Employer-sponsored medical plans

Medical plan options

With our plans, your employees will enjoy affordable, quality care whenever they need it. Plans vary by premiums, deductibles, copays and coinsurance. If you are looking innovative funding options, see Equal Funding option.

PPO Plans

We offer a wide selection of preferred provider organization (PPO) plans to meet your client’s specific needs. Our PPO plans combine great benefits with access to PPO contracted physicians and hospitals to help members save money. Members can visit any provider they choose, but they’ll get the best benefits, a greater selection of doctors and broader geographic coverage when visiting a PPO-contracted provider. 
 

High-deductible health plans (HDHP) option

These plans are compatible with a health savings account (HSA). Having an HDHP allows members to use tax-free funds for eligible healthcare expenses. They can simply check to see if their financial institution has an HSA. Members with this plan option can choose a financial institution that offers HSA accounts to get the tax advantages.

Medical networks

We offer the Moda Select network. See more details about our medical networks.

Pharmacy benefits

Quality pharmacy benefits through medication tiers

All Moda Health medical plans come with an option of pharmacy plans. These benefits connect members with our Preferred Drug Program, a way to save money on safe and effective prescription medications. Through the program, plans cover prescriptions by these medication tiers: value, select, preferred, non-preferred, preferred specialty and non-preferred specialty. Each tier has a copay or coinsurance amount set by the plan. Easily check to see what medications are covered for your clients. View our formulary by tier and coverage level.

Pharmacy Network

Members have access to comprehensive prescription drug benefits through the Navitus pharmacy network. The Navitus network includes more than 65,000 pharmacies nationwide. This means they can fill prescriptions almost anywhere, including local and national drug store chains. Find in-network pharmacies.