Free PrEP in Hawaii
Hawaii has no state PrEP DAP, but Medicaid (Med-QUEST) covers PrEP at $0. Telehealth is essential — neighbor island residents on Maui, Big Island, Kaua'i, Moloka'i, and Lana'i often have no local PrEP prescriber. Hawaii Health & Harm Reduction Center (H3RC) is the primary community resource on O'ahu.
Fastest Path to Free PrEP in Hawaii
If you have insurance
PrEP is covered at $0 under the ACA. Hawaii had broad Medicaid coverage even before ACA expansion.
If you're on Med-QUEST (Medicaid)
PrEP is covered at $0. Apply at medquest.hawaii.gov or call 1-800-316-8005.
If you're uninsured
Start with MISTR for free PrEP. Also apply to Gilead Advancing Access (1-800-226-2056).
On O'ahu
Visit H3RC for PrEP services, HIV/STI testing, and harm reduction. Or Diamond Head Health Center STI/HIV Clinic: (808) 733-9849.
Hawaii PrEP Programs & Assistance
Med-QUEST (Medicaid)
Expanded Medicaid covers adults up to 138% FPL. PrEP at $0. Hawaii historically had broader coverage even before ACA.
Gilead Advancing Access
Free Truvada/Descovy for uninsured at ≤500% FPL. No immigration requirement.
Clinics & Community Resources
Hawaii Health & Harm Reduction Center (H3RC)
Major PrEP provider. HIV/STI testing, harm reduction, "Proud and PrEP'd" events.
📍 Honolulu
Diamond Head Health Center STI/HIV Clinic
State STI/HIV clinic. Appointments 8am-3pm M-F.
📍 O'ahu
Kumukahi Health + Wellness
HIV care, PrEP, transgender care. AIAOLA sexual health clinic.
📍 Big Island
Waikiki Health
FQHC serving diverse populations including tourists. Sliding-scale fees.
📍 Honolulu
Telehealth PrEP Options
Online PrEP provider options
Compare telehealth services, local clinics, public programs, and assistance routes for your state or situation.
Compare providers →HIV & PrEP Data in Hawaii
Hawaii has approximately 87 new HIV diagnoses (2024 preliminary) with a rate of about 5.5 per 100,000 — below the national average. Honolulu County (O'ahu) accounts for the vast majority. Native Hawaiian/Pacific Islander populations face disproportionate impact. Geographic isolation between islands makes telehealth the primary solution for neighbor island residents.
Know Your Rights
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0 cost-sharing.
Minor Consent
Hawaii allows minors age 14+ to consent to STI testing and treatment. PrEP not explicitly addressed.
Neighbor Islands
Residents on Maui, Big Island, Kaua'i, Moloka'i, and Lana'i face severe geographic barriers. Telehealth is the primary solution.
HIV Laws
Hawaii does not have HIV-specific criminal laws.