MAKAWAO TOWN PHARMACY
Accepted Insurance for NPI 1750618708
Pharmacy - Community/Retail Pharmacy in Makawao, HI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MAKAWAO TOWN PHARMACY, a pharmacy provider in Makawao, HI, is listed as in-network for 34 health insurance plans from 2 insurance companies, led by Moda Health Plan, Inc. and Medica. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Medica
Select by Medica Bronze $0 Copay PCP Visits
Select by Medica Bronze Share
Select by Medica Expanded Bronze Standard
Select by Medica Gold $0 Copay PCP Visits
Select by Medica Gold Share
Select by Medica Gold Standard
Select by Medica Silver $0 Copay PCP Visits
Select by Medica Silver Share
Select by Medica Silver Standard
Moda Health Plan, Inc.
Moda Health Affinity Bronze 8000
Moda Health Affinity Bronze 9000
Moda Health Affinity Bronze HDHP 7500
Moda Health Affinity Gold 1000
Moda Health Affinity Gold 1500
Moda Health Affinity Gold 250
Moda Health Affinity Silver 3000
Moda Health Affinity Silver 3400
Moda Health Affinity Silver 4500
Moda Health Affinity Silver 6000
Moda Health Oregon Standard Bronze Affinity
Moda Health Oregon Standard Gold Affinity
Moda Health Oregon Standard Silver Affinity
Moda Select Alaska Bronze 6500
Moda Select Alaska Bronze HDHP 5500
Moda Select Alaska Gold 1500
Moda Select Alaska Silver 4500
Moda Select Alaska Standard Bronze
Moda Select Alaska Standard Gold
Moda Select Alaska Standard Silver
Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD)
Moda Select Texas Bronze HDHP 7500
Moda Select Texas Standard Bronze
Moda Select Texas Standard Gold
Moda Select Texas Standard Silver
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does MAKAWAO TOWN PHARMACY accept?
Marketplace files for the 2026 plan year list MAKAWAO TOWN PHARMACY as in-network for 34 plans from 2 insurance companies. The largest networks are Moda Health Plan, Inc. (25 plans), Medica (9 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is MAKAWAO TOWN PHARMACY enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does MAKAWAO TOWN PHARMACY participate in?
The accepted plans include 27 EPO plans and 7 PPO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
