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Moda Health PPO benefits

The Moda Health PPO plan features a number of valuable medical benefits designed to help you manage your health. Some of the highlights of this plan include:

  • Annual out-of-pocket maximum of $3,400 which includes both in- and out-of-network services
  • No deductible
  • Routine vision exam benefit once every two years
  • See any Medicare provider in- or out-of-network
  • Travel and visitor coverage for up to 12 months in the USA
  • Silver&Fit® Fitness Program
  • Worldwide coverage for emergency medical services

The Moda Health PPO Summary of Benefits tells you some features of our plan. You can compare Moda Health PPO and Moda Health PPORX (PPO) using this Summary of Benefits. The charts in this booklet list some important health benefits.

Our members receive all of the benefits that the Original Medicare plan offers. We also offer more benefits, which may change from year to year.

The Moda Health PPO Evidence of Coverage includes details about plan benefits, limitations, restrictions, the appeal and grievance process and other important information. You may also call Moda Health member services and ask for the "Evidence of Coverage" or more information about plan benefits.

Silver&Fit®
With the Silver&Fit® program, you may choose to work out in a fitness facility or in the comfort of your own home with access to home fitness kits (up to 2 kits per benefit year).

The Silver&Fit® Program is provided by American Specialty Health Fitness, Inc. (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit® is a registered trademark of ASH and used with permission herein. All programs and services may not be available in all areas.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

Last updated October 1, 2016
Y0115_WEB_2017A Approved

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Moda Health PPO benefits

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We're sorry, we don't currently offer Medicare plans in . View our plans in or use the dropdown at the top of the page to view Medicare plans in Oregon.

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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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