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The 10 Best Home Care Agencies for Seniors in Honolulu, HI for 2024

Honolulu, the capital of Hawaii, is a diverse city on the island of Oahu. The city has over 345,000 residents and a senior community that accounts for more than 20% of the population — larger than the national rate of 16.8%.  The area features a relatively low crime rate and high access to affordable health care. The Queen’s Medical Center has been named one of the top hospitals in Hawaii.

The 2021 Genworth Cost of Care Survey reports that residents here pay $5,720 per month for in-home care, which includes assistance with household and daily tasks. For those who need limited skilled nursing, home health care may be a better option.

Below we’ve compiled a comprehensive directory of every home care provider in Honolulu– complete with services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled resources to help seniors and their families to access all the tools they need to age in place safely and gracefully.

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Home Care Agencies in Honolulu, HI

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Paying for Home Care in Honolulu, HI

The Cost of Home Care in Honolulu, HI

The average monthly cost of home care in Honolulu is equal to the state average in Hawaii, but significantly higher than the U.S. national average. Slightly lower costs are found in the Kahului area on the island of Hawaii. Due to the limited geographical area, all cost care data for Hawaii in the 2021 Genworth Cost of Care Survey is based on rates in either the Honolulu or Kahului areas.

Honolulu

$5,720

Hawaii

$5,720

The United States

$4,957

Kahului

$5,291

The Cost of Home Care vs. Other Senior Care Options in Honolulu, HI

Home care in Honolulu costs an average of $345 more than assisted living and far less than a semiprivate room in a nursing home. Adult day programs are less than half the cost of full-time care provided by a nursing home, but they are generally only offered during weekday business hours and require travel to a community center and participation in organized recreational activities. Home care has the same average cost as home health care, which may include administering insulin and medication, taking vital signs, wound care and providing physical occupational or speech therapy services. 

Home Care

$5,720

Home Health Care

$5,720

Adult Day Care

$1,625

Assisted Living

$5,375

Nursing Home Care (semiprivate room)

$12,471

Financial Assistance for Home Care in Honolulu, HI

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

  • Long-Term Care Insurance: Long-term care insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
  • Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
  • Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
  • Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living. Contact the Department of Veterans Affairs to learn more.
  • Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.

Honolulu Home Care Resources

Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in Honolulu:

ResourceContactAddressService
Housing Assistance Resources(808) 768-7762925 Dillingham Blvd, Suite 200, Honolulu, HI 96817The Department of Community Services offers services such as loan programs for low-income homeowners to use for home repairs or home down payments, as well as the Section 8 Housing Assistance Payments program. This particular service charges no fee for applying. Applicants may be placed on a waitlist.
Weatherization Assistance Program(808) 521-45311132 Bishop Street, Suite 100, Honolulu, HI 96813The government-funded Honolulu Community Action Program offers eligible low-income residents energy-efficient home solutions. Services include a home energy audit, as well as weatherization recommendations and energy efficiency tips. Some recommended measures may include high-efficiency showerheads, compact fluorescent lighting and energy-efficient solar water heaters. If at least one household member is receiving TANF or SSI, they are encouraged to apply, as this program is income-based.
Nutrition Services(808) 535-67002969 Mapunapuna Place, Suite 200, Honolulu, HI 96819The Ke Ola Pono No Nā Kūpuna Program is ALU LIKE, Inc.’s nutrition program, offering communal or home-delivered meals to qualifying individuals. Program sites offer limited transportation services to and from the site, where senior residents of Honolulu aged 60 or older can engage in cultural activities, such as Hawaiian language, hula, and Hawaiian history lessons or discussions. This encompassing program is funded by the U.S Department of Health and Human Services. Though donations are encouraged, these services are free to eligible residents.
Caregiver Support Program(808) 768-7700925 Dillingham Blvd, Suite 200, Honolulu, HI 96817The Kupuna Caregiver program is provided by Honolulu’s Elderly Affairs Division. It offers adult daycare subsidies of up to $210 per week. This benefit is paid directly to the service provider, and residents must be 60 years of age or older and have impairments in conducting daily living activities on their own. This benefit helps seniors access comfortable supervision, meals and snacks. It may also assist with personal care such as bathing or incontinence. The program works with multiple providers in the city, offering various activities available.
Energy Assistance Program(808) 586-57341010 Richards Street, Suite 512, Honolulu, HI 9681The Low-Income Home Energy Assistance Program (LIHEAP) helps low-income households with their home energy bills once per program year. This service is federally funded and may require households to meet eligibility criteria, such as being a needy household in crisis. Individuals receiving federal benefits like SSI, TANF or certain Veterans benefits may already qualify without requiring other eligibility criteria to be met.

Determining Your Loved One’s Need for In-Home Care

Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.

Download
Checklist for determining the need for home care
Checklist for determining the need for home care

Guidelines for Talking About In-Home Care

If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.

Download
Talking with Family and Others about a loved one's needs
Talking with Family and Others about a loved one's needs
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The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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