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

Moda Health PPO provider network

The Moda Health Medicare Advantage provider network is a network of doctors, specialists and hospitals. You may use any provider who is part of our network. You many also get care from out-of-network providers, however it may cost more. You must use Medicare providers, except in emergency situations. Moda Health PPO does not require that you obtain a referral to get specialty care. The provider network may change at any time. You will receive notice when necessary.

To find a Moda Health Medicare Advantage network provider, you can search our online directory, Find Care. When searching Find Care for network providers, be sure to select the Medicare Advantage network.

If you would like to request a printed version of our provider directories, you can do so by sending an email to MedicalMedicare@modahealth.com and we will send you a hard copy. Or, if you prefer to download a printable version yourself, click on the provider directory links below. Due to the size of our network, the printable directories are separated into four books based on Oregon geographical regions:

You may also contact member services at 1-877-299-9062 (TTY users call 711) seven days a week, from 7 a.m. to 8 p.m. Pacific Time, with any questions regarding our Medicare Advantage network or help finding a network provider.

Prior Authorization

Prior authorization is approval in advance to get services.  Some in-network medical services are covered only if your provider gets prior authorization from our plan. You do not need prior authorization to obtain out-of-network services or emergency services. Covered services that need prior authorization are listed in the Benefits Chart in your Evidence of Coverage.

Your provider can call Moda Health Healthcare Services at 1-800-592-8283 or fax a prior authorization request form to 1-855-637-2666.  Moda Health Healthcare Services hours of operation are from 7 a.m. to 4:30 p.m. Pacific Time, Monday through Friday. (TTY users call 711).

Last updated October 1, 2017
Y0115_WEB_2018A 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.

Moda Health PPO provider network

The Moda Health Medicare Advantage provider network is a network of doctors, specialists and hospitals. You may use any provider who is part of our network. You many also get care from out-of-network providers, however it may cost more. You must use Medicare providers, except in emergency situations. Moda Health PPO does not require that you obtain a referral to get specialty care. The provider network may change at any time. You will receive notice when necessary.

To find a Moda Health Medicare Advantage network provider, you can search our online directory, Find Care. When searching Find Care for network providers, be sure to select the Medicare Advantage network.

If you would like to request a printed version of our provider directories, you can do so by sending an email to MedicalMedicare@modahealth.com and we will send you a hard copy. Or, if you prefer to download a printable version yourself, click on the provider directory links below. Due to the size of our network, the printable directories are separated into four books based on Oregon geographical regions:

You may also contact member services at 1-877-299-9062 (TTY users call 711) seven days a week, from 7 a.m. to 8 p.m. Pacific Time, with any questions regarding our Medicare Advantage network or help finding a network provider.

Prior Authorization

Prior authorization is approval in advance to get services.  Some in-network medical services are covered only if your provider gets prior authorization from our plan. You do not need prior authorization to obtain out-of-network services or emergency services. Covered services that need prior authorization are listed in the Benefits Chart in your Evidence of Coverage.

Your provider can call Moda Health Healthcare Services at 1-800-592-8283 or fax a prior authorization request form to 1-855-637-2666.  Moda Health Healthcare Services hours of operation are from 7 a.m. to 4:30 p.m. Pacific Time, Monday through Friday. (TTY users call 711).

Last updated October 1, 2016
Y0115_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.

Moda Health Provider Network

Find a physician, pharmacy or clinic

Opt in for medical

Tell us you're interested and we'll be in touch with details.

Get Started  Get Started

Questions?

If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service

Questions?

If you can't find an answer, please feel free to contact our Customer Service

Employer web tools

Benefit Tracker

Check benefits and eligibility

Log in

Account help

Request an account

Provider Reports

For value-based provider programs, including Synergy, Summit, Beacon, Affinity, CPC+, and EOCCO

Log in

Join our email list


Benefit Tracker

Check benefits, eligibility, incentive and utilization

Log In

Account help

Create an account

Producer web tools


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:

Changing your location to Oregon

You can return to your previous location in the site header.