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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 and better care. 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.

NEW! Plan updates for 2023

  • Diabetes prevention program: Starting Jan. 1, 2023, Moda Health is offering a diabetes prevention program through Livongo. The program includes an advanced smart scale and app, unlimited one-on-one expert coaching and all-in-one weight, activity and food tracking.
    Learn more
  • Increase orthodontia lifetime maximum: Effective Jan. 1, 2023, Delta increased the orthodontia lifetime maximum from $1,500 to $1,800 for the full-time PPO and Premier plans.

2023 plan information and materials — See what's new!

As a PEBB member, you'll find:

As a valued Moda Health member, we want to help you experience better in 2023. When you choose a Moda Synergy plan, you'll get:

  • OHSU Health — A wide selection of high-quality in-network providers in Oregon, Southern Washington and Idaho, including OHSU Health, Legacy Health, Adventist Health and Tuality Health.
  • No referrals needed — This means you don't no need to get permission from your primary doctor or health plan for in-network specialist or alternative care provider.
  • Alternative care — Take advantage of one of the largest networks of alternative care providers (including licensed massage therapists!)
  • Moda 360 Health Navigators — Get your own enhanced support team when you choose both a medical and dental plan with us. Your personal Health Navigator can help you get great care from head to toe.
  • Member Dashboard — Your own personal website where you can view your benefits, access resources to help you manage your health and chat with a Moda 360 Health Navigator.

With a Delta Dental plan, you'll get:

  • In-network preventive services — This includes cleanings, which are covered at 100% and don't accrue toward your plan maximum. This means that your dollars go further for basic and major services.
  • Access to the nation's largest network of dentists — Gives you more choices for nearby dentists and whenever you go.
  • Health through Oral Wellness® program — These enhanced benefits provide qualifying members with more cleanings, fluoride treatments, sealants and periodontal maintenance during the plan year.

Moda 360

Healthcare can be complicated. That's why we created Moda 360 — your own enhanced member support team. Every time you call the Moda Health PEBB number on the back of your card, you will be connected with a Moda 360 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. They can help you with:

  • Appointment scheduling support
  • Selecting a PCP 360
  • Claims and provider billing support
  • Care programs
  • Assistance with prior authorizations

Learn more about Moda 360

CirrusMD — Text a doctor

Enjoy fast and private access to a dedicated doctor in under a minute — at no cost to you. With the CirrusMD app, you can have access to:

  • Connect with a doctor via text, 24/7, without appointments or time limits
  • Ask urgent or general health questions
  • Message, share photos or video chat
  • Get peace of mind, even at 2 a.m.
  • Come back to conversations or follow up as often as you'd like

Access CirrusMD

Meru Health — Digital therapy and support

Now you can get therapy on your smartphone through our partner, Meru Health. Completely confidential, the therapy is part of a 12-week treatment program to help with depression, anxiety and burnout. The program offers:

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

Access Meru Health

Better care with a 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 (PCPs) who will partner with you and be accountable for your health. To see if your provider is a PCP 360, use our Find Care tool and look for the 360 icon under the provider's phone number.

Find a PCP 360
Choose a PCP 360

No referrals! Statewide medical coverage wherever you go

With our Synergy Network, you get high-quality care close to home to cover all of Oregon, Southern Washington, and Idaho. The network consists of OHSU Health, Legacy Health, Adventist Health, Tuality Health and many more hospitals and providers.

Your plan options

We offer both health and dental plans because we know that oral health plays an important role in overall health.

COVID-19: What you need to know

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 to you:

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

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?

We're here to help. Contact us for support with your plan or accessing our programs and services. Email us at PEBBcustomerservice@modahealth.com or call:

Medical Health Navigator team (members with medical)
Call toll-free at 844-776-1593

Dental Customer Service (members with dental only)
Call toll-free at 844-827-7100

Dental Health Navigator team (members with medical and dental)
Call toll-free at 833-681-2117

Pharmacy Health Navigator team
Call toll-free at 844-776-1594

(TTY users, please call 711)

Visit the PEBB website to learn more.

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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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