Specialized medical care for people with a serious illness; provided in-home and at accessible locations.


Focused on providing relief from the symptoms and stress of a serious illness, it can be offered for months to years to patients desiring support while still seeking curative care to impact disease outcomes.


"I didn't know what Congestive Heart Failure was, just that it was hard to breathe.  I saw a flyer about Hawai‘i Care Choices in my doctor's office and called.  The nurse visited me at home, taught me about my illness and how I could feel better.  Now I can play with my grandson again." 

What is the Difference Between Palliative and Hospice Care?
  • Comfort care with or without curative intent

  • Care is begun at the discretion of the physician and patient at any time, at any stage of illness, terminal or not.

  • Palliative care, from office visits to prescription charges, is paid for by insurance, by the patient or by charity.

Offered by Both
  • Pain and Symptom Relief

  • Interdisciplinary team addresses physical, emotional and spiritual pain, including such common worries as loss of independence, the well-being of the family and feeling like a burden.

  • Provided wherever patient calls home, and accessible locations.

  • Comfort care without curative intent

  • Patient is certified by two physicians to have 6-months or less to live if the disease follows its natural course

  • Paid 100 percent by Medicare, Medicaid and private insurance; it is the only Medicare benefit that includes pharmaceuticals, medical equipment, 24/7 access to care, nursing, social services, spiritual care visits, grief support following a death and other services deemed appropriate.

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Are you experiencing the following?
  • Frequent Emergency Room or Urgent Care visits

  • Increased need to call or visit the doctor

  • Diminished activity, such as difficulty managing finances, driving,grocery shopping, preparing meals, managing medication, and doing light housework?

Would you like help with?
  • Comprehensive care coordination, emotional support and symptom management

  • Education on proper medication use and monitoring of patient's condition

  • Referrals to helpful services in the community

  • Support with Advanced Care Planning  – Making your wishes known.

"Before, I was going to the ER at least once a month.  It has been four months with Hawai‘i Care Choices' palliative program and I haven't visited the ER yet." 

Currently Accepting Patients with: 
  • Cancer
  • Advanced Heart Disease (Congestive Heart Failure, Severe Cardiomyopathy, those with an implantable defibrillator)
  • Advanced Pulmonary Disease (COPD, Emphysema, Pulmonary Hypertension)
  • Advanced Renal Disease (Kidney Failure)
Palliative Care works – in 2017 our patients experienced:
One Program – Four Options:

Choose the palliative care service that fits you best 

Kupu Care

  • Community - Based Palliative Care

  • Home-based and outpatient focused.

  • You may be responsible for a co-pay based on your insurance, similar to when you go for your doctor's visit.


Transitions Care

  • Hilo Medical Center Program for HMC patients 

  • Home-based and outpatient focused.

  • 30-day support program upon discharge from Hilo Medical Center


Supportive Care

  • Palliative benefit for HMSA patients

  • Home-based and outpatient focused.

  • 90-day support program with option to extend care if needed.


Concurrent Care

  • Palliative benefit for UHA patients

  • Home-based and outpatient focused.

  • 90-day support program with option to extend care if needed.

Palliative Care Support Can:
  • Improve Quality of Life

  • Relieve pain and physical/emotional stress

  • Reduce Health Care Crisis

  • Avoid Hospitalizations