Hawaii Senior Assistance Programs, Benefits, and Grants (2025)

Hawaii Kupuna Benefits Guide for  Seniors (2025)

Last Updated: June 19, 2025

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Key Takeaways {#key-takeaways}

Bottom Line Up Front: Hawaii offers over 30 assistance programs for low-income kupuna, but the highest cost of living in the nation, geographic isolation, and inter-island service disparities create unique challenges that require patience and cultural understanding to navigate successfully.

Hawaii’s Reality: With 303,352 kupuna (21.1% of population) living in the most expensive state in America, where a modest apartment can cost an entire Social Security check, assistance programs aren’t just helpful—they’re essential for survival. Island isolation means services available on Oahu may not exist on neighbor islands.

Who This Guide Helps:

• Hawaii kupuna 60+ with limited income
• Those earning less than 200% of federal poverty level
• Individual income under $34,740/year (2025, Hawaii-adjusted)
• Couples earning under $47,100/year (2025)

Hawaii Kupuna Demographics (U.S. Census Bureau, 2024):

• 303,352 kupuna (21.1% of population – highest percentage in US)
• 10.1% live below poverty level (understated due to extreme cost of living)
• 32.4% have disabilities
• 87.3% rely on Social Security
• Median age: 74 years

Critical Hawaii Realities:

• Extreme cost of living: 70%+ higher than mainland US, making even “adequate” incomes insufficient
• Geographic isolation: Inter-island travel required for some medical care, neighbor islands have limited services
• Cultural considerations: Strong ohana (family) values mean many kupuna age in place with family support
• Housing crisis: Median rent $2,500+/month forces seniors from longtime communities

Best Starting Points:

1. Aging and Disability Resource Center (ADRC): Statewide no-wrong-door entry point – (808) 643-2372
2. Apply for QUEST Integration if you need daily care assistance – through MyBenefits Hawaii
3. Property tax relief: Apply immediately at your county assessor’s office – can save thousands annually
4. Contact your County Agency on Aging: See county directory

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Quick Reference: Major Programs {#quick-reference}

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What’s New in 2025 {#whats-new-2025}

Program Updates and Enhancements:

• QUEST Integration capacity expanded with 200 additional waiver slots statewide, though waiting lists remain on Oahu
• Kupuna Care funding increased with enhanced neighbor island services and transportation assistance
• SNAP benefits elevated for Hawaii’s unique cost of living – average $110/month (vs. $95 mainland)
• Property tax relief enhanced with new senior exemptions in Hawaii County and expanded deferrals in Honolulu
• Enhanced telehealth access through broadband expansion, reducing need for inter-island medical travel
• LIHEAP cooling assistance expanded recognizing increasing energy costs for seniors without air conditioning

Hawaii-Specific Improvements:

• Mobile health units serving remote areas of Big Island and Molokai
• Enhanced inter-island medical transportation coordination
• Digital literacy programs at senior centers for online benefit applications
• Expanded Native Hawaiian health services through Papa Ola Lokahi partnership

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Hawaii’s Unique Kupuna Challenges {#hawaii-challenges}

Hawaii presents distinct obstacles for kupuna that require understanding of island life, cultural values, and economic realities unlike anywhere else in America.

The Paradise Tax: Extreme Cost of Living Hawaii consistently ranks as America’s most expensive state, with cost of living 70-80% higher than the mainland. A gallon of milk costs $6+, gasoline exceeds $4.50/gallon, and electricity rates are the highest in the nation. For kupuna on fixed incomes, these costs create impossible choices between medication, food, and housing.

Housing costs are particularly devastating. The median rent statewide exceeds $2,500/month, while the average Social Security payment is $1,548. This means housing alone consumes 160% of the typical kupuna’s primary income, forcing reliance on ohana (family) support or displacement from longtime communities.

Geographic Isolation and Service Disparities Hawaii’s island geography creates unique challenges. Oahu, with 70% of the state’s population, has the most comprehensive services, while neighbor islands face significant limitations:

• Oahu: Full range of services, multiple providers, public transportation
• Maui County (Maui, Molokai, Lanai): Limited specialists, some services require Oahu travel
• Hawaii County (Big Island): Large geographic area, rural isolation, limited public transit
• Kauai County: Small population, limited providers, weather-dependent access

Accessing specialized medical care often requires expensive inter-island flights ($150-300 round trip), creating financial barriers to healthcare that mainland seniors never face.

Cultural Considerations: Ohana and Aging in Place Hawaiian culture emphasizes caring for kupuna within the ohana (family) structure. This creates both opportunities and challenges:

• Strong family support systems often supplement formal services
• Cultural preference for aging in place aligns with QUEST Integration goals
• Multigenerational housing is common but may complicate benefit eligibility
• Traditional healing practices complement Western medicine

Language and Cultural Barriers Hawaii’s diverse population includes significant Asian and Pacific Islander communities where English may not be the primary language. Many kupuna, particularly those of Filipino, Korean, or Vietnamese heritage, may need language assistance to access services.

Hawaii Reality Check: A kupuna on Molokai may pay $7 for a gallon of milk, have no public transportation, and need to fly to Oahu for cardiac care, while navigating benefit systems designed for mainland realities. This guide addresses these unique challenges.

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Healthcare and Long-Term Care {#healthcare-programs}

QUEST Integration {#quest-integration}

Hawaii’s Comprehensive Medicaid Program: QUEST Integration is Hawaii’s managed Medicaid program that provides both medical care and long-term services and supports (LTSS) for kupuna who qualify. This program is the foundation of Hawaii’s approach to keeping seniors in their homes and communities rather than nursing facilities.

QUEST Integration Eligibility Requirements

2025 Eligibility Criteria:

• Age 65+ or disabled adults 18+
• Income below $1,677/month individual (adjusted for Hawaii’s cost of living)
• Assets under $2,000 individual, $3,000 couple (home and car excluded)
• Medical necessity: Must require nursing home level of care for LTSS
• Hawaii residency and legal presence required

QUEST Integration Services Covered

Medical Care:

• Primary care physicians and specialists
• Hospital emergency room and inpatient care
• Prescription medications (with Hawaii Medicaid formulary)
• Preventive services and annual wellness visits
• Mental health and substance abuse treatment
• Dental care (limited to emergencies, extractions, dentures)

Long-Term Services and Supports (LTSS):

• Personal care assistants (bathing, dressing, meal preparation, medication management)
• Adult day health services and respite care for family caregivers
• Home modifications (ramps, grab bars, accessible bathrooms, lift chairs)
• Medical equipment (hospital beds, wheelchairs, oxygen concentrators)
• Emergency response systems and medical alert devices
• Transportation to medical appointments (including inter-island when medically necessary)
• Skilled nursing visits and therapy services

QUEST Integration Application Process

Application Steps:

1. Apply online at MyBenefits Hawaii or visit local DHS office
2. Complete comprehensive assessment with DHS case worker (2-3 hours)
3. Submit medical records documenting need for nursing home level care
4. Financial eligibility review with income and asset verification
5. Choose managed care plan (Hawaii Medical Service Association, Kaiser, or UnitedHealthcare)
6. Wait for approval and service plan development

⏰ QUEST Reality Check: The application process typically takes 60-90 days in urban areas, longer on neighbor islands due to limited assessment staff. Medical assessments are thorough – many applicants are initially denied for not meeting nursing home level criteria and must appeal. Approval doesn’t guarantee immediate services; waiver slots are limited and waiting lists exist, particularly on Oahu.

