Coordinated care for better health.

We're here to support you on your health journey. This support includes bringing you and your family the best care, facilitated through a Medical Home. Moda's Medical Homes use the Summit and Synergy networks to connect your primary care provider with the rest of your care team (other providers, specialists, etc.), resulting in better quality and more affordable care.

What is a Medical Home?

Your Medical Home is the place you go for all of your health care needs. Your primary care provider works with you and the rest of your care team (other providers, specialists, etc.) to provide the best treatments for you.

This team-based approach to healthcare offers:

  • Personalized care centered on you
  • Faster, easier ways to get care
  • Support in meeting your health goals
  • Lower out-of-pocket costs with your Medical Home

If you have a plan with the Synergy or Summit network, you need to pick your Medical Home before using your benefits. There are many Medical Homes to choose from throughout the network.

Medical Home
Doctor

Medical Home tier levels

The Synergy and Summit networks offer access to many recognized Medical Homes. This means that the provider has been certified by the Oregon Patient-Centered Primary Care Program. Moda's provider directory includes tier levels one through five. The higher the tier, the better coordinated the care. Each of your covered family members can pick the same provider, or a different one — it's up to each of you.

Icons representing tier levels

Medical Home tier icons

There are many Medical Homes to choose from throughout the Synergy and Summit networks

Synergy Network
Synergy map

The Synergy Network includes the Portland metro area, southwest Washington, the Oregon coast, the Columbia River Gorge, Salem, Eugene, central and southern Oregon communities.

Hospitals and health systems affiliated with the Synergy Network include:

  • Adventist Health
  • Asante
  • Bay Area Hospital
  • Columbia Memorial Hospital
  • Legacy Health
  • Mid-Columbia Medical Center
  • Oregon Health & Science University (OHSU)
  • PeaceHealth
  • Salem Health Hospitals and Clinics
  • Samaritan Health Services
  • Santiam Hospital
  • Silverton Health
  • Sky Lakes Medical Center (affiliated with OHSU)
  • St. Charles Health System
  • Tuality Healthcare (Partners with OHSU)


Summit Network
Summit map

The Summit Network includes southwest Washington and parts of Idaho.

Hospitals and health systems affiliated with the Summit Network include:

  • Blue Mountain Hospital District
  • CHI St. Anthony Hospital
  • Good Shepard Health Care System
  • Grande Ronde Hospital
  • Harney District Hospital
  • Kadlec Health System
  • Lake Health District
  • Morrow County Health District
  • Saint Alphonsus Health System
  • Trios Health
  • Walla Walla Clinic
  • Wallowa County Memorial Hospital


Pick your Medical Home

Follow these simple steps to choose your Medical Home.

1.

Log in to myModa

Members should log in to myModa at modahealth.com and proceed to the Medical Home tab.

Log in to myModa
2.

Search for a Medical Home

Search by facility or provider name. Or use a ZIP code to find one near you.

Search for a Medical Home
3.

Select the Medical Home

Select the Medical Home for you and any dependents under age 18.
Any dependents age 18 and older will need to do so in their myModa account.

Select the Medical Home
4.

Check your email

We will send you a confirmation email for your records!
Get started

Ready to get started?

FAQs

Answers about selecting your Medical Home and finding care.

Do I have to select a Medical Home?

Not all plans require you to select a Medical Home. Only our Synergy and Summit plans require you to select a Medical Home before going in for care. Your Medical Home coordinates your care, including referrals to specialists or hospitals, as needed.

If you receive care before selecting a Medical Home, your claim(s) may be paid at the out-of-network benefit level.

Can I go to a primary care provider who is not in my Medical Home?

If you or a dependent receives care from a provider outside of the selected Medical Home, the claim(s) may be paid at the out-of-network benefit level.

How can I see a list of available Medical Homes?

We recommend that you log into your myModa account and go to the Medical Home tab to search for Medical Homes. But if you are not a member or don't have access to myModa, you can follow these simple steps:

  1. Go to our online provider directory, Find Care
  2. Choose your network: Synergy (Western Oregon) or Summit (Eastern Oregon)
  3. In the search criteria for Provider Type, choose "Medical Home Clinics & Medical Groups" to search by facilities or "Medical Home Providers & Doctors" to search by provider names.
  4. Enter your location — you may need to adjust the Distance option to expand the search area
  5. You may create a PDF of the list with the "Download/print results" link under the map.
What are the numbers on some Medical Home icons?

This is the tier level that the provider has been certified by the Oregon Patient-Centered Primary Care Program. Moda's provider directory shows tier levels one through five. The higher the tier, the better coordinated the care.

Still have questions?

We’re here to help. Contact our Customer Service team at 877-605-3229.

OEBB members: 866-923-0409
PEBB members: 844-776-1593