As a Moda Health member, you can now get free over-the-counter (OTC) COVID-19 at-home tests. Here's how:
For more details and to find the correct reimbursement form, please go to our COVID-19 FAQ page.
Moda Health would like to keep you informed with the most-up-to-date information as it relates to your health and benefits regarding the novel coronavirus (respiratory illness) COVID-19.
To keep everyone safe, providers are taking additional precautions, such as:
If you need care that is delayed because of COVID-19, call your provider to schedule an appointment as soon as you are comfortable doing so. Your provider may also call you to schedule treatment.
If you already have a provider and need to get care from home, call them to learn about their telehealth options. If you need to find a provider, you can search for one using the Find Care tool in your Member Dashboard. If you have questions or need help finding a provider, call us at 866-923-0409.
Cost sharing is waived for COVID-19 vaccines.
Cost sharing is waived for COVID-19 testing needs, including:
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. 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.
You can view more helpful tips for slowing the spread and not getting sick, as well as information about the vaccine from the CDC's Covid-19 website.
If you are experiencing symptoms of novel coronavirus, such as fever, dry cough or shortness of breath, or believe you have been exposed to COVID-19, we recommend calling your doctor.
In addition to the benefits outlined above, all current Moda Health benefits apply. They may cover additional care options, such as virtual visits, CirrusMD (available on Member Dashboard) and calls to our Registered Nurse Advice Line (800-501-5046) if you can't get in to see your PCP.
If you still have questions about COVID-19 and how it could affect you, the CDC has official responses to frequently asked questions on its website.
It is important to continue to obtain information, data and updates from credible health care sources on the front lines of studying the virus, such as the CDC and the Oregon Health Authority.
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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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