diff --git a/pkg/cloudprovider/providers/aws/aws.go b/pkg/cloudprovider/providers/aws/aws.go
index 7c5cac8d352..947409c24ee 100644
--- a/pkg/cloudprovider/providers/aws/aws.go
+++ b/pkg/cloudprovider/providers/aws/aws.go
@@ -2804,9 +2804,28 @@ func (c *Cloud) EnsureLoadBalancer(clusterName string, apiService *v1.Service, n
 		return nil, err
 	}
 
-	err = c.ensureLoadBalancerHealthCheck(loadBalancer, listeners)
-	if err != nil {
-		return nil, err
+	if path, healthCheckNodePort := service.GetServiceHealthCheckPathPort(apiService); path != "" {
+		glog.V(4).Infof("service %v (%v) needs health checks on :%d%s)", apiService.Name, loadBalancerName, healthCheckNodePort, path)
+		err = c.ensureLoadBalancerHealthCheck(loadBalancer, "HTTP", healthCheckNodePort, path)
+		if err != nil {
+			return nil, fmt.Errorf("Failed to ensure health check for localized service %v on node port %v: %v", loadBalancerName, healthCheckNodePort, err)
+		}
+	} else {
+		glog.V(4).Infof("service %v does not need custom health checks", apiService.Name)
+		// We only configure a TCP health-check on the first port
+		var tcpHealthCheckPort int32
+		for _, listener := range listeners {
+			if listener.InstancePort == nil {
+				continue
+			}
+			tcpHealthCheckPort = int32(*listener.InstancePort)
+			break
+		}
+		// there must be no path on TCP health check
+		err = c.ensureLoadBalancerHealthCheck(loadBalancer, "TCP", tcpHealthCheckPort, "")
+		if err != nil {
+			return nil, err
+		}
 	}
 
 	err = c.updateInstanceSecurityGroupsForLoadBalancer(loadBalancer, instances)
diff --git a/pkg/cloudprovider/providers/aws/aws_loadbalancer.go b/pkg/cloudprovider/providers/aws/aws_loadbalancer.go
index df0eb7bb632..c4409740f82 100644
--- a/pkg/cloudprovider/providers/aws/aws_loadbalancer.go
+++ b/pkg/cloudprovider/providers/aws/aws_loadbalancer.go
@@ -355,8 +355,8 @@ func (c *Cloud) ensureLoadBalancer(namespacedName types.NamespacedName, loadBala
 	return loadBalancer, nil
 }
 
-// Makes sure that the health check for an ELB matches the configured listeners
-func (c *Cloud) ensureLoadBalancerHealthCheck(loadBalancer *elb.LoadBalancerDescription, listeners []*elb.Listener) error {
+// Makes sure that the health check for an ELB matches the configured health check node port
+func (c *Cloud) ensureLoadBalancerHealthCheck(loadBalancer *elb.LoadBalancerDescription, protocol string, port int32, path string) error {
 	name := aws.StringValue(loadBalancer.LoadBalancerName)
 
 	actual := loadBalancer.HealthCheck
@@ -367,19 +367,7 @@ func (c *Cloud) ensureLoadBalancerHealthCheck(loadBalancer *elb.LoadBalancerDesc
 	expectedTimeout := int64(5)
 	expectedInterval := int64(10)
 
-	// We only configure a TCP health-check on the first port
-	expectedTarget := ""
-	for _, listener := range listeners {
-		if listener.InstancePort == nil {
-			continue
-		}
-		expectedTarget = "TCP:" + strconv.FormatInt(*listener.InstancePort, 10)
-		break
-	}
-
-	if expectedTarget == "" {
-		return fmt.Errorf("unable to determine health check port for %q (no valid listeners)", name)
-	}
+	expectedTarget := protocol + ":" + strconv.FormatInt(int64(port), 10) + path
 
 	if expectedTarget == orEmpty(actual.Target) &&
 		expectedHealthyThreshold == orZero(actual.HealthyThreshold) &&