Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

Medical coverage just for you

Moda Health offers a variety of health plans to meet the healthcare needs of Alaskans. Our Beneficial, Value, Preferred and HSA plans are consumer-driven plans with comprehensive major medical coverage. Coverage varies from plan to plan, so look for the features that best fit your healthcare preferences.

Moda Health renews all individual plans on January 1 each year, including benefit and rate adjustments. This rate adjustment will take affect for all members regardless of when their policy became effective.

Rates also change when the primary applicant moves into the next age band; new rates are effective the following month.

Moda Health medical plans give members flexibility and support for a range of healthcare needs.

Moda Health Be Better tools

As a standard part of our medical benefit, we offer Moda Health Be Better tools to help you understand and manage your healthcare.

  • Care coordination and case management. A team of healthcare professionals at Moda Health is available to help members and their caregivers navigate the complexities of the healthcare system.
  • Health Coaching. Moda Health health coaches are available to work individually with members who have specific medical needs. Currently we have health coaching programs for the following health focus areas:
    • Cardiac Care
    • Respiratory Care
    • Diabetes Care
    • Depression Care
    • Maternity Care
    • Spine & Joint Care
    • Lifestyle Coaching

Extensive provider network

All Moda Health medical plans are designed to give members the freedom to see any licensed provider they choose. Moda Health contracts with the largest PPO network in Oregon, the ODS Plus Network, giving members broad physician choice and geographic coverage. When using a Moda Health preferred provider, members receive quality medical care and the highest benefits. A lower level of benefit may apply when seeing an out-of-network provider.

Pharmacy discount card

Moda Health medical plan members receive an Rx discount card through the Oregon Prescription Drug Program (OPDP). This free program offers discounts on prescription drugs not covered under members’ medical plans. All prescription drugs are eligible for a discount; members must pay the cost in full after the discount is applied.

For more information, download the individual and family plans brochure.

If you have further questions, please take a look at our FAQ pages.

Some limitations and exclusions apply to Moda Health medical plans.

Moda Health offers evidence-based, cost-effective medical plans to people throughout Washington. When you choose Moda Health, you choose much more than a health plan: you partner with people who are passionate about helping you get well sooner and live well longer.

Moda Health medical plans give members flexibility and support for a range of healthcare needs.

Member benefits

As a member of Moda Health, your member benefits go beyond what you've come to expect from standard health coverage. You have access to the tools, resources and individual support you need to navigate your way to better health.

Our team of healthcare professionals and health coaching programs are part of Moda Health's ongoing commitment to improve the quality of care we deliver to you throughout your health journey.

Extensive provider network

All Moda Health medical plans are designed to give members the freedom to see any licensed provider they choose. To make healthcare easy and convenient to you, we are proud to offer you the First Choice Health PPO Washington network and the ODS Plus network. These two expansive networks give you broad physician choice and geographic coverage so you know the care you need is never far away. When using a Moda Health preferred provider, members receive quality medical care and the highest benefits. A lower level of benefit may apply when seeing an out-of-network provider.

Individual pharmacy plans

Washington individuals and their families enrolled in the Moda Health PPO Premium plan are automatically issued the Moda Health Rx plan. This medical pharmacy plan includes maternity and prescription coverage for both generic and brand name drugs. With over 95 percent of pharmacies throughout the state of Washington, the Moda Health standard pharmacy network gives individuals greater access to their prescription needs. To locate a pharmacy near you, go to Find Care and click "Search as a guest". All other plans are enrolled in the Washington Prescription Drug Program (WPDP).

All Moda Health Washington residents receive an Rx discount card through the WPDP. This free program offers discounts on prescription drugs not covered under members' medical plans. All prescription drugs are eligible for a discount: members must pay the cost in full after the discount is applied.

For more information, download the individual and family plans brochure. If you have further questions, please take a look at our FAQ pages. Some limitations and exclusions apply to Moda Health medical plans.

If you have any questions about our individual medical plans, please call our Washington sales team toll-free at 866-939-0368.

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Hello.

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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