Category: Moving to Hawaii

Things you need to consider before moving to the Aloha State.

How To Get the Healthcare You Need in Hawaii: 3 Tips to Consider Before You Move

Posted on by Judy
blue and silver stetoscope
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Do you require frequent medical visits, specialists, and accessible treatment options? Before moving to Hawaii it is helpful to know your options and prepare for what’s covered by your insurance, what requires inter-Island travel, and alternative healthcare options.

Medical facilities and insurance coverage can be limited depending on where you live and waiting times vary depending on what care you need. There is a doctor shortage on the Big Island, and in Hawaii generally, and when it comes to specialist care (dermatologist, podiatrist, rheumatologist, neurologist, Mohs surgeon, etc.) it is common to drive long distances, fly to Oahu for care that’s covered by insurance, or to pay cash for services on the Big Island. 

Why Pay “Out-Of-Pocket”?

While cash pay sounds scary, so is paying a high insurance premium that doesn’t cover services you need. With rising insurance premiums, consider progressive ways healthcare clinics provide efficient and quality care with cash pay models. So, where do you start? 

First, know that there are wonderful traveling nurses, doctors, physician assistants, and specialists on the Island that provide excellent care. Some offer partial insurance reimbursement plans, yearly membership benefits, and virtual visits.

Some residents opt-out of traditional insurance and use catastrophic insurance with high deductibles and pay cash for specialized care. If you need traditional insurance coverage, start looking online here to check your options based on income.

Last Things to Consider

Do you require frequent checkups? Dental care, specialized visits, and will you live closer to Waimea, Kona, Waikoloa, or Hilo? Look into clinics nearby and what insurance or plans they take. In Hilo, one of my personal favorites is Mahinakealo Dermatology (because when you live in Hawaii, you need a Dermatology clinic). Marne Carmichael Walsh PA-C provides the most detailed and patient-focused care in the Hilo community. While Mahinakealo Dermatology offers reasonable cash pay options and reimbursements now, the office will take HMSA, HMAA, and UHA at the start of 2021. 

In Kona, Elite Smiles Dental has a discount program for individuals and families with a small yearly fee. In Waimea, Iris Integrative Health has successfully created an affordable subscription healthcare model clinic utilizing western and naturopathic medicine. 

There are three main hospitals in Hawaii: North Hawaii Community Hospital Queens Medical Center in Waimea, the Kona Community Hospital down South, and The Hilo Medical Center on the Eastside of the Island. Urgent care clinics are also commonly used for quick care and family medicine concerns. 

There are many factors involved, so be prepared to make shifts as you consider life on the Big Island. Many local residents are happy with the healthcare quality on Island, but it is best to know your options and avoid the frustration of having insurance that not all offices take because it is “out of network.” So, is there a clinic or doctor you go to on the Big Island? There are many more to mention, so be sure to share in the comments. 

Contact me Here to learn more about available listings and information about life on the Big Island of Hawaii.

Moving to Hawaii With Your Dog? Know the Risks About the Harmful Bufos Pest

Posted on by Judy

Many newcomers are unaware that bufos are dangerous pests in Hawaii. I was talking with a friend from Colorado today. I told her I had to get up many times last night because I had a dog that needed to go out. (The dog is fine, I’m very tired.)

She was surprised I couldn’t just let the dog out. In the wetter parts of Hawaii, we have a poisonous toad we call a bufo. Once dogs learn about them, they leave them alone. But you can lose a dog if it gets too much of the toxin in its system before it figures out not to bite them. https://ufwildlife.ifas.ufl.edu/frogs/canetoad.shtml

Bufos tend to hide in dark, moist places during the day, but come out at night. That’s why I always have my dogs on leash, and always have a headlight pointing right in front of the dog, if one needs to go out at night.

Of course it is possible that your pet will discover a bufo even during the day. They are very common in the wetter parts of Hawaii, day or night. But they tend to stay still unless disturbed during the day, so dogs don’t find them particularly interesting.

