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Moda Health and Delta Dental of Oregon are making it easier to choose and use the right plan for you and your family. Our health plans give you better benefit choices, better care and our largest network - Connexus. Plus, you get our Moda 360 team of Health Navigators to connect you with the care, resources and programs that will work best for you.

2021-22 Pharmacy updates

  • As a reminder, we changed our pharmacy benefits manager to Navitus on Oct. 1, 2021. Please make sure to share your new ID card or the following information with your pharmacy:
    • PCN: NVT
    • BIN: 610602
    • Rx group: OEBB
  • To find an in-network pharmacy click here:

Moda 360 - your own enhanced member support team

Healthcare can be complicated. That's why we created Moda 360. Every time you call the Moda Health OEBB number on the back of your ID card, you will be connected to a Health Navigator. The Health Navigator will not only answer any questions you may have, but will also serve as your guide to connect you with the care, resources and programs that will work best for you. These include:

  • CirrusMD - text a doctor 24/7 at no cost to you
  • Meru Health - a specialized behavioral health app to support stress, depression and burnout
  • NEW Chat Feature: instantly message your Health Navigator team any questions you may have through your Member Dashboard
  • Effective 10/1/2021 - NEW! Members who have Moda Health and Delta Dental will receive combined medical and dental support from our Moda 360 Health Navigators.

Click here to learn more about Moda 360

Text a doctor

Get the CirrusMD app to connect with a doctor via text, 24/7 at no cost to you. No appointments necessary. Use the app to:

  • Ask urgent or general health questions
  • Message, share photos or video chat
  • Get peace of mind, even at 2 a.m.

Access CirrusMD here

Specialized behavioral health support

Help reduce stress, depression and everything in between with a 12-week therapy program offered through Meru Health. Enjoy:

  • Confidential access to a personal, remote therapist
  • Mindfulness and behavioral techniques that can be practiced anytime
  • Wearable biofeedback training to increase focus and manage stress

Access Meru Health here

Get enhanced benefits

All of our integrated plans come with a coordinated care and non-coordinated care option. If you choose coordinated care, you will receive a number of enhanced benefits such as:

  • Personalized care managed by a PCP 360
  • Lower individual deductible
  • Lower individual out-of-pocket maximum
  • Lower out-of-pocket costs for office visits, specialists and alternative care

Coordinated care (PCP 360)

With coordinated care, you will pick a PCP 360. A PCP 360 delivers full-circle care, coordinating your care with other providers, as needed. They are high quality primary care providers who are willing to partner with you and be accountable for your health.

Coverage wherever you go

Plus, our statewide Connexus Network of contracted providers and hospitals offers a broad selection of providers to make sure you stay covered wherever you go.

Search all in-network (Connexus) Providers

Plan summaries and presentations

COVID-19: What you need to know

How to get free at-home COVID-19 tests

As a Moda Health member, you can now get free over-the-counter (OTC) COVID-19 at-home tests. Here's how:

  • Order through the federal government: Visit COVIDtests.gov to order a set of 4 free COVID-19 tests. Every household in the U.S. can get the tests.
  • Order through the Costco Pharmacy website: Visit costco.com/home-delivery and follow these steps. Members do not need to be Costco members to use their mail order service.
    • Select "Mail Order"
    • Sign in or register for a new account
    • In the Patient Profile / Insurance section:
      • Would you like us to bill a prescription insurance plan? - select Yes
      • Select plan name drop down menu - skip this
      • Insert your name, date of birth, relationship to cardholder
      • Insert your member ID number and Rx Group number: OEBB
      • Insert your Plan name: Moda/OEBB
      • Insert your Bin: 610602 and PCN: NVT
      • Payment Method - skip this
    • Choose "Fill New Prescription"
    • Complete the Physician fields by entering these specific details:
      • Physician's name: Costco Test
      • Physician's phone: 800-111-1111
      • Physician's city: Seattle
      • Physician's state: WA
    • Select "My doctor will call or fax Costco. I do not have a written prescription."
    • Enter the following drug information into the Prescription drug name field: COVID tests
    • For shipping, select: "Standard USPS"
  • Pick up at your in-network pharmacy: When picking up a test at your pharmacy, show your Moda member ID card to get a free test.
  • We will reimburse you: If your pharmacy can't process the order, you can buy the test at the pharmacy or at another in-person or online retailer, then use our claim form to get reimbursed. We will reimburse up to 8 tests per member ($12 per test) over a 30-day period. This includes tests purchased on or after Jan. 15, 2022.

For more details and to find the correct reimbursement form, please go to our COVID-19 FAQ page.

If you are experiencing COVID-19 symptoms and need medical advice, we encourage you to call your doctor or take one of the following actions at no cost share to you:

  • Text a doctor - Cirrus MD for telehealth services
  • Call the Nurse Advice Line at 800-501-5046

Cost sharing is waived for COVID-19 vaccines.

Cost sharing is waived for COVID-19 testing needs, including:

  • A telehealth or in-person visit to be evaluated for COVID-19 testing
  • Provider office visit, urgent care center visit or emergency room visit to be tested for COVID-19
  • COVID-19 lab tests for all testing facilities
  • Serological antibody tests
  • Starting Jan. 15, 2022 up to 8 at-home tests per 30 days are covered without a provider's order. Learn more.

This is applicable to in-network and out-of-network providers, facilities, and laboratories. Out-of-network providers may bill you for amounts that are over the Maximum Plan Allowance when allowed by law. Members enrolled on a high deductible health plan (Medical Plans 6 or 7) do not need to meet their deductible before these services are paid; the above services are also covered at no member cost share with the deductible waived.

Cost sharing is also waived for in-network COVID-19 treatment services received on or before December 31st, 2021. This includes both inpatient and outpatient care, as well as FDA-approved medications administered inpatient for treatment of COVID-19.

Normal cost sharing will apply for COVID-19 treatment services received after December 31, 2021.

The Well - Our Seasonal Newsletter

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 source for healthy inspiration, news and advice.

Questions?

We're here to help. Just email OEBBquestions@modahealth.com or call your Moda 360 Health Navigators:

Medical/Vision:
866-923-0409

Pharmacy:
866-923-0411

Dental:
866-923-0410

TTY users, please call 711

You can also chat with a Moda 360 Health Navigator by logging in to your Member Dashboard.

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We have exciting news to share. ODS is changing its name to Moda Health.

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