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Keep your dependents covered

Please note that there are no out-of-network benefits with an EPO plan except for medical emergency and pharmacy services, and some out-of-area children. Your healthcare provider and specialist must be in-network for the plan you choose or you will be responsible for the full cost of out-of-network services.

To be eligible to enroll, subscriber and dependents must reside in the Beacon Network service area. Children who live outside of Oregon may be covered if they are students age 18 to 26 or under a qualified medical child support order (QMCSO).

If a child lives outside of Oregon, please email, fax or mail the QMCSO or documentation of the child’s enrollment in an out-of-state school to

email: individualapp@modahealth.com

Fax: 503-219-3696

Mail: Membership Accounting, 601 SW Second Ave., Portland, OR 97204-3156.

The enrolled child will be eligible for out-of-area coverage on the first day of the month following the date documentation is received and the address is updated in Moda Health’s system.

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