Our 2021 plans
Start shopping to see the plans available in your area and the rates that apply to you.
Plan Benefit Summaries
Here are the Summary of Benefits for each of our 2021 plans. These documents show the copayments and coinsurance for covered services—both in-network and out-of-network.
Oregon
Dental plans
Medical plans
Affinity Network
- Moda Health Affinity Oregon Standard Gold
- Moda Health Affinity Oregon Standard Gold CSV0
- Moda Health Affinity Oregon Standard Silver
- Moda Health Affinity Oregon Standard Silver CSV0
- Moda Health Affinity Oregon Standard Silver CSV1
- Moda Health Affinity Oregon Standard Silver CSV2
- Moda Health Affinity Oregon Standard Silver CSV3
- Moda Health Affinity Oregon Standard Bronze
- Moda Health Affinity Oregon Standard Bronze CSV0
- Moda Health Affinity Gold 250
- Moda Health Affinity Gold 250 CSV0
- Moda Health Affinity Gold 1000
- Moda Health Affinity Gold 1000 CSV0
- Moda Health Affinity Silver 3500
- Moda Health Affinity Silver 3500 CSV0
- Moda Health Affinity Silver 3500 CSV1
- Moda Health Affinity Silver 3500 CSV2
- Moda Health Affinity Silver 3500 CSV3
- Moda Health Affinity Bronze 7000
- Moda Health Affinity Bronze 7000 CSV0
- Moda Health Affinity Bronze HSA 6900
- Moda Health Affinity Bronze HSA 6900 CSV0
Beacon Network
- Moda Health Beacon Oregon Standard Gold
- Moda Health Beacon Oregon Standard Gold CSV0
- Moda Health Beacon Oregon Standard Silver
- Moda Health Beacon Oregon Standard Silver CSV0
- Moda Health Beacon Oregon Standard Silver CSV1
- Moda Health Beacon Oregon Standard Silver CSV2
- Moda Health Beacon Oregon Standard Silver CSV3
- Moda Health Beacon Oregon Standard Bronze
- Moda Health Beacon Oregon Standard Bronze CSV0
- Moda Health Beacon Gold 250
- Moda Health Beacon Gold 250 CSV0
- Moda Health Beacon Gold 1000
- Moda Health Beacon Gold 1000 CSV0
- Moda Health Beacon Gold 1500
- Moda Health Beacon Gold 1500 CSV0
- Moda Health Beacon Silver 3000
- Moda Health Beacon Silver 3000 CSV0
- Moda Health Beacon Silver 3000 CSV1
- Moda Health Beacon Silver 3000 CSV2
- Moda Health Beacon Silver 3000 CSV3
- Moda Health Beacon Silver 3500
- Moda Health Beacon Silver 3500 CSV0
- Moda Health Beacon Silver 3500 CSV1
- Moda Health Beacon Silver 3500 CSV2
- Moda Health Beacon Silver 3500 CSV3
- Moda Health Beacon Bronze 7000
- Moda Health Beacon Bronze 7000 CSV0
- Moda Health Beacon Bronze HSA 6900
Alaska
Dental plans
- Delta Dental PPOSM 1000 Plan
- Delta Dental PPOSM 1500 Plan
- Delta Dental Premier® Plan
- Delta Dental Premier® Healthy Smiles Plan
- Delta Dental Premier® Preventive Alaska Mandated Plan
Medical plans
Pioneer Network
- Moda Pioneer Gold 1500
- Moda Pioneer Gold 1500 CSV0
- Moda Pioneer Silver 4500
- Moda Pioneer Silver 4500 CSV0
- Moda Pioneer Silver 4500 CSV1
- Moda Pioneer Silver 4500 CSV2
- Moda Pioneer Silver 4500 CSV3
- Moda Pioneer Bronze 6500
- Moda Pioneer Bronze 6500 CSV0
- Moda Pioneer Bronze HDHP 5500
- Moda Pioneer Bronze HDHP 5500 CSV0