Hawaii · 2026 plan year

Silver health insurance plans in Hawaii (2026)

There are 4 Silver plans on the Hawaii Marketplace from 2 insurers, and they are not interchangeable — premiums run from $417 to $544 a month for the same metal tier. Here is what separates them.

4
Silver plans
2
Insurers
Statewide
Counties covered
$417
Cheapest premium
$6,000
Median deductible
These are benchmark premiums, not your price. Every dollar figure here is the individual rate at age 21 for a non-tobacco user, before any premium tax credit — the standard way plans are compared like for like. What you actually pay depends on your age, county, household and income. Estimate your real cost.

Only two insurers sell Silver plans in Hawaii.

All 4 Silver plans on the Hawaii Marketplace come from Kaiser Permanente and HMSA. With the whole tier split between two carriers, the network question comes first: confirm which of the two covers your providers, then compare plan designs inside that one.

Hawaii has one of the smallest Silver markets in the country.

There are just 4 Silver plans here from 2 insurers, against an average of about 50 per state. Fewer options makes the comparison quicker, but it also means a single plan's network or drug list can decide the whole decision.

Metal tiers describe roughly what share of covered costs a plan pays, not the quality of its care or network. How the metal tiers actually differ walks through the trade, and how ACA subsidies work explains why the prices below are rarely what anyone pays.

Cost

What a Silver plan costs in Hawaii in 2026

Across all 4 Silver plans in Hawaii, monthly premiums run from $417 to $544, averaging $456. Those are age-21, non-tobacco rates before any subsidy — the basis every figure on this page uses, and rarely what anyone actually pays. Premium tax credits cut that bill for most Hawaii enrollees, often to a fraction of the sticker price.

Deductibles

Silver plan deductibles in Hawaii

Silver deductibles in Hawaii run from $6,000 to $6,000, with a median of $6,000 across the 2 plans with one combined deductible — the amount you pay yourself before the plan starts sharing most costs. The median is the closest thing to a typical plan; the mean sits at $6,000 because the spread is not symmetric. The other 2 set a separate deductible for prescription drugs, so their medical deductible alone would understate what you pay; they are left out of these figures, and the table below shows both deductibles where a plan has two. No single figure is a quote — the table below shows the real deductible on each of the cheapest plans, and the insurer breakdown shows how the range splits by carrier.

Out-of-pocket maximum

Silver out-of-pocket maximums in Hawaii

Individual out-of-pocket maximums on Hawaii Silver plans run from $8,900 to $8,900, with a median of $8,900. That is the ceiling on what a plan can make you pay in a year for covered in-network care — after you reach it, the plan pays 100% of covered services. It is the number that matters most in a bad year, and the top of the range here is set by the federal limit that applies to every Marketplace plan, not by the insurer.

Lowest premiums

The cheapest Silver plans in Hawaii

PlanPremium / mo (age 21, pre-subsidy)DeductibleOut-of-pocket max
KP HI Standard Silver 6000/40Kaiser Permanente$417$6,000$8,900
KP HI Silver 4000 Ded/600 Rx DedKaiser Permanente$425$4,000 medical + $600 Rx (separate)$8,900
KP HI Silver 3000 Ded/600 Rx Ded Plus CAMKaiser Permanente$438$3,000 medical + $600 Rx (separate)$8,900
HMSA Silver PPOHMSA$544$6,000$8,900

Showing 4 of 4. See all Hawaii Silver plans →

Who sells here

Silver plans by insurer

InsurerSilver plansCheapestTier averageDeductible range
Kaiser Permanente3$417$427$6,000
HMSA1$544$544$6,000
Other tiers in Hawaii

How Silver compares to the rest

All HawaiiMarketplace plans →

Nearby on price

States with similar Silver premiums

Common questions

Hawaii Silver plans, answered

What are the copays on Hawaii Silver plans?
Copays vary plan by plan rather than by tier — the metal level sets roughly what share of total care costs the plan covers, not the individual amounts. What the tier does bound is the rest of the cost-sharing: across the 4 Silver plans in Hawaii, out-of-pocket maximums run $8,900 to $8,900, and deductibles on the 2 plans with one combined deductible run $6,000 to $6,000. The other 2 set a separate deductible for prescription drugs and are not included in the deductible figures. Open any plan below to see its full cost-sharing schedule, including primary care, specialist and prescription tiers.
Who is eligible for a Silver plan in Hawaii?
Anyone eligible to buy Marketplace coverage in Hawaii can pick a Silver plan — there is no separate test for the tier. What Silver uniquely unlocks is cost-sharing reductions, available if your household income is roughly 100–250% of the federal poverty level. Those reductions apply only to Silver plans, which is why Silver is usually the right choice at those incomes even though its sticker price here ($456 a month on average) is higher than Gold in some states.
What is the deductible on Hawaii Silver plans?
Silver deductibles in Hawaii run from $6,000 to $6,000 across the 2 plans with one combined deductible, with a median of $6,000 — that median is the figure closest to a typical plan. The other 2 set a separate deductible for prescription drugs and are not included in the deductible figures. Out-of-pocket maximums run $8,900 to $8,900. The spread inside a single tier is wide, so two plans at a similar premium can differ by thousands in what you would actually pay during a year with significant care. Deductible is usually a better basis for comparison than premium alone.
Are Silver plans available in my Hawaii county?
Silver plans are sold statewide across Hawaii, from 2 insurers. Which specific plans you can buy depends on where you live — a plan offered in a metro county is often not sold in a rural one. Enter your ZIP code to narrow the list to plans actually available to you.
When can I enroll in a Marketplace plan in Hawaii?
Hawaii uses the federal Marketplace, so open enrollment runs November 1 to January 15. Outside that window you need a qualifying life event — losing job-based coverage, moving, marriage, or a birth — to open a special enrollment period. Cheapest Silver premiums in Hawaii start at $417 a month before any subsidy.

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