Stay up to date with the latest information about COVID-19 and member benefits
Moda Health members now get free over-the-counter (OTC) COVID-19 at-home tests. Here's how:
At-home test availability may vary by location and region. If one option is not available, please try another or use COVID-19 testing sites in your area.
*Check the back of your Moda member ID card to see if you have pharmacy benefits. If it includes a Navitus logo, you have a pharmacy benefit with Moda Health.
For more details and to find the correct reimbursement form, please visit our COVID-19 FAQ page.
(Updated Jan. 14, 2022)
Moda Health continues to receive questions and concerns about COVID-19. We want to keep our members informed with the most-up-to-date information as it relates to their health and benefits.
To continue keeping everyone safe, providers may:
If members need care that is delayed because of COVID-19, they can call their provider to schedule an appointment as soon as they are comfortable doing so. Their provider may also call to schedule treatment. It is important to continue to receive preventive care during the pandemic.
If a member already has a provider and needs to get care from home, they can all call their provider's office to learn about their telehealth options. Many plans also have telehealth options they may use.
If a member needs to find a provider, they can search for one using Find Care in Member Dashboard. If they have questions or need help finding a provider, members can call us at the Medical Customer Service number on the back of their member identification card.
Benefits for Oregon medical members on individual and family plans or employer group* plans.
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.
*Please note these additional benefits broadly apply to most fully insured plans. Self-funded plans, may or may not offer this same coverage. To find out if a member is enrolled in a self-funded plan, refer to the bottom of their ID card for "third-party administrator" language. If they are enrolled in a self-funded plan, contact customer service to learn about COVID-19 coverage available to them.
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 allows 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 the COVID-19 vaccine.
Cost-sharing is waived for COVID-19 testing needs, including:
As a Medicare enrollee, the member can get vaccinated for COVID-19 at no cost.
Cost-sharing is waived for COVID-19 testing needs, including:
This is applicable to in-network and out-of-network providers, facilities and laboratories.
Members can view more helpful tips for slowing the spread and not getting sick, as well as information about the vaccine from the CDC's COVID-19 website.
If a member is experiencing symptoms of COVID-19, such as fever, dry cough or shortness of breath, or believe they have been exposed to COVID-19, they should call their doctor immediately.
In addition to the benefits outlined above, all current Moda Health benefits apply. Members may cover additional care options, such as virtual visits, CirrusMD (available on Member Dashboard) and calls to our Registered Nurse Advice Line (800-501-5046) if they can't get in to see their PCP
If members still have questions about COVID-19 and how it could affect them, the CDC has official responses to frequently asked questions on its website.
It is important to continue to obtain information, data and updates from credible healthcare sources on the front lines of studying the virus, such as the CDC and the Oregon Health Authority.
Moda Health members now get free over-the-counter (OTC) COVID-19 at-home tests. Here's how:
At-home test availability may vary by location and region. If one option is not available, please try another or use COVID-19 testing sites in your area.
*Check the back of your Moda member ID card to see if you have pharmacy benefits. If it includes a Navitus logo, you have a pharmacy benefit with Moda Health.
For more details and to find the correct reimbursement form, please visit our COVID-19 FAQ page.
(Updated Jan. 14, 2022)
Moda Health continues to receive questions and concerns about COVID-19. We want to keep our members informed with the most-up-to-date information as it relates to their health and benefits.
To continue keeping everyone safe, providers should:
If members need care that is delayed because of COVID-19, they can call their provider to schedule an appointment as soon as they are comfortable doing so. Their provider may also call to schedule treatment. It is important to continue to receive preventive care during the pandemic.
If a member already has a provider and needs to get care from home, they can all call their provider’s office to learn about their telehealth options. Many plans also have telehealth options they may use.
If a member needs to find a provider, they can search for one using Find Care in Member Dashboard. If they have questions or need help finding a provider, members can call us at the Medical Customer Service number on the back of their member identification card.
Benefits for Alaska medical members on individual and family plans or employer group* plans.
Cost-sharing is waived for COVID-19 vaccines.
Cost-sharing is waived for COVID-19 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.
Infusion therapies intended to treat COVID-19 are covered subject to standard plan cost sharing.
*Please note these additional benefits broadly apply to most fully insured plans. Self-funded plans, may or may not offer this same coverage. To find out if a member is enrolled in a self-funded plan, refer to the bottom of their ID card for "third-party administrator" language. If they are enrolled in a self-funded plan, contact customer service to learn about COVID-19 coverage available to them.
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 allows 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 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.
Infusion therapies intended to treat COVID-19 are covered subject to standard plan cost sharing.
Members can view more helpful tips for slowing the spread and not getting sick, as well as information about the vaccine from the CDC's COVID-19 website.
If a member is experiencing symptoms of COVID-19, such as fever, dry cough or shortness of breath, or believe they have been exposed to COVID-19, they should call their doctor immediately.
In addition to the benefits outlined above, all current Moda Health benefits apply. Members may cover additional care options, such as virtual visits, CirrusMD (available on Member Dashboard) and calls to our Registered Nurse Advice Line (800-501-5046) if they can't get in to see their PCP.
If members still have questions about COVID-19 and how it could affect them, the CDC has official responses to frequently asked questions on its website.
It is important to continue to obtain information, data and updates from credible healthcare sources on the front lines of studying the 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.
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
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