STATEHawaiiMed-QUEST

Hawaii Med-QUEST

Medicaid provides free or low-cost health coverage to low-income individuals and their families. In Hawaii, Medicaid is called Med-QUEST.

As Hawaii is expanding Medicaid coverage, many previously uninsured Hawaiians age 19-64 with income up to 138% of the federal poverty level (FPL) may now gain coverage. Children and pregnant women are eligible at higher income levels.

Some of the Hawaii QUEST covered benefits may include but are not limited to:

  • Behavioral/mental health services
  • Diagnostic tests (imaging, labs, etc.)
  • Dialysis
  • Durable medical equipment
  • Emergency care and transportation
  • Home and community-based services like adult day care, meal delivery, etc.
  • Hospice
  • Immunizations
  • Institutional services, like nursing facilities
  • Inpatient hospital stays
  • Non-emergency medical transportation (when required)
  • Outpatient hospital services
  • Outpatient medical services including home health, podiatry, smoking cessation, urgent care, and more
  • Pregnancy-related services
  • Prescription drugs
  • Rehabilitation

If you qualify for Medicare based on your age or disability status, and you also qualify for Hawaii Medicaid, you might qualify for a Dual-Eligible Medicare Advantage Special Needs Plan, or DSNP.

FAQ

What is the income limit for Med-QUEST Hawaii?

Medicaid covers nearly all adults age 19-64 under 138% of poverty. Children under age 19 in families with income up to 313% of poverty or about $92,930 for a single mother of two are eligible for Med-QUEST as well as pregnant women earning less than $58,192 a year.

hawaii Medicaid 313% 196% 138%
1$54,180$33,928$23,888
2$73,555$46,060$32,430
3$92,930$58,192$40,972
4$112,304$70,325$49,514
5$131,679$82,457$58,057
6$151,054$94,590$66,599
7$170,429$106,722$75,141
8$189,803$118,854$83,683
A 5% disregard based on the federal poverty level (FPL) for the household size is applied and is reflected in the amounts shown above.

How do I apply for Med-QUEST Hawaii?

You can apply for Med-QUEST online at My Medical Benefits or over the phone at (877) 628-5076. You can start by taking the pre-assessment to find out if you might be eligible.

Med-QUEST Customer Service
(800) 316-8005

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