Geographic Service Availability:

• Oahu: Full services with multiple provider options, but longest waiting lists (6-12 months)
• Maui County: Good basic services, some specialized care requires Oahu travel
• Hawaii County: Limited providers in rural areas, services concentrated in Hilo/Kona
• Kauai: Basic services available, complex medical needs often require Oahu referral

Success Example: Robert, 79, from Hilo was spending $3,500/month on private care after a stroke. QUEST Integration approved his application in 85 days and now covers 35 hours weekly of personal care plus adult day services, saving his ohana over $2,800/month while coordinating his multiple medical needs.

Kupuna Care Program {#kupuna-care}

State-Funded Alternative to Medicaid: The Kupuna Care Program provides home and community-based services for kupuna who need assistance but don’t qualify for Medicaid due to income or asset limits. This state-funded program fills a critical gap for middle-income seniors.

Eligibility Requirements:

• Age 60+ with functional limitations
• Income below $4,200/month individual (higher than Medicaid)
• Assets under $10,000 individual, $15,000 couple
• Need assistance with activities of daily living
• Not eligible for Medicaid long-term services

Services Provided:

• Personal care assistance (up to 20 hours weekly)
• Adult day care services
• Chore services and light housekeeping
• Transportation to medical appointments
• Case management and care coordination
• Respite care for family caregivers

Application Process:

1. Contact your County Agency on Aging
2. Complete functional assessment
3. Provide income and asset documentation
4. Wait for approval and service plan (typically 30-60 days)

Program Reality: Kupuna Care serves about 1,800 kupuna statewide with funding for approximately 150 new enrollments annually. Services are less comprehensive than QUEST Integration but provide essential support for kupuna who fall into the “income gap.”

Apply: Contact your County Agency on Aging or call the Executive Office on Aging at (808) 586-0100

Native Hawaiian Health Care Programs

Papa Ola Lokahi Network: Provides culturally appropriate health services for Native Hawaiian kupuna through a network of Native Hawaiian Health Care Systems across the islands.

Services Include:

• Primary medical and dental care with cultural integration
• Traditional healing practices alongside Western medicine
• Health education in Hawaiian language when requested
• Care coordination with cultural sensitivity
• Mental health services addressing historical trauma

Locations:

• Oahu: Ke Ola Mamo – (808) 848-1304
• Maui: Na Pu’uwai – (808) 244-7717
• Molokai: Molokai Community Health Center – (808) 553-5038
• Big Island: Bay Clinic – (808) 933-4050
• Kauai: West Kauai Medical Center – (808) 338-9431

Apply: Contact the Native Hawaiian Health Care System on your island or visit Papa Ola Lokahi

Medicare in Hawaii

Unique Island Considerations: Medicare works differently in Hawaii due to geographic isolation and limited provider networks.

Medicare Challenges in Hawaii:

• Limited Medicare Advantage plans compared to mainland
• Some specialists only available on Oahu
• Inter-island travel for care may not be covered
• Higher Medicare supplement premiums due to cost of living

Hawaii SHIP (State Health Insurance Assistance Program):

• Free Medicare counseling and enrollment assistance
• Plan comparison for Medicare Advantage and supplements
• Help with Medicare appeals and billing problems
• Fraud prevention education

Contact: Hawaii SHIP – (808) 586-0100 or (888) 875-9229

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Financial Assistance Programs {#financial-assistance}

Supplemental Security Income (SSI) {#ssi}

Federal Cash Assistance with Hawaii Supplement: SSI provides monthly cash payments to kupuna with limited income and resources, with Hawaii providing a small state supplement to help address the high cost of living.

2025 SSI Benefits:

• Federal maximum: $967/month individuals, $1,450/month couples
• Hawaii state supplement: $15/month additional (one of few states providing supplement)
• Average payment in Hawaii: $634/month
• Automatic qualification for QUEST Integration Medicaid

Eligibility Requirements:

• Age 65+ or disabled
• Income below $1,255/month (includes Social Security, pensions, work earnings)
• Assets below $2,000 individual, $3,000 couple
• U.S. citizenship or qualified immigration status
• Hawaii residency established

Apply: SSA.gov or call (800) 772-1213, or visit local Social Security office

SSI Reality in Hawaii: While the maximum SSI payment of $982/month (federal + state) may seem adequate, it falls far short of Hawaii’s cost of living. However, SSI recipients automatically qualify for QUEST Integration, SNAP, and other benefits that can provide significantly more value than the cash payment alone.

Hawaii Social Security Offices:

• Honolulu: 300 Ala Moana Blvd, Suite 5-100 – (866) 593-0918
• Hilo: 154 Wainuenue Ave, Suite 204 – (866) 593-0918
• Kauai/Maui: Phone service only, appointments available

Low-Income Household Renter Tax Credit

State Tax Credit for Renters: Hawaii provides an annual tax credit for low-income renters that can result in significant cash refunds, even for kupuna who don’t owe income tax.

2025 Credit Amounts:

• Up to $400 individual renters
• Up to $500 for couples filing jointly
• Credit is refundable – you receive money even if you owe no tax

Eligibility:

• Income below $30,000/year individual, $60,000/year couple
• Pay rent for principal residence in Hawaii
• Not claimed as dependent on someone else’s tax return

How to Claim:

1. File Hawaii State tax return (Form N-11) even if income too low for federal requirement
2. Complete Schedule CR – Renter Tax Credit
3. Provide landlord information and rent receipts
4. Receive refund check if credit exceeds tax owed

Apply: Through Hawaii tax preparation services or Hawaii Department of Taxation self-filing

Renter Credit Reality: Many kupuna miss this credit because they assume they don’t need to file taxes. The credit can provide $300-500 annually in direct cash assistance, making tax preparation worthwhile even for very low incomes.

Emergency Financial Assistance

Aloha United Way Emergency Assistance: Provides one-time emergency financial help for kupuna facing immediate crises.

Assistance Available:

• Rent or mortgage payments to prevent eviction/foreclosure
• Utility payments to prevent disconnection
• Emergency medical expenses
• Transportation costs for medical care

Eligibility:

• Demonstrated financial emergency
• Hawaii residency
• Exhausted other available resources
• Income below program guidelines

Apply: Aloha United Way – (808) 536-1951

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Housing Assistance Programs {#housing-assistance}

Section 8 Housing Choice Vouchers {#section-8}

Federal Rental Assistance: Section 8 vouchers allow kupuna to pay only 30% of their income toward rent, with the program covering the difference up to fair market rent limits.

