Moda Health group plans
Moda Health offers a full range of group plan solutions to meet your clients’ unique needs — from small startups to large organizations, associations and everything in between. Along with medical coverage, we offer pharmacy and vision benefits, integrated wellness programs, virtual care and digital tools to support healthier lifestyles.
With competitive benefits, broad networks and personalized services, our group plans help your clients attract and retain top talent while managing costs.
Small group plans
For groups with 1-50 employees
Moda Health’s small group plans are designed with your clients – and their employees – in mind. With a variety of PPO and high-deductible health plan (HDHP) options, plus traditional and level-funded choices, it’s easy to find coverage that fits both budget and business needs. Every plan supports your clients’ goals of offering choice, coverage and compassion – from provider flexibility to integrated wellness and care tools.
- Broad and tailored provider networks
- Plans available both on and off the Health Insurance Marketplace
- Easy onboarding and employer support tools
Large group plans
For groups with 51+ employees
Our large group plans are designed to scale with your clients’ businesses. Moda Health works closely with you to customize benefits that meet both employee needs and employer goals, whether it’s cost management, wellness integration or plan flexibility.
- Custom plan design and funding strategies
- Data-driven population health management
- Dedicated account management and reporting
Large group self-funding (100+ employees)
For large employers looking for flexibility and cost control, Moda Health offers self-funded plans with:
- Stop loss coverage: Get financial protection against high-cost claims
- Third-party administration (TPA) services: Enjoy streamlined claims processing, reporting and plan administration
- Customizable plan designs: Meet your clients’ workforce needs with tailored benefits
Association health plans
Group buying power for your small group clients
Moda Health partners with select industry associations to offer small employers another way to access high-quality coverage at competitive rates.
Oregon Group networks
Connexus Network
Small and Large Group employers will get access to the Connexus Network. This network will connect your clients to our broadest selection of providers across the state, with added access in Alaska, Idaho and southwest Washington. With Connexus, your clients can count on:
- Comprehensive, statewide in-network coverage in Oregon
- In-network benefits when living in or traveling to Alaska, Idaho or southwest Washington
- A smooth transition. Any groups previously on Moda Select are now part of Connexus
National network access
Aetna® PPO Network through Aetna Signature Administrators® (ASA)
When members are traveling or reside outside Oregon or the Connexus service areas, they’ll have in-network access through the Aetna PPO network via Aetna Signature Administrators (ASA). This wrap network offers:
- 1.5 million+ participating physicians and ancillary providers
- More than 6,000 hospitals
- Comprehensive coverage for medically necessary services (not just urgent or emergent care)
- Primary network access for subscribers who reside in Texas, with continued access to Connexus when in-network areas are available
Find care
Use our Find Care tool to verify if a provider is in-network
Pharmacy benefits
Moda Health offers pharmacy benefits designed to control costs for your clients while making prescriptions more accessible for members.
- Broad access: Over 62,000 pharmacies nationwide
- Convenient options: 90-day supplies, mail-order and specialty pharmacy services
Quoting and enrollment
Get quotes quickly and accurately so you can serve your clients better.
Small Group (1-50):
Request online through Rate Finder or WiredQuote and view underwriting guidelines on the Producer Dashboard.
Large Group (51+) or Equal Funding (25-100):
Contact the Moda Health Sales & Account Services team
Want to learn more?
Your Moda Health sales team is here to help you compare options, generate quotes and find the right fit for each of your clients.