My vet told me years ago that the toads produce a neurotoxin from glands close to their skin. He said that if I saw a dog frothing at the mouth, I should immediately rinse its gums with as much running water as I possibly could.

Of course, you also want to get your dog to a vet, or a vet to your dog, asap. Since getting a vet to see a dog very quickly in the middle of the night is difficult, and rinsing out a dog’s mouth with jets of water is almost as difficult, I err on the side of caution! This is definitely an inconvenience, and counts as one of the disadvantages of living here. http://yrh.ewp.mybluehost.me/2019/08/06/the-pros-and-cons-of-living-on-the-big-island/

Bufos are common in many places in the US, as well as around the world. https://allthatsinteresting.com/bufo-toad

Hawaii County land use restrictions for agriculturally zoned land.

Posted on by Judy

It is beautiful, but it is not for everyone!

Hawaii County is a place of great beauty and vast open spaces.  But it is also a place where the goals of food self-sufficiency and diversified and sustainable economic growth are taken seriously. At the moment, the County is heavily dependent on tourism, which leaves us in a precarious position when visitor numbers drop for any reason.  We also import an appalling percentage of our food, which leaves us vulnerable to vagaries of labor strikes and natural disasters.

Land zoned for agricultural use, Hawaii County.
Hawaii County and the State restrict use of agriculturally zoned lands

Agricultural lands receive favorable tax treatment.

First and foremost, the property taxes on land in agriculture are much lower than those on land used for residential purposes.  The actual rate is higher for some agricultural land than it is for some residential land, but the assessed values to which those rates are applied results in significantly lower taxes.  Grazing land, in particular, is assessed at about $10,000/acre for non-dedicated land, and is currently taxed at $9.35/$1000.  Homeowner rates are currently $6.15/$1000 of assessed value, but the land and improvements are assessed at market value. Also, those low homeowner rates apply only to primary residences, not to second homes or homes held for income or investment.  Rates are available here: http://www.hawaiipropertytax.com/tax_rates.html

So what constitutes an agricultural use, and where is County land use policy headed?

You can access a handy chart showing the permissible uses of land zoned in various ways here: http://www.hiplanningdept.com/wp-content/uploads/2017/09/Permitted-Uses-Table-091917.pdf

Some of the uses listed in the chart don’t do much to increase food production.  There is obvious value in keeping land in agricultural use, in the sense that it is much easier to later convert open land to food production than it is to restore land that has been used for residential, commercial or industrial purposes so that it can be safely used for such production.  But given the growing emphasis the State is placing on a diversified economy and food self-sufficiency, it is reasonable to expect increasing restrictions on use of agriculturally productive land for purposes other than food production and commercial agriculture.  The days during which a developer could easily purchase a pasture, get it rezoned and subdivided, and build and sell houses, are gone.

Current restrictions on use of agriculturally zoned land.

Even now, the number of dwellings, and the type of occupants of dwellings, are restricted on some agricultural lands.  Some lands are governed by the State Land Use Commission, and lands classified as less productive are subject to County regulation.  This is a huge topic, and while I could post links to every source that would need to be consulted in order to make a determination as to the governing body and restrictions on a given parcel, I instead advise anyone considering a purchase of agriculturally zoned land in Hawaii County to consult with the Hawaii County Planning Department.  Have the TMK of the parcel you are considering, and a planner should be able to outline for you all of the permitted and prohibited uses for that land.  See also https://livinginwaimea.com/2019/03/29/kohala-ranch-property-taxes/

Don’t plan on paying for your agricultural land purchase by selling agricultural goods!

If you want to make a profit on agriculture in Hawaii, your options are even more limited.  Some crops do reasonably well in some years, but given the cost of land, it is very difficult to thrive as a farmer or rancher in Hawaii, year in and year out.  Nonetheless, there are quite a few ranchers and farmers here.  Why?  Because even though it is very hard work, it is also endlessly interesting and occasionally very rewarding!