Moda Health small group plans

Icon of three people with a circled 1-50, representing small group employers offering health coverage that supports workforce health and stability.

For groups with 1-50 employees

Moda Health’s small group plans are designed with your clients – and their employees – in mind. With a variety of PPO and high-deductible health plan (HDHP) options, plus traditional and level-funded choices, it’s easy to find coverage that fits both budget and business needs. Every plan supports your clients’ goals of offering choice, coverage and compassion – from provider flexibility to integrated wellness and care tools.

  • Broad and tailored provider networks
  • Plans available both on and off the Health Insurance Marketplace
  • Easy onboarding and employer support tools

Idaho Small group networks

Moda Select Network

The Moda Select Network has expanded to include the following counties in Idaho:

Ada, Adams, Bannock, Bear Lake, Benewah, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Caribou, Cassia, Clearwater, Elmore, Franklin, Fremont, Gem, Idaho, Jefferson, Kootenai, Latah, Lewis, Madison, Minidoka, Nez Perce, Oneida, Owyhee, Payette, Power, Shoshone, Teton, and Washington.

Note: Moda Select has additional in-network service areas in Texas and Alaska

Can employees get care outside of the service area?

Yes! We have options based on where the care is located. Please contact our team at 844-248-7877 with questions about where employees can obtain care.

Icon of an Idaho map with outlined counties, representing coverage that helps people access care close to home.

With the Moda Select Network, your clients will get:

  • Primary care-driven, team-based care
  • Coordinated care designed to improve outcomes and lower costs
  • Access to Saint Alphonsus, Kootenai Health, Minidoka Memorial, Bingham Memorial and more
  • The same great benefits in Oregon, Alaska and Texas, depending on where members live

National network access

When small group members travel or live outside of Idaho, they can get care through the Aetna PPO Network offered by Aetna Signature Administrators (ASA):

  • 1.5 million+ participating physicians and ancillary providers
  • More than 6,000 hospitals
  • In-network access in all 50 states

Special situations for small group:

  • Out-of-area dependents living in Idaho, but outside the Moda Select service area, will use ASA as their primary network
  • Out-of-area dependents living outside of Idaho will use ASA as their primary network, with additional access to Moda Select Networks in Idaho, Alaska and Texas
  • Small group subscribers in a Moda Select service area in Oregon, Alaska or SW Washington are assigned to Moda Select as primary and Connexus as secondary for in-network benefits

Find care

Use our Find Care tool to verify if a provider is in-network

Use Find Care

Quoting and enrollment

Get quotes quickly and accurately so you can serve your clients better. Request online through Rate Finder and get your quote instantly.

For underwriting guidelines, log in to our secure Producer Dashboard.

Log in to the Producer Dashboard

Want to learn more?

Your Moda Health sales team is here to help you compare options, generate quotes and find the right fit for each of your clients.

Contact the Moda Health sales team