Moda Health Individual and Family plans
Since 1955, Moda Health has been delivering high-quality, member-centered coverage to individuals and families across Idaho. Our plans combine affordability, provider choice and member-focused service, making it easy for you to match your clients with the right health solution.
Moda Select Network
With the Moda Select Network, your clients will enjoy access to a network of trusted providers across Idaho. Plus, they’ll enjoy the same great in-network benefits when they travel to Moda Select service areas in Alaska and Texas.
The Moda Select Network is for members living in these counties:
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.
With the Moda Select network, your clients get:
- Primary care-driven, team-based care
- Coordinated care focused on improving outcomes and lowering costs
- Access to trusted providers across Idaho, Alaska, Oregon and Texas
Featured health systems
High-quality providers your clients can count on
The Moda Select Network includes a wide range of trusted health systems across Idaho, including:
- Saint Alphonsus Health Alliance in Treasure Valley
- Patient Quality Alliance in Southeast Idaho
- Kootenai Health in North Idaho
- Bingham Memorial Hospital in Eastern Idaho
- Minidoka Memorial Hospital and Intermountain Cassia Regional Hospital in South Central Idaho
Use our FindCare tool to search for in-network health systems
Pharmacy benefits
Broad access through the Navitus Network
Clients have access to more than 62,000 pharmacies nationwide through Navitus. National and regional chains include:
- Walgreens
- Walmart
- Costco
- CVS
- Fred Meyer
- Albertsons/Safeway
- Rite Aid
Nationwide coverage when out of state
Peace of mind wherever your clients are
When members are outside of Idaho, they have additional options for care:
- Affinity Network: Access in Oregon service areas
- Aetna PPO Network through Aetna Signature Administrators (ASA): Nationwide access to more than 1.5 million providers and 6,000 hospitals
Important to note:
- When members see an Aetna PPO provider in any Idaho county, their benefits apply at the out-of-network level
- Out-of-area dependents living outside the Moda Select service area use the Aetna PPO Network as their primary network, with additional access to the Moda Select Network in Idaho, Alaska and Texas, and the Affinity Network in Oregon.
Ready to help your clients enroll?
Whether they’re shopping on the Marketplace or directly through Moda Health, we’re here to support you with tools, resources and responsive service every step of the way.