Adult Disability Care in Hilo, HI: In-Home Support

Local figures

Disability Care for Adults in Hilo, HI: the local picture

13%

of residents aged 18 to 64 have a disability (13% in Hawaii County)

1,699

residents aged 18 to 64 have difficulty doing errands alone

8.9%

of households have no vehicle (4.8% in Hawaii County)

4

Medicare-certified home health agencies list Hilo ZIP codes in their service area

About 3,683 Hilo residents aged 18 to 64 report a disability (13%; 13% in Hawaii County).

1,699 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

8.9% of Hilo households have no vehicle (4.8% in Hawaii County); say in your posting if you need a caregiver who drives.

Hilo compared with Hawaii County and Hawaii

Census figure	Hilo	Hawaii County	Hawaii
Residents 18 to 64 with a disability	13%	13%	9.2%
Residents 18 to 64 with difficulty doing errands alone	5.9%	5.0%	3.4%
Households with no vehicle	8.9%	4.8%	8.2%
Residents 5+ who speak a language other than English at home	23%	23%	25%
Residents 65+ with a disability	32%	33%	32%
Residents 65+ below the poverty line (approx.)	9.1%	11%	9.2%
Median income, households headed by someone 65+	$67,894	$69,877	—

Older residents in towns around Hilo

Town	Distance	Residents 65+	Disability (18 to 64)
Kurtistown, HI	7.1 mi	833	12%
Hawaiian Paradise Park, HI	10 mi	3,062	17%
Orchidlands Estates, HI	10 mi	450	25%
Hawaiian Acres, HI	11 mi	664	9.5%
Mountain View, HI	13 mi	651	27%
Ainaloa, HI	13 mi	993	25%

Home health agencies serving Hilo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Bayada Home Health Care	Hilo, HI	1.2 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(808) 933-1702
Home Health Kauai	Lihue, HI	319 mi	2.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(808) 245-5121
Kaiser Permanente Care At Home, Big Island Home Health	Kailua Kona, HI	58 mi	2 of 5	—	(808) 334-4440
Kohala Home Health Care Of North Hi Comm Hosp	Kamuela, HI	46 mi	1.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(808) 881-4711

Straight-line miles from the center of Hilo. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a disability support caregiver can help with

Personal care, on the person’s terms
Cooking, shopping and housekeeping
Getting to work, school, appointments and activities
Keeping routines the person sets

Cost

What disability care for adults costs in Hilo

At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 28% of the $5,658 monthly median income of Hilo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a disability support caregiver

Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.

Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Disability Care for Adults in Hilo: common questions

How much does disability care for adults cost in Hilo?

At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 28% of the $5,658 monthly median income of Hilo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Can an adult with a disability hire their own caregiver?

Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Hawaii.

More near Hilo

More senior care near Hilo

Disability Care for Adults in nearby cities

Other care in Hilo

More for Hilo families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

In-Home Support for Adults With Disabilities in Hilo, HI