11 home care communities across 3 cities in Hawaii. Hawaii's senior care market is concentrated on Oahu, with smaller markets on Maui and the Big Island. Costs run higher than the US median.
Home care brings personal-care services and companionship into the senior's own home rather than moving them into a community.

Honolulu, HI

Aiea, HI

Kailua, HI

Honolulu, HI

Honolulu, HI

Honolulu, HI

Aiea, HI

Honolulu, HI

Aiea, HI

Honolulu, HI

Honolulu, HI
Home Care (typical US range)
$25 - $45 per hour (US, 2026)
Most agencies require a minimum number of hours per visit, often 4 hours. Round-the-clock home care can run $20,000-$30,000+ per month, often more than a private room in assisted living. Long-term care insurance and VA Aid and Attendance can offset costs; Medicare covers medically prescribed home health (a different service) but not non-medical home care.
Hawaii's cost of living is nearly double the average cost of living in the rest of the US. If you want to retire here, you'll have to have some money saved. While many believe it's worth it, nothing in Hawaii is nowhere near the national average. The housing cost is triple the norm, with the median home price over double. When retiring to Hawaii, it's crucial to be strategic with how you approach it. Is it possible to retire in Hawaii without stress? Yes. However, paradise does require planning and finding the ideal place to live. Hawaii's cost-of-living index is 192.9 (100 = US average). The median home price is around $615,300. Average rent runs about $1,617 a month.
Home care fits seniors who can safely stay in their own home with some help, family caregivers who need respite, and households where moving to a community isn't the right answer (because of cost, preference, or a spouse who isn't ready). It's not appropriate for someone who needs 24-hour skilled nursing or active medical treatment - that's home health or a skilled-nursing facility.
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Tell us the city, budget, and care level you're considering. We'll send pricing for Hawaii home care communities that fit. No phone calls until you ask.
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