Why is coordinated care better?
With coordinated care, your primary care provider is responsible for making sure you get all of the care you need — not just the care they can provide. If you need to see a specialist or go to the hospital, they will coordinate that care for you and work together with your other providers.
With traditional care, you are responsible for making sure you get all of the care you need. This includes the preventive services that will help you stay healthy. Also, providers most often work separately, which means that each may not know about all of your health history.
With coordinated care, you get:
- A primary care provider who uses a team-based approach and who will be responsible for making sure you get the personalized care and services you need
- Faster, easier ways to get care
- Extra support to help you reach your health goals
- An estimated overall cost savings as a result of keeping up-to-date with preventive care
Moda Health is the only health plan that provides access to this kind of high-quality care.
Coordinated care with Moda Health: PCP 360
With some Moda Health plans, you will also choose a PCP 360. A PCP 360 is a primary care provider who is part of a facility that has been certified by the Oregon Patient-Centered Primary Care Program or other similar programs. This means that a PCP 360 has to meet certain quality standards.
Ultimately, your PCP 360 will be accountable for delivering high-quality care that is centered on you.
With your PCP 360, you get:
- 24/7 medical advice by phone
- Hospital coordination
- Ongoing health education
- Wellness support
After you have selected a Moda Health plan, each of your covered family members can pick the same PCP 360, or a different one - it's up to each of you.
Selecting a PCP 360
If you are interested in PCP 360, log in to your Member Dashboard account and select the "PCP 360" tab on the homepage.
Questions?
If you have questions about your benefits or need help finding in-network services, call your Moda 360 Health Navigator team at 866-923-0409. You can also see our frequently asked questions to learn more about your OEBB coverage.