Hawaii Housing Authorities Contact Information

Section 8 Reality in Hawaii: Wait times are among the longest in the nation due to extreme housing shortage and high demand. Even with vouchers, finding landlords who accept Section 8 is challenging, particularly on neighbor islands. Fair market rents are set high due to Hawaii’s housing costs, but availability remains the biggest barrier.

Application Process:

1. Apply when waiting lists open (infrequent)
2. Submit application with income verification
3. Join waiting list based on preferences (elderly, disabled, local residency)
4. Wait for selection (potentially 5-7 years)
5. Complete full application when called
6. Search for qualifying rental units with landlord acceptance

Public Housing for Seniors

HPHA Senior Housing Developments: Hawaii Public Housing Authority operates senior-specific housing developments with below-market rents.

Major Senior Developments:

• Oahu: Mayor Wright Homes (seniors tower), Kalihi Valley Homes, Palolo Valley Homes
• Maui: Maui Lani Villages, Kahului Elderly Housing
• Big Island: Hale Aloha O Hilo, Keaukaha Senior Housing
• Kauai: Lima Ola, Kalawai Elderly Housing

Eligibility:

• Age 62+ or disabled
• Income below 80% Area Median Income ($50,400 individual in Honolulu, 2025)
• Pass background check and rental history review

Apply: Hawaii Public Housing Authority – (808) 832-5800

Native Hawaiian Housing

Department of Hawaiian Home Lands (DHHL): Provides homestead leases and housing assistance for Native Hawaiians.

Programs for Kupuna:

• Homestead lot leases (99-year terms)
• Down payment assistance for home purchases
• Home rehabilitation loans
• Rental assistance in DHHL communities

Eligibility:

• Native Hawaiian ancestry (50% blood quantum)
• Age requirements vary by program
• Income limits based on Area Median Income

Apply: Department of Hawaiian Home Lands – (808) 620-9500

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Property Tax Relief Programs {#property-tax-relief}

County Property Tax Exemptions for Seniors

Significant Annual Savings: All four Hawaii counties offer property tax exemptions or deferrals for senior homeowners, potentially saving thousands annually.

City and County of Honolulu

Basic Exemption:

• Age 65+: $80,000 exemption from assessed value
• Age 70+: $100,000 exemption
• Age 75+: $120,000 exemption
• No income limits for basic exemption

Enhanced Low-Income Exemption:

• Age 65+ with income below $40,000/year
• Additional $20,000-40,000 exemption possible

Apply: Real Property Assessment Division – (808) 768-3799 Deadline: July 1 annually

Maui County

Senior Exemption:

• Age 65+: $200,000 exemption from assessed value
• Income below $45,000/year individual, $55,000/year couple
• Must be owner-occupant for at least 5 years

Apply: Maui County Real Property Tax – (808) 270-7297 Deadline: December 31 annually

Hawaii County (Big Island)

Senior Exemption:

• Age 65+: $160,000 exemption from assessed value
• Income below $50,000/year
• Must be primary residence

Apply: Hawaii County Real Property Tax – (808) 961-8201 Deadline: December 31 annually

Kauai County

Senior Exemption:

• Age 65+: $48,000 exemption from assessed value
• Income below $40,000/year
• Must be owner-occupant

Apply: Kauai County Real Property – (808) 241-4224 Deadline: October 1 annually

Property Tax Reality: These exemptions can save $800-2,500 annually depending on property value and county. However, applications must be renewed annually in most counties, and missed deadlines mean losing the entire year’s exemption. Many kupuna miss out simply because they don’t know these programs exist.

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Food Assistance Programs {#food-assistance}

Supplemental Nutrition Assistance Program (SNAP) {#snap}

Enhanced Benefits for Hawaii: SNAP provides monthly food benefits with higher amounts in Hawaii due to increased food costs, making it particularly valuable for kupuna on fixed incomes.

2025 Maximum Monthly Benefits (Hawaii):

• Individual kupuna: $400/month (vs. $291 mainland)
• Kupuna couples: $734/month (vs. $535 mainland)
• Average benefit in Hawaii: $158/month individual

Eligibility for Adults 60+:

• Gross income below $1,895/month individual, $2,571/month couple
• Assets below $4,500 individual, $7,250 couple (higher than younger adults)
• Work requirements waived for adults 60+
• Medical expense deductions available

Medical Expense Deduction: Kupuna can deduct medical expenses over $35/month from income, potentially qualifying for higher benefits:

• Medicare premiums and supplemental insurance
• Prescription medications and medical supplies
• Dental and vision care expenses
• Medical transportation costs (including inter-island travel)

Application Process:

1. Apply online at MyBenefits Hawaii
2. Complete phone interview within 7 days
3. Provide income verification and medical bills
4. Receive EBT card within 7-10 days if approved
5. Recertify every 24 months (vs. 12 months for younger adults)

SNAP Reality in Hawaii: Benefits typically last 3 weeks for most kupuna due to high food costs ($7 gallon of milk, $5 loaf of bread). Strategic shopping at farmers markets (where SNAP dollars often stretch further) and food banks helps extend benefits through the month.

Where to Use SNAP in Hawaii:

• All major grocery stores (Foodland, Times, Safeway, Walmart)
• Farmers markets with EBT acceptance (bonus incentives often available)
• Some convenience stores for emergency food purchases
• Online purchases from approved retailers (limited delivery to neighbor islands)

Commodity Supplemental Food Program (CSFP)

Monthly Food Boxes for Kupuna: CSFP provides monthly boxes of nutritious foods specifically for adults 60+, distributed through food banks across the islands.

What’s Included:

• Canned fruits and vegetables (8-10 cans)
• Protein items (canned chicken, tuna, peanut butter, beans)
• Grains (pasta, rice, oatmeal, cereal)
• Dairy products (shelf-stable milk, cheese when available)

Eligibility:

• Age 60+
• Income below 130% of poverty level ($1,895/month individual, 2025)
• Hawaii residency required

Distribution Sites:

• Oahu: Hawaii Foodbank (multiple locations) – (808) 836-3600
• Maui: Maui Food Bank – (808) 243-9500
• Big Island: Food Basket – (808) 933-6030
• Kauai: Kauai Independent Food Bank – (808) 246-3809

Application: Visit distribution sites with ID and proof of income

CSFP Reality: Monthly boxes provide about $50-70 worth of groceries but require transportation to pickup sites. Some remote areas of neighbor islands have limited access, and boxes may not accommodate special dietary needs.

Senior Farmers Market Nutrition Program (SFMNP) {#sfmnp}

Fresh Produce Vouchers: SFMNP provides $50 annually in vouchers for purchasing fresh local fruits, vegetables, and herbs from authorized farmers markets.

