Check out the key features of our PPO and HSA plan designs below.
Click on deductible amount to see benefit summary for that plan.
Click on deductible amount to see benefit summary for that plan.
Download the Standard Health Questionnaire for Washington State
To view the Summary of Benefits and Coverage (SBC) for each plan, please click on the deductible amount in the plan chart below.
A Uniform Glossary is available to help you understand the most common terms in healthcare. You may also obtain a free paper copy of the SBC or Uniform Glossary by contact Moda Health's individual sales and service team at 866-939-0368.
Rates Beneficial Plan - Preferred Provider Organization (PPO) |
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The Beneficial plan is best for those looking for a higher level of benefits and a lower total out-of-pocket cost. | ||
Deductible Choices | Office Visit | Pharmacy |
---|---|---|
$1,000 / $2,500 (individual) $3,000 / $7,500 (family) |
First 4 at $20 | $2 value, $15 generics, 50% brand/$250 brand name deductible |
Rates Essential Plan - Preferred Provider Organization (PPO) | ||
The Essential plan is suited to individuals shopping for a lower premium cost. | ||
Deductible Choices | Office Visit | Pharmacy |
---|---|---|
$7,500 / $10,000 (individual) $22,500 / $30,000 (family) |
35% | $2 value, $15 generics, 50% brand/$500 brand name deductible |
Rates Preferred Plan - Preferred Provider Organization (PPO) | ||
The Preferred plan is suited to individuals shopping for a lower premium cost. | ||
Deductible Choices | Office Visit | Pharmacy |
---|---|---|
$5,000 / $7,500 (individual) $15,000 / $22,500 (family) |
First 2 at 20% | $2 value, $15 generics, 50% brand/$500 brand name deductible |
Rates Health Savings Account (HSA) Choice | ||
HSA plans offer lower insurance premiums through a high deductible health plan coupled with a bank account in which you accumulate tax-advantaged savings through your contributions to pay for qualified medical expenses until your deductible is met. More about HSAs | ||
Deductible Choices | Office Visit | Pharmacy |
---|---|---|
$1,250 (individual) $2,500 (family) |
20% | 30% |
Rates Health Savings Account (HSA) Select | ||
The Preferred plan is suited to individuals shopping for a lower premium cost. | ||
Deductible Choices | Office Visit | Pharmacy |
---|---|---|
$2,800 (individual) $5,600 (family) |
50% | 50% |
Rates Health Savings Account (HSA) Value | ||
The Preferred plan is suited to individuals shopping for a lower premium cost. | ||
Deductible Choices | Office Visit | Pharmacy |
---|---|---|
$5,000 (individual) $10,000 (family) |
0% | 30% |
Moda Health offers two networks. With two options, you have can choose which network, the ODS Alaska Select network or the ODS+Providence Alaska network is best suited for you. You will be asked to make your network selection at the time of enrollment
As a Moda Health member, you get much more than just health coverage - you get the tools and resources you need to help you navigate your way to better health.
As a member of Moda Health, you have access to Member Dashboard, your personalized member website. Member Dashboard helps you manage your benefits so you get the most from your plan. With Member Dashboard, you can*:
Moda Health Be Better tools includes tools and individualized support to help you get well sooner and live well longer. Included as part of all Moda Health medical plans, Moda Health Be Better Tools is available through Member Dashboard, and includes:
This service helps you understand your symptoms and make informed health decisions. Email a specialized health professional at any time of day to get the answers you need. ODS eDoc gives you access to:
The ODS Registered Nurse Advice Line allows you to get answers and information about your health over the phone, day or night. Nurses can help you with basic health situations, such as:
Moda Health offers in-depth support programs for those dealing with chronic health conditions. You have access to tools and resources that help you maintain a healthy lifestyle. Individual health coaches provide you with one-on-one support. These specialized programs include:
If you are dealing with a serious illness or recovering from an accident, you have access to case managers who can help you navigate the complexities of the healthcare system. A Moda Health case manager can help:
Moda Health provides secure, online health education tools and information to help you better manage your health. Keep track of your progress by using the following tools:
Rates Premium (PPO) | ||
The Moda Health Premium plan is a comprehensive plan with a high level of benefits, including maternity and prescription coverage for both generic and brand name drugs. | ||
Deductible options | Office visit | Pharmacy |
---|---|---|
$1,500 | First 3 at $30 copay | $2 value tier, $10 select generic or 50% brand ($500 deductible for brand only) |
Rates Hybrid (PPO) | ||
The Moda Health Hybrid plan includes catastrophic coverage, which is ideal for individuals who want a mid-level deductible pared with affordable coverage. | ||
Deductible options | Office visit | Pharmacy |
---|---|---|
$2,500 $3,500 |
First 3 at $25 copay | Not covered |
Rates Basic (PPO) | ||
The Moda Health Basic plan is a great choice for those shopping for catastrophic coverage at a lower premium cost. | ||
Deductible options | Office visit | Pharmacy |
---|---|---|
$5,000 $7,500 |
First 3 at $35 copay | Not covered |
Rates HSA (PPO) | ||
The Moda Health HSA plan provides catastrophic coverage and offers lower premiums through a tax-advantaged and high-deductible health plan. | ||
Deductible options | Office visit | Pharmacy |
---|---|---|
$2,500 (individual) $5,000 (family) |
20% | Not covered |
If you have any questions about our individual medical plans, please call our Washington sales team toll-free at 866-939-0368.
If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service
If you can't find an answer, please feel free to contact our Customer Service
Check benefits, eligibility, incentive and utilization
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.
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
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