Kaimana Hila Direct Primary Care LLC and Optimal HealthCare Direct LLC

Membership at Kaimana Hila Direct Primary Care and Optimal HealthCare Direct costs $200 per month for adults 19 and older. Patients aged 14 to 18 pay $75 per month, though one parent must also enroll unless a separate rate applies. Full-time students pay $500 per semester. The practice also offers family discounts and a 10% discount for annual payment. No copays or hidden fees apply to covered services.

The monthly membership covers unlimited office visits, annual physicals, school and sports exams, well-woman exams, EKG, wart removal, laceration repair, incision and drainage, joint injections, and ear wax removal. It also includes same and next-day appointments and direct communication with your physician via phone, text, telehealth, and email. Immunizations are available at cost. Members also receive a 10% discount on supplements and injectable therapies.

No. As of January 1, 2026, neither Dr. Krishanna Takemoto-Gentile nor Dr. Curtis Takemoto-Gentile participates with insurance plans. The practice does not bill insurance for any services. The practice recommends pairing membership with a high-deductible health plan or catastrophic coverage for hospitalizations and specialist care.

Yes. As of 2026 federal law, you can apply HSA funds up to $150 per month toward your DPC membership fee. This makes membership accessible to patients with health savings accounts tied to high-deductible plans.

Yes. The practice offers same-day and next-day appointments for members. Each doctor limits their panel to fewer than 600 patients, which keeps scheduling availability high. Most appointments run about 30 minutes, with longer visits up to 90 minutes available when needed.

Yes to both. Members can connect with their physician via telehealth or video for many needs. The practice also makes home visits available when warranted. After-hours care is accessible through the physician exchange at 808-524-2575.

Ke Ala is the practice's dedicated hormone program for men and women. The initial evaluation for the first 12 months costs $900. Maintenance visits cost $200 each. The program draws on more than 35 combined years of experience in evidence-based bioidentical hormone replacement therapy. Hormone delivery options include pills, troches, creams, patches, and pellets.

Prospective patients can request a free Meet and Greet appointment to learn about the practice and decide if it suits their needs. To enroll, submit a contact form through the practice website. Either a physician or a team member will follow up to schedule your first visit. The practice welcomes new patients and families.

The practice accepts patients starting at age 14. Dr. Curtis Takemoto-Gentile also cares for newborns and younger children outside the standard DPC membership. Contact the practice for specific enrollment requirements for patients under 14. Both physicians welcome teens, adults, and older adults.

You see a physician directly. The practice emphasizes direct physician access and does not route patient care through nurse practitioners or physician assistants. Members communicate with their own doctor personally by phone, text, video, telehealth, or email.