2025 Program Details:

• $50 in vouchers per eligible kupuna annually
• Valid May 1 through December 31
• Can only be used for fresh, unprocessed produce grown in Hawaii
• Supports local farmers and provides nutrition education

Eligibility:

• Age 60+
• Income below 185% of poverty level ($2,845/month individual)
• Hawaii residency required

Distribution Sites (June-July):

• Oahu: 25+ senior centers and health clinics
• Maui County: 8 distribution sites including senior centers
• Big Island: 12 locations including health centers
• Kauai: 6 sites including senior centers

Authorized Farmers Markets:

• Oahu: KCC Saturday Market, Honolulu Farmers Market, Kailua Thursday Market
• Maui: Maui Farmers Market (multiple locations)
• Big Island: Hilo Farmers Market, Waimea Farmers Market
• Kauai: Kauai Community Market, Hanapepe Saturday Market

SFMNP Reality: Vouchers are distributed on specific dates and often run out within hours at popular sites. Kupuna should call distribution sites in May to confirm dates and arrive early. Transportation to farmers markets can be challenging for neighbor island residents.

Meals on Wheels Hawaii

Home-Delivered Meals: Provides hot, nutritious meals delivered to homebound kupuna with daily wellness checks and social contact.

Service Details:

• Hot meals delivered 1-5 days per week based on need and funding
• Meals designed to provide 1/3 of daily nutritional requirements
• Special diets available for diabetes, heart conditions, cultural preferences
• Emergency food packages during hurricanes or severe weather

Eligibility:

• Age 60+ (some programs serve younger disabled adults)
• Homebound due to illness, disability, or lack of transportation
• Unable to prepare nutritious meals safely
• Suggested donation but no one turned away for inability to pay

Service Areas:

• Oahu: Extensive coverage through multiple providers
• Maui County: Limited routes, priority for most isolated
• Big Island: Rural areas may receive meals 1-2 days weekly
• Kauai: Limited service, weather-dependent delivery

Contact: Your County Agency on Aging for local Meals on Wheels programs

️ Meals Reality: Demand significantly exceeds capacity on all islands. Waiting lists in Honolulu can be 2-3 months, while neighbor islands may have 6-month waits. Rural kupuna may receive limited service due to volunteer and funding constraints.

Emergency Food Banks

Crisis Food Assistance: Food banks provide emergency food boxes and hot meals for kupuna facing immediate food insecurity.

Major Food Banks:

• Hawaii Foodbank (Oahu): (808) 836-3600 – Multiple distribution sites
• Maui Food Bank: (808) 243-9500 – Serves Maui, Molokai, Lanai
• Food Basket (Big Island): (808) 933-6030 – Island-wide distribution
• Kauai Independent Food Bank: (808) 246-3809 – Island-wide service

Access: Most sites require ID and proof of Hawaii residency, no income verification

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Utility Assistance Programs {#utility-assistance}

Low Income Home Energy Assistance Program (LIHEAP) {#liheap}

Critical Utility Bill Help: LIHEAP provides essential assistance with electric bills in Hawaii, where rates are the highest in the nation and many kupuna lack air conditioning during increasingly hot weather.

2025 Assistance Amounts:

• Regular energy assistance: $400-800 per household annually
• Crisis assistance: Up to $600 for emergency situations
• Cooling assistance: Available year-round due to Hawaii’s climate
• Weatherization services to improve energy efficiency

Eligibility Requirements:

• Income below 150% of poverty level ($2,454/month individual, $3,322/month couple)
• Hawaii residency and responsible for home energy costs
• Priority given to kupuna 65+, disabled individuals, and medical needs

Application Periods:

• Year-round applications due to Hawaii’s consistent warm climate
• Priority processing for kupuna with medical conditions requiring electricity
• Crisis assistance available for utility shutoff notices

How to Apply: Contact your County Community Action Agency:

• Oahu: Honolulu Community Action Program – (808) 521-4531
• Maui County: Maui Economic Opportunity – (808) 249-2990
• Big Island: Hawaii Community Action Program – (808) 961-2681
• Kauai: Kauai Economic Opportunity – (808) 245-4077

️ LIHEAP Reality in Hawaii: With electricity rates averaging $0.33/kWh (vs. $0.12 mainland average), a modest 1-bedroom apartment can have $200-300 monthly electric bills. LIHEAP assistance is crucial but limited – apply early as funding operates first-come, first-served.

Hawaiian Electric Company Programs

Utility Company Assistance: Hawaiian Electric (serving Oahu, Maui, Hawaii Island) offers several programs to help kupuna manage high electricity costs.

Programs Available:

• Medical Equipment Discount: 25% discount for life-sustaining medical equipment
• CARE Program: Payment arrangements and energy efficiency assistance
• Low-Income Discount: Available for LIHEAP-eligible customers
• Budget Billing: Spreads annual costs evenly to avoid seasonal spikes

Eligibility:

• Current Hawaiian Electric customer
• Demonstrated financial hardship or medical need
• Income documentation required for some programs

Apply: Hawaiian Electric Customer Service – (808) 543-4300

Kauai Island Utility Cooperative (KIUC)

Kauai Electric Assistance: KIUC serves Kauai County with specific programs for kupuna struggling with electric bills.

Programs:

• Project Assistance: Emergency bill payment assistance
• Budget billing and payment plans
• Energy efficiency rebates for seniors

Apply: KIUC Customer Service – (808) 246-4300

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Dental Care Options {#dental-care}

Aloha Medical Mission

Free Comprehensive Dental Care: Volunteer-based organization providing free dental services to uninsured kupuna in Honolulu.

Services Provided:

• Dental cleanings and oral health exams
• Basic fillings and tooth restorations
• Tooth extractions for damaged or infected teeth
• Limited denture services and repairs
• Emergency dental care

Eligibility:

• Uninsured or underinsured
• Income below 200% of federal poverty level ($3,790/month individual)
• Valid Hawaii ID and proof of income required

Location: 200 N. Vineyard Blvd, Unit B-120, Honolulu Contact: (808) 847-3400

Aloha Medical Mission Reality: High demand means 3-6 month waiting lists for routine care. Emergency extractions may be available within 2-4 weeks. Services are Oahu-only, creating access challenges for neighbor island kupuna.

Donated Dental Services (DDS)

Volunteer Dentist Network: Connects kupuna with volunteer dentists who provide comprehensive dental care at no cost.

Services Available:

• Complete dental treatment including crowns, bridges, dentures
• Oral surgery and specialized procedures
• Follow-up care and maintenance

Eligibility:

• Age 65+ or permanently disabled
• Income below 300% of federal poverty level ($5,685/month individual)
• No dental insurance coverage

Apply: Dental Lifeline Network Hawaii – (303) 534-5360

Community Health Centers

Sliding Fee Dental Care: Federally Qualified Health Centers provide dental care on sliding fee scales based on income.

