138% FPL qualify under Medicaid expansion implemented since 2014.
