SANDPOINT FAMILY HEALTH CENTER, PLLC
Accepted Insurance for NPI 1881613321
Clinic/Center - Primary Care in Sandpoint, ID
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
SANDPOINT FAMILY HEALTH CENTER, PLLC, a clinic/center provider in Sandpoint, ID, is listed as in-network for 17 health insurance plans from Moda Health Plan, Inc.. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Moda Health Plan, Inc.
Moda Health Affinity Bronze 9000
Moda Health Affinity Gold 1500
Moda Health Affinity Silver 6000
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 SANDPOINT FAMILY HEALTH CENTER, PLLC accept?
Marketplace files for the 2026 plan year list SANDPOINT FAMILY HEALTH CENTER, PLLC as in-network for 17 plans from Moda Health Plan, Inc.. The full list above shows each plan's metal level, network type, and plan IDs.
Is SANDPOINT FAMILY HEALTH CENTER, PLLC 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 SANDPOINT FAMILY HEALTH CENTER, PLLC participate in?
The accepted plans include 10 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.
