2018-19 Plan Options

Moda Health and Delta Dental of Oregon are pleased to offer you the 2018-19 Plan Options

• 2018-19 Moda Health / Delta Dental Plan Options for OEBB
• Plan Changes and Clarifications

Health through Oral Wellness®

You may be eligible for extra dental benefits

Delta Dental of Oregon's Health through Oral Wellness® program offers extra benefits and related care to members who have a greater risk for oral diseases. Through a clinical oral health assessment performed by a registered dentist, you can find out if you qualify for additional cleanings, fluoride treatments, sealants and periodontal maintenance.*

*All enhanced dental benefits are subject to meeting your plan's annual maximum and other limitations.

Virtual Visits New!

Get urgent care without leaving your home. Use your computer or mobile device to have an urgent care Virtual Visit with a licensed Oregon Health & Science University (OHSU) practitioner.

Your 2017-18 plan options:

Medical plans

We offer medical plans that include both vision and pharmacy benefits. Our Connexus plans offer statewide coverage, while our Summit and Synergy Networks are more focused networks that provide integrated care.

• Medical benefits FAQs
• Networks FAQs
• Synergy and Summit networks FAQs
• Vision benefits FAQs
• Pharmacy benefits FAQs
• Specialty Pharmacy benefits FAQs

Moda Medical Homes

Plans on the Synergy and Summit networks require you to choose a Medical Home where your doctors — including your primary care provider (PCP) — connect with each other to coordinate your care.

A Moda Medical Home is a team-based approach to healthcare. You'll have one doctor or primary care provider who works with the rest of your team to bring the best treatments to you. This model is becoming more and more popular in healthcare, and is sometimes called a "patient-centered medical home."

• More about Moda Medical Homes
• Select your Medical Home in myModa

Dental plans

Our dental plans offer you access to the largest dental networks in Oregon and nationally via Delta Dental. The preferred provider option (PPO) gives you access to more than 1,100 participating providers in Oregon. The Premier option connects you with more than 2,300 providers in Oregon.

• Dental benefits FAQs

myModa — your member website

To get started with Moda Health, set up your myModa account — your personalized member website — to get information on your benefits and claims. You'll also be able to order new ID cards and print your member handbook.

In addition, you'll find on myModa online health tools and resources to help you manage your health.

About OEBB's Healthy Futures

Why take a health assessment?

Health assessments can help you understand your health risks and improve your overall wellness. With Momentum, you will learn:

• Whether your health age equals your actual age
• If you are at risk for various health conditions
• Which of your habits are healthy
• What you can do to improve your health

To take your health assessment, after you have enrolled in a health plan, log in to myModa and look for Momentum.

The Well — our quarterly magazine

We know you’re busy, so we’ve kept it simple: Each edition of The Well is a quick read, with practical ideas to help you stay on the path to better health and clear information about your benefits, so you can make the most of your wellness journey. Think of us as your quarterly source for healthy inspiration, news and advice.

Questions?

Try these FAQs:

• General benefits FAQs
• Eligibility FAQs

We’re here to help. Contact us for support with your plan or accessing our programs and services. Email us at or call:

TTY users, please call 711.

For more information, visit the OEBB website.