For new membersGet started using your Moda Health Medicare plan.
Sign up for your member portal
Use your member portal, myModa, to:
- See real-time views of your claims and benefits
- Get cost estimates
- Access health coaching and wellness tools
- Connect with healthcare providers from the comfort of your home
- Find doctors, dentists and more
Pay your premium
There are several ways you can pay your monthly premium. See your options.
Use our Find Care tool to search our Medicare Advantage network of healthcare providers and hospitals.
Please know that not all providers are in our network. Make sure you choose providers who are in our network. This will save you money.
To choose an in-network provider, you can use Find Care. Please be aware that our provider networks may change. If this happens, we will let you know.
Please note: If you are having a medical emergency, you do not need to see a Medicare provider. Instead, call 911 right away, or go to the nearest emergency room. You do not need to get approval or a referral from your primary care provider. A medical emergency is anything that is life-threatening. Examples include chest pain, uncontrolled bleeding and difficulty breathing.
Know your benefitsGet the most out of your plan. See what’s covered and not covered. Make sure to visit your member portal, and review your Evidence of Coverage (EOC). Your EOC is your member handbook. To find out what medicines are covered, review the formulary (list of medicines).
Know your no-cost benefits
As a Medicare member, you have many preventive services and screenings available for no cost. Preventive care is necessary for good health. Examples of your no-cost benefits are:
- Blood pressure
- Breast cancer screening
- Colon cancer screening
- Sexually transmitted infections (STIs) screening and counseling
See a complete list of your preventive benefits for no cost.
Schedule your annual Medicare visits
If you are within the first 12 months of signing up for Medicare, make sure you get the Welcome to Medicare preventive visit from your primary care provider. Your provider will use this visit to develop your personalized prevention plan. This plan will be based on your current health and risk factors. This visit is yours for no cost.
If you have been a Medicare member for more than 12 months, you can get a Medicare yearly Wellness visit. You can get the Medicare yearly Wellness visit once every 12 months for no cost. Please note that you cannot get your first yearly wellness visit within 12 months of your Welcome to Medicare preventive visit.
Talk with your primary care provider about preventive services and screenings. Vaccines are also important. Ask your provider what vaccines you need. And, be sure to review your prescription and over-the-counter medications, vitamins and supplements with all of your healthcare providers at each visit. See your member handbook for any additional costs that may apply.
Know your supplemental benefits
As a Moda Health Medicare member, you also have supplemental benefits included in your plan:
- A routine vision exam and eyewear through the VSP Advantage Elements plan, and in-network coverage through VSP’s Advantage provider network. All routine vision exams and eyewear claims are administered by VSP.
- Up to $500 of dental benefits
- Routine hearing aid exam and hearing aid coverage provided
- Gym membership and wellness resources from Silver&Fit®
- Registered Nurse Advice Line, available 24/7
You may also choose the optional supplemental benefit, Extra Care . For an additional $6 premium per month, Extra Care covers 50 percent of the cost of the following services up to a combined $500 annually:
- Routine chiropractic
If you would like to learn more about this benefit, please contact Moda Health Member Services.
Enjoy an extra benefitWe want you to enjoy good health. Make sure you use your discounts for health and wellness services from ChooseHealthy™.
Last updated Sep. 26, 2019