Medicare plans

Welcome Moda Health Medicare members! These plans are designed with you in mind – to help you stay active and healthy as you enjoy the best years of your life.

2018 plans

We offer three Medicare Advantage plans:

Coverage determination and exception request (members and providers)
Use the link above to request a coverage determination and formulary exception request. This is a secure form and all member information is protected through this submission process.


Prescription drug redetermination request
Use the link above to request an appeal, or redetermination, of a denied service or coverage determination. This is a secure form and all member information is protected through this submission process.

Moda Health 2018 Medication Therapy Management Program (MTM)

  • Find out about the eligibility criteria and conditions for which MTM programs are available.

Complaints

  • The Centers for Medicare and Medicaid Services (CMS) developed an electronic complaint form that is available on Medicare.gov and the Medicare Beneficiary Ombudsman’s webpage. The following link Medicare Complaint Form will take you directly to the complaint form.

Getting care during a disaster

 

We only offer Medicare Supplement plans in Alaska. 2017 Medicare Supplement plans are available now. 2018 Medicare Supplement plans will be posted online by December.

Last updated October 1, 2017
Y0115_WEB_2018A Approved

2017 plans

We offer three Medicare Advantage plans:

Moda Health 2017 Medication Therapy Management Program (MTM)

  • Find out about the eligibility criteria and conditions for which MTM programs are available.

Complaints

  • The Centers for Medicare and Medicaid Services (CMS) developed an electronic complaint form that is available on Medicare.gov and the Medicare Beneficiary Ombudsman’s webpage. The following link Medicare Complaint Form will take you directly to the complaint form.

Getting care during a disaster

We only offer Medicare Supplement plans in Alaska. See our 2017 Medicare Supplement plans.

Last updated October 1, 2016
YY0115_WEB_2017A Approved

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.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

Hello.

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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