Stay up to date with the latest information about COVID-19 and your benefits
(Updated Feb. 2, 2020)
Moda has received questions and concerns about the novel coronavirus (respiratory illness), COVID-19 and would like to keep you informed with the most-up-to-date information as it relates to your health and benefits.
To keep everyone safe, providers may:
If you need care that was delayed because of COVID-19, call your provider to schedule an appointment. Your provider may also call you to schedule treatment.
If you already have a provider and need to get care from home, call them to learn about their telehealth options.
If you need to find a provider, you can search for one using Find Care in Member Dashboard. If you have questions or need help finding a provider, call us at the Medical Customer Service number on your identification card.
As the COVID-19 vaccine becomes available, cost-sharing (i.e., copayments, coinsurance and deductibles) will be waived.
Please keep in mind that at first, supply of the COVID-19 vaccine will be limited. The state will determine how the first supplies of vaccine allotted will be prioritized among the population.
The Oregon Health Authority will continue to communicate further vaccine developments/distribution and will consider guidance from the Centers of Disease Control (CDC) to prioritize vaccine administration for additional high-risk groups in subsequent vaccine phases. The FDA-approved COVID-19 vaccines are only available for certain groups at this time. Please visit covidvaccine.oregon.gov to see when you can get vaccinated.
Under current law, HDHPs are effectively prohibited from covering any medical services not deemed preventive care prior to an enrollee satisfying their deductible, as the taxpayer would be subject to federal income tax penalties.
However, the IRS has posted a notice that extends broad relief, allowing pre-deductible coverage of both testing and treatment of COVID-19, as determined by the health plan. Because the COVID-19 vaccine is considered preventive care, cost-sharing – including the deductible – is waived.
Cost-sharing is waived for COVID-19 vaccines.
Cost-sharing is waived for COVID-19 testing needs, including:
This is applicable to in-network and out-of-network providers, facilities and laboratories.
For members covered on an Individual or Family plan or fully-insured Employer Group* only, cost-sharing is also waived for the in-network medical treatment of COVID-19, both inpatient and outpatient, and FDA-approved medications administered inpatient for the treatment of COVID-19, for services received April 1, 2020 – March 31, 2021. Terms of coverage otherwise apply, including eligibility and medical necessity.
*Please note these additional benefits broadly apply to most fully insured plans. Self-funded plans, OEBB and PEBB may or may not offer this same coverage. To find out if you are enrolled in a self-funded plan, refer to the bottom of your ID card for “third-party administrator” language. If you are enrolled in a self-funded plan, OEBB or PEBB, contact your employer to learn about COVID-19 coverage available to you.
Cost-sharing is waived for the COVID-19 vaccine.
Cost-sharing is waived for COVID-19 testing needs, including:
Cost-sharing is waived for the COVID-19 vaccine.
Cost sharing is waived for COVID-19 testing needs, including:
This is applicable to in-network and out-of-network providers, facilities and laboratories.
Everyday preventive actions that help prevent spreading respiratory viruses are the first step in protecting yourself and those around you.
These are everyday habits that can help prevent the spread of several viruses. CDC does have specific guidance for travelers.
If you are experiencing symptoms of novel coronavirus, such as fever, dry cough or shortness of breath, or believe you have been exposed to COVID-19, we recommend calling your doctor immediately.
In addition to the benefits outlined above, all current Moda benefits apply. They may cover additional care options, such as virtual visits, eDoc (available on Member Dashboard) and calls to our Registered Nurse Advice Line (866-321-7580) if you can’t get in to see your PCP.
If you still have questions about COVID-19 and how it could affect you, the CDC has official responses to frequently asked questions on its website.
It is important to continue to arm yourself with information from credible health care sources on the front lines of studying this virus, such as the CDC and the Oregon Health Authority.
(Updated Feb. 2, 2020)
Moda has received questions and concerns about the novel coronavirus (respiratory illness), COVID-19 and would like to keep you informed with the most-up-to-date information as it relates to your health and benefits.
To keep everyone safe, providers may:
If you need care that was delayed because of COVID-19, call your provider to schedule an appointment. Your provider may also call you to schedule treatment.
If you already have a provider and need to get care from home, call them to learn about their telehealth options.
If you need to find a provider, you can search for one using Find Care in Member Dashboard. If you have questions or need help finding a provider, call us at the Medical Customer Service number on your identification card.
As the COVID-19 vaccine becomes available, cost-sharing (i.e., copayments, coinsurance and deductibles) will be waived.
Please keep in mind that at first, the vaccine supply will be limited. Alaska’s COVID Vaccine Taskforce is working with federal, state, Tribal and military partners to plan for the overall needs of the state while determining prioritization for high-risk groups, which may include:
There are no plans for a state-wide vaccine mandate.
Stay up to date on state vaccine developments, prioritization and eligibility with the Department of Health and Social Services COVID-19 vaccine website. Please confirm you are eligible before contacting your provider.
Under current law, HDHPs are effectively prohibited from covering any medical services not deemed preventive care prior to an enrollee satisfying their deductible, as the taxpayer would be subject to federal income tax penalties.
However, the IRS has posted a notice that extends broad relief, allowing pre-deductible coverage of both testing and treatment of COVID-19, as determined by the health plan. Because the COVID-19 vaccine is considered preventive care, cost-sharing – including the deductible – is waived.
Cost-sharing is waived for COVID-19 vaccines.
Cost-sharing is waived for the following diagnostic testing needs, including:
This includes office visit, urgent care visit, telehealth visit or emergency room visit when the purpose or outcome of the visit is to be tested for respiratory illness. It is applicable to in-network and out-of-network providers, facilities and laboratories.
For members covered on an Individual or Family plan or fully-insured Employer Group* only, cost-sharing is also waived for the in-network medical treatment of COVID-19, both inpatient and outpatient, and FDA-approved medications administered inpatient for the treatment of COVID-19, for services received April 1, 2020 – March 31, 2021. Terms of coverage otherwise apply, including eligibility and medical necessity.
*Please note these additional benefits broadly apply to fully insured plans. Self-funded plans may or may not offer this same coverage. To find out if you are enrolled in a self-funded plan, refer to the bottom of your ID card for “third-party administrator” language. If you are enrolled in a self-funded plan, contact your employer to learn about COVID-19 coverage available to you.
Cost-sharing is waived for the COVID-19 vaccine.
Cost-sharing is waived for the following diagnostic testing needs, including:
This includes office visit, urgent care visit, telehealth visit or emergency room visit when the purpose or outcome of the visit is to be tested for respiratory illness.
Everyday preventive actions that help prevent spreading respiratory viruses are the first step in protecting yourself and those around you.
These are everyday habits that can help prevent the spread of several viruses. CDC does have specific guidance for travelers.
If you are experiencing symptoms of novel coronavirus, such as fever, dry cough or shortness of breath, or believe you have been exposed to COVID-19, we recommend calling your doctor immediately.
In addition to the benefits outlined above, all current Moda benefits apply. They may cover additional care options, such as eDoc (available on Member Dashboard) and calls to our Registered Nurse Advice Line (866-321-7580) if you can’t get in to see your PCP.
If you still have questions about COVID-19 and how it could affect you, the CDC has official responses to frequently asked questions on its website.
It is important to continue to arm yourself with information from credible health care sources on the front lines of studying this virus, such as the CDC.
We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
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