Major CHCs with Dental Services:

Waianae Coast Comprehensive Health Center:

• Multiple Oahu locations serving primarily Native Hawaiian and Pacific Islander communities
• Sliding fee scale based on federal poverty guidelines
• Contact: (808) 697-3588

Kalihi-Palama Health Center:

• Serves diverse immigrant communities in urban Honolulu
• Comprehensive dental services including dentures
• Contact: (808) 848-1438

Bay Clinic (Big Island):

• Multiple locations serving rural Hawaii Island
• Mobile dental services to remote areas
• Contact: (808) 933-4050

West Hawaii Community Health Center:

• Serves Kona area with limited dental hours
• Contact: (808) 322-4112

Community Health Center Reality: Sliding fees typically range from $30-150 for cleanings based on income. Waiting times for routine care can be 2-4 months, though urgent care is usually available sooner.

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Transportation Services {#transportation}

Public Transit Systems

Limited Urban Transit: Hawaii has limited public transportation, with significant variations between islands.

TheBus (Oahu):

• Comprehensive bus service throughout Oahu
• Senior discount: $1.25 per ride (vs. $2.75 regular fare)
• Senior ID required for discount
• Complementary paratransit service (TheHandi-Van) for disabled kupuna
• Contact: (808) 848-5555

Maui Bus:

• Limited routes connecting major towns
• Free service for all passengers
• Limited schedule (hourly service on most routes)
• Contact: (808) 270-7511

Hawaii County Mass Transit (Hele-On Bus):

• Very limited service on Big Island
• $2 per ride with senior discounts available
• Infrequent service (some routes only 2-3 times daily)
• Contact: (808) 961-8744

Kauai Bus:

• Limited island-wide service
• $2 per ride
• Reduced weekend and holiday service
• Contact: (808) 246-8110

Medical Transportation

QUEST Integration Transportation: Non-emergency medical transportation for QUEST Integration members, including inter-island travel when medically necessary.

Services:

• Transportation to medical appointments
• Pharmacy trips for prescription medications
• Medical equipment pickup and delivery
• Wheelchair accessible vehicles available
• Inter-island flights for specialized care when approved

How to Schedule:

1. Call Medical Transportation Management – (808) 543-4677
2. Schedule trips at least 48 hours in advance (72 hours for neighbor islands)
3. Provide QUEST Integration ID and appointment details
4. Allow extra time for shared rides and traffic

✈️ Inter-Island Medical Transport Reality: While QUEST covers medically necessary inter-island transportation, prior authorization is required and approval isn’t guaranteed. Kupuna may need to advocate strongly with their doctors to document medical necessity for specialist care on Oahu.

Senior Transportation Programs

County-Specific Transportation for Kupuna:

Oahu:

• Elderly Transportation Service: Door-to-door service for medical appointments
• Senior Community Transportation: Shopping and social service trips
• Contact through Oahu County Agency on Aging

Maui County:

• Maui County Office on Aging Transportation: Limited medical appointment service
• Molokai Community Service Council: Volunteer driver program
• Lanai Senior Center: Informal ride coordination

Hawaii County:

• Hawaii County Office of Aging: Limited transportation in Hilo/Kona areas
• Volunteer driver programs: Through individual senior centers

Kauai:

• Kauai Agency on Elderly Affairs: Medical appointment transportation
• Volunteer driver network: Coordinated through senior centers

Transportation Challenges and Solutions

Island-Specific Realities:

Oahu: Best public transit but traffic congestion creates long travel times. Medical appointments in town from rural areas can take 2-3 hours each way.

Neighbor Islands: Limited or no public transit requires personal vehicles or family assistance. Many kupuna become isolated when they can no longer drive safely.

Inter-Island Travel: Required for some medical care but expensive ($150-300 round trip). Weather can cancel flights, disrupting medical appointments.

Solutions for Transportation-Challenged Kupuna:

• Coordinate multiple appointments on same trip to Oahu
• Use telemedicine when available to reduce travel needs
• Prescription delivery services
• Mobile medical services (limited availability)
• Build informal networks with neighbors and family

---

Native Hawaiian Programs {#native-hawaiian-programs}

Papa Ola Lokahi

Native Hawaiian Health Network: Provides culturally appropriate health and social services for Native Hawaiian kupuna through community-based organizations.

Core Philosophy: Integrates traditional Hawaiian healing practices with Western medicine, emphasizing ho’oponopono (setting things right) and lokahi (harmony).

Services Across Islands:

Oahu – Ke Ola Mamo:

• Comprehensive primary care with cultural integration
• Behavioral health services addressing historical trauma
• Traditional healing practices (lomilomi, la’au lapa’au)
• Contact: (808) 848-1304

Maui County – Na Pu’uwai:

• Primary medical and dental care
• Community health education in Hawaiian language
• Cultural practices integrated into care plans
• Serves Maui, Molokai, Lanai
• Contact: (808) 244-7717

Hawaii Island – Bay Clinic:

• Mobile health services to remote areas
• Traditional healing alongside Western medicine
• Community-based participatory health programs
• Contact: (808) 933-4050

Kauai – West Kauai Medical Center:

• Primary care with cultural sensitivity
• Mental health services for kupuna
• Traditional healing referrals
• Contact: (808) 338-9431

Molokai Community Health Center:

• Island-specific services for predominantly Native Hawaiian population
• Integration of traditional practices
• Family-centered care approach
• Contact: (808) 553-5038

E Ola Mau

Native Hawaiian Behavioral Health: Specialized mental health and substance abuse services for Native Hawaiian kupuna dealing with depression, anxiety, grief, and cultural disconnection.

Services Include:

• Individual and group therapy with cultural integration
• Traditional healing ceremonies and practices
• Grief counseling acknowledging historical trauma
• Family therapy incorporating ohana values
• Substance abuse treatment with cultural components

Access: Through Papa Ola Lokahi network or direct referral

Native Hawaiian Legal Corporation

Legal Services for Native Hawaiians: Provides free legal assistance to Native Hawaiian kupuna on issues affecting their rights and benefits.

Services:

• Hawaiian Home Lands issues and applications
• Federal recognition and benefits eligibility
• Estate planning incorporating cultural values
• Elder abuse prevention and intervention
• Benefits advocacy and appeals

Contact: (808) 521-2302 (Oahu), with neighbor island services available

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Veteran Benefits {#veteran-benefits}

Hawaii State Office of Veterans Services

State-Level Veteran Support: Provides comprehensive assistance to help veterans access federal benefits and Hawaii-specific programs.

Primary Services:

• VA disability compensation claims and appeals
• Help with VA pension benefits and Aid and Attendance
• Healthcare enrollment with VA Pacific Islands Health Care System
• State veteran property tax exemptions
• Burial benefits coordination

Office Locations:

• Honolulu (Main Office): 459 Patterson Road – (808) 433-0420
• Hilo: 688 Kinoole Street – (808) 974-4233
• Kona: 74-5574 Palani Road – (808) 327-4872
• Maui: 95 Mahalani Street, Wailuku – (808) 243-5376
• Kauai: 3016 Umi Street, Lihue – (808) 274-3065

VA Pacific Islands Health Care System

Comprehensive Veteran Healthcare: Provides medical services to eligible veterans throughout Hawaii and U.S. Pacific territories.

