Your plan materials

Summary of Benefits (SB)

You can see all of the details about your Moda Health Medicare plan in your Summary of Benefits. Your Summary of Benefits includes:
  • Your monthly premium
  • Annual out-of-pocket maximum
  • Annual medical deductible
  • Copays for medical services

2021 Summary of Benefits

2020 Summary of Benefits

Plan Annual Notice of Changes (ANOC)

Each fall, we will send you an Annual Notice of Changes. Review the Annual Notice of Changes to see any changes in costs, coverage and service area. These changes will take place in January.

2021 Annual Notice of Changes

2020 Annual Notice of Changes

Evidence of Coverage (EOC)

Use your Evidence of Coverage to find out what is covered in your plan and how your plan works.

2021 Evidence of Coverage

2020 Evidence of Coverage

Enrollment kits

View all Moda Health Medicare Advantage plans available in your area. 

2021 Enrollment Kits

2020 Enrollment Kits

Last updated Oct. 9, 2020

You are leaving the Moda Health Medicare Advantage website.

Ok Cancel