Moda Health member care resources includes tools and individualized support to help you get well sooner and live well longer. Included as part of all Moda Health medical plans, Moda Health member care resources is available through Member Dashboard, and includes:
Know your medical costs. Use the Healthcare Cost Estimator to see how much you may pay for specific medical care. Log in to Member Dashboard and learn how to:
Enjoy fast and private access to a dedicated doctor in under a minute MD — at no cost to you. With the CirrusMD app, all you need is Internet access to:
Moda Health members can sign up for CirrusMD at modahealth.com/cirrusmd.
Members can download the CirrusMD app from the App Store or Google Play.
Care coordination registered nurses work directly with facilities and providers to facilitate preauthorization of scheduled procedures, inpatient stays, and follow–up care as needed for members during urgent or emergent admissions. During the time a member is receiving care or is hospitalized, care coordination nurses may refer them to a case management nurse if they require additional assistance and coordination for complex or catastrophic conditions.
The hospital calls Moda Health to notify us of all urgent/emergent hospital admissions within 48 hours, or as soon as possible.
Case management is a voluntary service for members experiencing complex conditions or catastrophic events and need assistance from a case management registered nurse or behavioral health specialist. Case managers can help by working with members and their families as patient advocates to:
If you want to make a referral to case management, please call Moda Health Healthcare Services case management at 503–948–5561 or toll–free at 800–592–8283. You can also email casemgmtrefer@modahealth.com, fax a referral to 503–243–5105855–232–6904 or complete and submit our online referral form. A member can self-refer to case management or be referred by a family member, caregiver, provider or facility staff. To make a referral, you’ll be asked to provide the following information:
Once a referral is received, a case manager will evaluate the member’s situation and contact the member within five (5) business days.
As your partner in health, we're here to help you be better and stay protected. For individual members, we're offering complete identity protection through IDX Identity at no extra cost to you.
Medical identity theft is one of the fastest growing crimes in America. In addition to financial data, sensitive personal information can be used for profit. We want to help keep you and your data secure.
There is a new identity theft victim every two seconds.
IDX Identity is the only identity protection service that includes MIDAS™ technology to monitor health claims. Like credit monitoring for healthcare, MIDAS helps you spot false claims early and investigates fraud or theft before it can cause you or your family harm.
Enjoy peace of mind with the best possible care and the highest level of identity theft protection. If you currently have a MIDAS account, simply re-enroll in IDX Identity for full financial and medical monitoring.
IDX Identity constantly scans to detect suspicious activity related to your identity. Any change triggers an alert notification so you can take action right away.
Access all your monitoring in one convenient app:
Just log in to Member Dashboard and follow the links to IDX Identity. Be sure to have your member ID card handy. If you don't have a Member Dashboard account, you can easily create one there.
As a Moda Health member, you have access to a valuable, personalized benefit to help you manage and improve your health. The Moda Health Coaching Program is available at no cost to you as part of your benefits!
You can work one-on-one, confidentially, with a health coach to:
Health coaching takes place by phone, which makes it easy to connect from just about anywhere.
Let us know how and when to contact you by completing a short survey at modahealth.com/hc. Then, a health coach will reach out to discuss next steps.
Please call 855-466-7155 Monday through Friday from 8:00 a.m. to 4:00 p.m. Pacific time, or email healthcoachteam@modahealth.com.
Get started on a fun and engaging digital wellness platform designed to support your physical, emotional, and social well-being. Begin your journey with your annual Health Risk Assessment. Then set personalized health goals, interact with colleagues in social streams, and even earn rewards through wellness challenges.
Access the Sprout at Work program in your Member Dashboard
Stay active in the gym or at home. With the Active&Fit Direct™ program, you have access to:
Access to these health and wellness services from ChooseHealthy.
See prescription medication costs and how much you would pay by medication tier at an in-network pharmacy. This tool makes it easy. Simply log in to your Member Dashboard to find medication cost estimates and generic options.
Access the Delta Dental Oral Health Library to learn more about oral health care for infants, toddlers, children, young adults, adults and older adults.
Hearing aids are costly. Using TruHearing makes them more affordable. Eligible members can get a routine hearing aid exam and hearing aids through TruHearing. To schedule an appointment, please call 866-202-2170.
Powered by Cascade Centers, the Moda Health IAP is a free and confidential service that can assist you and your eligible family members with a variety of personal concerns including:
IAP professional counselors can help you identify problems, establish goals, make recommendations, and develop an action plan.
Need help more than 100 miles from home? Call Assist America® for emergency medical assistance and much more:
Learn more at assistamerica.com. For more information, call 800-304-4585.
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If you can't find an answer, please feel free to contact our Customer Service
Check benefits, eligibility, incentive and utilization
We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
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Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
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