Main Facilities:

• Spark M. Matsunaga Medical Center (Honolulu): Full service medical center – (808) 433-0600
• Community-Based Outpatient Clinics:
  • Hilo: (808) 935-3781
  • Kona: (808) 329-0774
  • Maui: (808) 871-2454
  • Kauai: (808) 246-0497

Services Provided:

• Primary care and specialty medical services
• Mental health and PTSD treatment programs
• Prescription medications with VA formulary
• Emergency and urgent care services
• Rehabilitation and prosthetic services

Aid and Attendance Pension

Enhanced Pension for Care Needs: Provides additional monthly payments to veterans and surviving spouses who need assistance with daily activities.

2025 Maximum Monthly Benefits:

• Veteran without dependents: $1,936
• Veteran with one dependent: $2,266
• Surviving spouse: $1,244
• Married couple (both veterans): $2,846

Eligibility Requirements:

• Wartime veteran with at least 90 days active duty (one day during wartime)
• Discharged under conditions other than dishonorable
• Net worth below $138,489 (2025 limit)
• Need assistance with activities of daily living or housebound

Medical Eligibility:

• Requires help with bathing, dressing, eating, or toileting
• Confined to home due to disability
• Lives in assisted living or nursing home
• Has severe visual impairment (20/200 or worse)

Application Process:

1. Contact Hawaii State Office of Veterans Services for free assistance
2. Gather military discharge papers (DD-214)
3. Collect medical records documenting care needs
4. Complete VA Form 21-527EZ with income and asset information
5. Submit application and wait 3-6 months for decision

Aid and Attendance Reality: This benefit can be life-changing for kupuna veterans, potentially covering most assisted living costs in Hawaii. However, the application process is complex and requires thorough documentation. Free assistance through state veterans services significantly improves approval rates.

Supportive Services for Veteran Families (SSVF)

Housing Assistance for Veterans: Catholic Charities Hawaii operates SSVF providing rental assistance and housing services for veteran families at risk of homelessness.

Services Provided:

• Emergency rental assistance and utility payments
• Security deposits and moving costs
• Housing search and placement assistance
• Case management and supportive services
• Financial planning and budget counseling

Eligibility:

• Veteran or surviving spouse
• At risk of homelessness or recently homeless
• Income below 50% Area Median Income
• Hawaii residency

Contact: Catholic Charities Hawaii – (808) 527-4820

---

Legal Assistance Programs {#legal-assistance}

Legal Aid Society of Hawaii

Free Legal Services: Provides legal assistance to low-income kupuna on civil matters affecting basic needs.

Services for Kupuna:

• Housing issues (evictions, unsafe conditions, discrimination)
• Public benefits appeals (SNAP, QUEST Integration, SSI)
• Healthcare access and insurance problems
• Elder abuse and financial exploitation cases
• Consumer protection and debt collection defense
• Estate planning for low-income seniors

Eligibility:

• Income below 200% of federal poverty level ($3,790/month individual, 2025)
• Hawaii residency required
• Priority given to kupuna 60+ and disabled individuals

Office Locations:

• Honolulu: 924 Bethel Street – (808) 536-4302
• Hilo: 609 Waianuenue Avenue – (808) 935-6266
• Kona: 74-5565 Luhia Street – (808) 329-3688
• Maui: 2287 Main Street, Wailuku – (808) 242-0724
• Kauai: 4334 Rice Street, Lihue – (808) 245-3411

Native Hawaiian Legal Corporation

Legal Services for Native Hawaiians: Specialized legal assistance for Native Hawaiian kupuna on issues affecting their cultural and legal rights.

Services:

• Hawaiian Home Lands applications and disputes
• Federal benefits and recognition issues
• Cultural property and burial rights
• Elder abuse in Native Hawaiian communities
• Estate planning with cultural considerations

Contact: (808) 521-2302

Senior Legal Helpline

Telephone Legal Consultation: Hawaii State Bar Association provides brief legal advice for seniors on common legal issues.

Services:

• Brief legal advice over the phone
• Referrals to appropriate legal resources
• Help understanding legal documents
• Guidance on legal rights and options

Contact: (808) 537-1868 (available certain days/hours)

Elder Abuse Resources

Adult Protective Services: Investigates reports of abuse, neglect, and exploitation of vulnerable kupuna.

Types of Abuse Addressed:

• Physical abuse, neglect, and abandonment
• Financial exploitation and scams (particularly common in tourist areas)
• Sexual abuse and inappropriate conduct
• Emotional abuse and intimidation
• Self-neglect in dangerous situations

Reporting:

• 24-Hour Hotline: (808) 832-5115
• Online reporting: Through Hawaii Department of Human Services
• Local APS offices: Available on all major islands

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County-Specific Resources {#county-resources}

County Agencies on Aging Contact Directory

Island-Specific Challenges and Resources

Oahu (City & County of Honolulu):

• Advantages: Most comprehensive services, multiple providers, public transportation
• Challenges: High cost of living, traffic congestion affecting access
• Unique Resources: Extensive senior center network, multiple meal programs

Maui County (Maui, Molokai, Lanai):

• Advantages: Strong community networks, some inter-island services
• Challenges: Limited specialist care, expensive inter-island travel
• Unique Resources: Molokai’s tight-knit community support, Maui’s rural transportation

Hawaii County (Big Island):

• Advantages: Lower cost of living in some areas, strong Hawaiian culture
• Challenges: Large geographic area, limited public transit, volcanic hazards
• Unique Resources: Rural health outreach, traditional healing integration

Kauai County:

• Advantages: Small island community, lower population density
• Challenges: Most isolated island, weather-dependent access, limited specialists
• Unique Resources: Strong volunteer network, community-based services

---

Emergency Resources {#emergency-resources}

Important Notice: Program details and eligibility requirements may change. Always verify current information with Hawaii DHS at (808) 586-4444 or specific program contacts listed. Grantsforseniors.org is not affiliated with government programs and provides information for educational purposes only.

Hawaii Executive Office on Aging

Central State Coordination: Serves as Hawaii’s primary agency for aging services, providing information, referrals, and program coordination statewide.

Services Provided:

• Comprehensive information about all available programs
• Help navigating complex application processes
• Coordination between different service providers
• Advocacy for kupuna rights and needs
• Policy development and program oversight

Contact:

• Main Office: (808) 586-0100
• Aging and Disability Resource Center: (808) 643-2372
• Address: 1390 Miller Street, Room 209, Honolulu, HI 96813
• Email: eoa@doh.hawaii.gov

Aging and Disability Resource Center (ADRC)

One-Stop Information Hub: Hawaii’s “no wrong door” entry point for all aging and disability services.

Services:

• Comprehensive information and assistance
• Benefits screening and application help
• Care planning and service coordination
• Options counseling for long-term care
• Caregiver support and resources

Contact: (808) 643-2372 – Statewide toll-free service

Adult Protective Services

Elder Abuse Prevention: Investigates reports of abuse, neglect, and exploitation of vulnerable kupuna.

