Member rights

Understand your rights as a Moda Health Medicare member.

Prior authorization

You have the right to timely access to covered services and drugs. Some require prior authorization (pre-approval) from us to cover a provider visit or prescription drug. Prior authorization is also referred to as organization determination or coverage determination.

Get prior authorization details

Requesting an appeal and filing a complaint

Find out what you need to do to request an appeal or file a complaint. Learn how to appoint a representative.

Learn about appeals and grievances


Find out what you need to do to disenroll from your Moda Health Medicare plan.


Privacy notice

We protect your private information.

Find out how

Last updated Oct. 9, 2020

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