24-Hour Reporting:

• Oahu: (808) 832-5115
• Neighbor Islands: (808) 832-5115 (statewide number)
• Online reporting: Hawaii Department of Human Services

Emergency Disaster Resources

Hurricane and Natural Disaster Preparedness: Hawaii’s location makes emergency preparedness critical for kupuna.

Emergency Contacts:

• Hawaii Emergency Management Agency: (808) 733-4300
• American Red Cross Hawaii: (808) 739-8109
• Salvation Army Hawaii: (808) 988-2136

Special Considerations for Kupuna:

• Medication emergency supplies (30-day minimum)
• Medical equipment backup power
• Evacuation plans for mobility-impaired seniors
• Communication plans with mainland family

211 Hawaii

Comprehensive Crisis Information: 24/7 access to information about local resources for kupuna facing any type of crisis.

Available 24/7 for:

• Emergency food, shelter, and utility assistance
• Mental health crisis intervention and counseling referrals
• Healthcare resources and prescription assistance
• Transportation options for emergencies
• Legal assistance and advocacy resources

Contact:

• Phone: Simply dial 2-1-1
• Online: hawaii211.org
• Text: Text your ZIP code to 898211

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Application Success Strategies {#application-strategies}

Essential Documentation for Hawaii Programs

Universal Documents Needed:

• Hawaii driver’s license or state-issued ID card
• Social Security card and current benefit award letter
• Birth certificate or passport for citizenship verification
• Proof of Hawaii residency (utility bills, lease agreement, voter registration)
• Bank statements from all accounts (last 3 months)
• Income verification from all sources (Social Security, pensions, retirement)

Program-Specific Documentation:

For QUEST Integration:

• Complete medical records from all treating physicians
• Current medication list with dosages and prescribing doctors
• Documentation of daily care needs (physician functional assessment)
• Insurance cards (Medicare, current health insurance)
• Power of attorney or guardianship documents if applicable

For Property Tax Exemptions:

• Property deed showing ownership
• Most recent property tax bill
• Proof of primary residence (voter registration, utility bills)
• Income tax returns or other income documentation

For Housing Programs:

• Rental history with landlord contact information
• Credit report (free annual report from annualcreditreport.com)
• Employment history for past 2 years
• References from non-family members

Navigating Island-Specific Challenges

Oahu Considerations:

• Traffic and parking: Allow extra time for appointments, consider TheBus when possible
• High demand: Expect longer wait times for services and appointments
• Multiple providers: Research options thoroughly as you may have several choices
• Language services: Many offices have interpreters for Filipino, Korean, Vietnamese, and other languages

Neighbor Island Considerations:

• Limited internet access: Apply at libraries, senior centers, or County Agency offices
• Transportation barriers: Coordinate multiple appointments on same day, ask about home visits
• Fewer providers: Services may be limited, consider traveling to Oahu for specialized care
• Inter-island communication: Use toll-free numbers when available, expect longer response times

Managing Multiple Applications

Organization Strategies:

• Create dedicated folder for each program application
• Use calendar to track application deadlines and renewal dates
• Keep master list of all applications with status updates
• Request confirmation receipts for all submitted applications
• Take photos of important documents before submitting originals

Following Up on Applications:

• Call to confirm receipt within one week of submission
• Ask for estimated processing times and follow up accordingly
• Keep detailed notes of all conversations with dates and representative names
• Don’t hesitate to ask for supervisors if experiencing delays

Getting Professional Help

Free Application Assistance Available:

• County Agencies on Aging: Comprehensive help with all senior programs
• ADRC: Specialized benefits counseling and application assistance
• Legal Aid Society of Hawaii: Complex cases and benefit appeals
• Hawaii State Office of Veterans Services: Veteran benefit applications
• Community health centers: Social workers assist with healthcare applications

When to Seek Help:

• Multiple denials for programs you believe you qualify for
• Complex family situations (caring for disabled spouse, multigenerational households)
• Language barriers or difficulty understanding written materials
• Appeals processes for denied benefits
• Suspected elder abuse or financial exploitation

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Avoiding Scams {#scam-prevention}

Hawaii-Specific Senior Scams

Tourist Area Medicare Scams: Hawaii’s tourist areas make it a target for Medicare marketing scams. Scammers set up booths near popular senior destinations, promising benefits that don’t exist or collecting personal information for identity theft.

Hurricane and Disaster Recovery Scams: After hurricanes or volcanic activity, scammers offer emergency home repairs, cleanup services, or fake FEMA assistance. These target kupuna whose homes may have been damaged.

Inter-Island Moving Scams: Scammers target seniors planning to move between islands or to the mainland, offering fraudulent moving services or rental properties that don’t exist.

Cultural Exploitation Scams: Some scammers exploit cultural values, particularly targeting Native Hawaiian kupuna with fake heritage-based benefits or land schemes.

Prescription Drug Scams: Due to Hawaii’s high medication costs, scammers offer “discount” prescription programs or fake online pharmacies that steal money and personal information.

Red Flags Specific to Hawaii

Warning Signs:

• Upfront fees for government benefits: No legitimate program charges application fees
• Guaranteed inter-island medical transport: Coverage decisions require medical review
• Pressure to decide immediately: Real agencies provide time to consult with ohana
• Requests for Social Security numbers over unsolicited calls
• Offers too good to be true given Hawaii’s high costs

Door-to-Door Red Flags:

• Claims to represent Hawaiian Electric or gas companies (utilities don’t go door-to-door)
• Offers “free” solar panel inspections or energy audits
• Hurricane damage assessments without proper credentials
• Pressure to sign contracts for home repairs immediately

Protecting Yourself in Hawaii

Verification Steps:

1. Hang up on suspicious calls and independently call official numbers
2. Verify contractors through Hawaii Department of Commerce and Consumer Affairs – (808) 586-2850
3. Confirm Medicare communications by calling Medicare directly: (800) 633-4227
4. Verify utility communications by calling Hawaiian Electric: (808) 543-4300
5. Check disaster relief claims with Hawaii Emergency Management – (808) 733-4300

Safe Practices:

• Never provide personal information to unsolicited callers
• Get all service agreements in writing before paying anything
• Consult with ohana (family) before making financial decisions
• Use credit cards instead of debit cards for purchases (better fraud protection)
• Be especially cautious of “limited time offers” during tourist seasons

Island-Specific Safety:

• Verify moving companies through Better Business Bureau Hawaii
• Check home repair contractors after natural disasters through proper licensing
• Be cautious of cultural heritage-based financial opportunities

Reporting Scams in Hawaii

Report Scams To:

• Hawaii Department of Commerce and Consumer Affairs: (808) 586-2850
• Federal Trade Commission: ReportFraud.ftc.gov or (877) 382-4357
• Hawaii Attorney General: (808) 586-1500
• FBI Honolulu Field Office: (808) 566-4300

If You’ve Been Scammed:

• Contact your bank and credit card companies immediately
• File police report with local authorities
• Contact credit reporting agencies to place fraud alerts
• Consider freezing your credit reports
• Seek help from Legal Aid Society of Hawaii for legal assistance

Prevention Resources:

• AARP Hawaii: (808) 545-6083 for fraud prevention education
• Hawaii SHIP: (808) 586-0100 for Medicare-related scam prevention

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Frequently Asked Questions {#faqs}

Q: What’s the most important benefit I should apply for first as a Hawaii kupuna?

A: If you’re a homeowner 65+, apply for your county’s property tax exemption immediately – this can save $800-2,500 annually with no income limits in most counties. If you need daily care assistance, simultaneously apply for QUEST Integration through MyBenefits Hawaii. For food assistance, SNAP provides higher benefits in Hawaii ($158 average vs. $95 mainland) due to our high food costs.

Q: How does the cost of living in Hawaii affect benefit eligibility?

A: Hawaii uses adjusted income limits for some federal programs due to the high cost of living. For example, SNAP uses 130% of federal poverty level ($1,895/month vs. $1,632 mainland). However, many programs still use standard federal limits that don’t reflect Hawaii’s reality, making it harder to qualify despite higher living costs.

Q: I live on a neighbor island and can’t get to Oahu for medical care. What options do I have?

A: QUEST Integration covers medically necessary inter-island transportation when approved in advance. Contact Medical Transportation Management at (808) 543-4677. Telehealth services are expanding and may reduce travel needs. Your County Agency on Aging can help coordinate care and advocate for transportation approval.

Q: Can my adult children get paid to care for me in Hawaii?

A: Yes, through QUEST Integration’s self-directed services option, eligible family members can be hired as paid caregivers. However, spouses cannot be paid, and the process requires background checks and training. Contact your QUEST Integration case manager for details.

Q: What’s the difference between QUEST Integration and Kupuna Care?

A: QUEST Integration is Hawaii’s Medicaid program providing comprehensive healthcare and long-term services for very low-income kupuna ($1,677/month limit). Kupuna Care is state-funded for kupuna with higher incomes ($4,200/month limit) who need help but don’t qualify for Medicaid. Kupuna Care has fewer services but fills a critical gap.

Q: How do I get help with the high cost of prescription medications in Hawaii?

A: Options include QUEST Integration if you qualify for Medicaid, Medicare Part D if you’re Medicare-eligible, pharmaceutical company patient assistance programs, and community health centers that may offer 340B pricing. Hawaii SHIP counselors at (808) 586-0100 can help compare prescription drug plans.

Q: Are there special programs for Native Hawaiian kupuna?

A: Yes, the Papa Ola Lokahi network provides culturally appropriate healthcare integrating traditional Hawaiian healing with Western medicine. Services are available on all major islands. Department of Hawaiian Home Lands also provides housing assistance for Native Hawaiians. Contact your island’s Native Hawaiian Health Care System for services.

Q: What happens if I’m hospitalized and need care when I get home?

A: Hospital discharge planners should assess your needs and help arrange services. You may qualify for short-term home health through Medicare, or expedited QUEST Integration processing if you need longer-term care. Contact the ADRC at (808) 643-2372 if hospital staff aren’t adequately planning for your discharge.

Q: I’m a veteran. What special programs are available in Hawaii?

A: Veterans may qualify for both regular kupuna programs and veteran-specific benefits including VA Aid and Attendance pension (up to $1,936/month), VA Pacific Islands Health Care System services, property tax exemptions, and emergency financial assistance through SSVF. Contact Hawaii State Office of Veterans Services at (808) 433-0420 for free assistance.

Q: How do I apply for SNAP benefits and how much can I get in Hawaii?

A: Apply at MyBenefits Hawaii online or call (808) 586-4444. Maximum benefits are higher in Hawaii: $400/month for individuals vs. $291 mainland. Average benefit is $158/month. Kupuna 60+ have simplified applications, higher asset limits ($4,500 vs. $2,750), and can deduct medical expenses over $35/month.

Q: What if I need help but don’t know where to start?

A: Contact the Aging and Disability Resource Center (ADRC) at (808) 643-2372. This is Hawaii’s “no wrong door” entry point providing free, comprehensive assistance to determine which programs you might qualify for and help with applications. They understand Hawaii’s unique challenges and can connect you with island-specific resources.

Q: Can I get help with my electric bill? Hawaiian Electric rates are so high.

A: Yes, LIHEAP provides $400-800 annually for electric bills with income limits of $2,454/month for individuals. Hawaiian Electric also offers medical equipment discounts and payment plans. Contact your County Community Action Agency for LIHEAP applications.

---

Quick Contact Directory

Emergency Kupuna Help: Hawaii Executive Office on Aging – (808) 586-0100 ADRC (No Wrong Door): Aging and Disability Resource Center – (808) 643-2372 QUEST Integration/Medicaid: MyBenefits Hawaii – (808) 586-4444 Food/SNAP: Hawaii Department of Human Services – (808) 586-5230 Property Tax Relief: Contact your county assessor’s office directly Utility Assistance/LIHEAP: Contact your County Community Action Agency Veterans Services: Hawaii State Office of Veterans Services – (808) 433-0420 Elder Abuse Reporting: Adult Protective Services – (808) 832-5115 Crisis/Emergency: 211 Hawaii – Dial 2-1-1

Additional Resources {#download-pdf}

Download Options:

• Download Printable PDF Guide (Click to print or save as PDF)
• Get Hawaii Kupuna Benefits Checklist

Related Resources:

• Complete Guide to SNAP Benefits
• Medicare Help for Seniors
• Senior Housing Assistance Programs
• Dental Grants in Hawaii
• Transportation Support for Seniors
• Native Hawaiian Health Resources

Stay Updated: Hawaii’s kupuna programs undergo changes due to state budget cycles and federal funding adjustments. Island isolation and high costs create unique program adaptations. Bookmark this guide and check back quarterly for updates. Subscribe to our senior benefits newsletter for Hawaii-specific program updates and cost-of-living adjustments.

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For personalized guidance navigating Hawaii’s unique senior services landscape, contact the Aging and Disability Resource Center (ADRC) at (808) 643-2372 or your County Agency on Aging. Trained specialists understand Hawaii’s island challenges, cultural considerations, and extreme cost of living, and can help you access available programs on your specific island.

Cultural Note: This guide respectfully uses the Hawaiian term “kupuna” (elder/senior) to honor Hawaii’s host culture while recognizing the diverse communities that call Hawaii home. All programs serve eligible residents regardless of ethnicity, with special provisions for Native Hawaiian health and housing programs as noted.

Program Disclaimer: Program details may change due to state budget allocations and federal funding. Verify current information with Hawaii DHS (808) 586-4444 or listed program contacts. Benefit amounts and eligibility requirements are subject to change based on funding availability and cost-of-living adjustments. This information is current as of June 2025. Grantsforseniors.org is not affiliated with government programs and provides information for educational purposes only.

---

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