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Member care resources

Live well at any stage of life with Moda Health member care resources

Moda Health member care resources includes tools and individualized support to help you get well sooner and live well longer. Included as part of some Moda Health medical plans, Moda Health member care resources . Check your Member Dashboard to determine if your plan provides these services.

CirrusMD — Text a doctor

Enjoy fast and private access to a dedicated doctor in under a minute — at no cost to you (HDHP plans are subject to deductible). With the CirrusMD app, all you need is Internet access to:

  • Connect with a doctor via text, 24/7, without appointments or time limits
  • Ask urgent or general health questions
  • Message, share photos or video chat
  • Get peace of mind, even at 2 a.m.
  • Come back to conversations or follow up as often as you’d like

Moda Health members can sign up for CirrusMD at modahealth.com/cirrusmd or download the CirrusMD app from the App Store or Google Play.

 

Fitbit® personalized wellness program

Stay fit, healthy and connected with Fitbit. Individual and some Group Employer medical members get discounts on select fit bit devices. And you can join Fitbit Care™ for Moda Health to access Fitbit Premium and health coaching at no cost. From steps to sleep, you’ll gain valuable insights into how your behaviors affect your health. Plus, you’ll get the tools you need to help kickstart your wellbeing journey. You’ll enjoy:

  • 1:1 personalized support from a certified health coach
  • Access to thousands of dynamic workouts that can be adapted to create the ideal program for you
  • Fitness challenges to complete on your own or with others
  • Guided programs to help you move more, sleep better and eat well. These programs are customizable, based on your goals and schedule.
  • Personalized insights to help improve your health, based on your exercise, heart rate and sleep
  • Advanced sleep tools to boost your energy

Care coordination

Care coordination registered nurses work directly with facilities and providers to facilitate preauthorization of scheduled procedures, inpatient stays, and follow–up care as needed for members during urgent or emergent admissions. During the time a member is receiving care or is hospitalized, care coordination nurses may refer them to a case management nurse if they require additional assistance and coordination for complex or catastrophic conditions.

The hospital calls Moda Health to notify us of all urgent/emergent hospital admissions within 48 hours, or as soon as possible.

Case management

Case management is a voluntary service for members experiencing complex conditions or catastrophic events and need assistance from a case management registered nurse or behavioral health specialist. Case managers can help by working with members and their families as patient advocates to:

  • Explain and maximize available benefits
  • Communicate with providers
  • Work with the facility case managers to coordinate discharge plans
  • Contact patients at home to confirm and support the provider’s treatment plan
  • Connect members with community resources

If you want to make a referral to case management, please call Moda Health Healthcare Services case management at 503–948–5561 or toll–free at 800–592–8283. You can also email casemgmtrefer@modahealth.com, fax a referral to 503–243–5105 or complete and submit our online referral form.

A member can self-refer to case management or be referred by a family member, caregiver, provider or facility staff. To make a referral, you’ll be asked to provide the following information:

  • Member name and ID number (this can be found on the member’s Moda Health ID card)
  • Contact name and number
  • Reason for the referral

Once a referral is received, a case manager will evaluate the member’s situation and contact the member within five (5) business days.

IDX™ Identity protection

As your partner in health, we're here to help you be better and stay protected. For individual members, we're offering complete identity protection through IDX Identity at no extra cost to you. Medical identity theft is one of the fastest growing crimes in America. In addition to financial data, sensitive personal information can be used for profit. We want to help keep you and your data secure. There is a new identity theft victim every two seconds.

IDX Identity is the only identity protection service that includes MIDAS™ technology to monitor health claims. Like credit monitoring for healthcare, MIDAS helps you spot false claims early and investigates fraud or theft before it can cause you or your family harm.
Enjoy peace of mind with the best possible care and the highest level of identity theft protection. If you currently have a MIDAS account, simply re-enroll in IDX Identity for full financial and medical monitoring.

How it works
IDX Identity constantly scans to detect suspicious activity related to your identity.

  • Any change triggers an alert notification so you can take action right away.
  • Access all your monitoring in one convenient app:
  • Single-bureau credit monitoring
  • MIDAS health claims monitoring
  • CyberScan™ dark web monitoring
  • Social Security Number trace
  • Change in address
  • Court records and payday loans

Just log in to Member Dashboard and follow the links to IDX Identity.

Health coaching

Moda Health offers in–depth support programs for those dealing with chronic health conditions. You have access to tools and resources that help you maintain a healthy lifestyle. Individual health coaches provide you with one–on–one support. These specialized programs include:

  • Cardiac care
  • Depression care
  • Diabetes care
  • Lifestyle coaching
  • Women’s health and maternity care
  • Respiratory care
  • Spine and joint care

Momentum healthy living portal

Take charge of your health — and follow your progress. It's easy with Momentum, Moda Health's interactive wellness tool. Use it on Member Dashboard to find your way to a healthier you. Keep better tabs on your health with Momentum! This secure healthy-living platform lets you identify health risks, set goals and see improvements. Log in 24/7 to:

  • Take a health assessment and learn your "health age"
  • Set wellness goals and track your progress
  • Access the Health Shelf to read wellness articles and research symptoms or conditions

Active&Fit Direct™ - Discounted gym membership

Stay active in the gym or at home. With the Active&Fit Direct™ program, you have access to:

  • 16,000+ fitness centers across the country
  • The option to switch fitness centers to make sure you find the right one
  • 5,500+ digital workout videos so you can work out at home or on-the-go
  • The option to purchase a membership for a spouse or domestic partner

ChooseHealthy™

Access to these health and wellness services from ChooseHealthy:

  • Discounts of up to 55% on popular health and fitness brands, including Garmin®, Vitamix®, PRO Compression® and Fitbit®
  • Savings of up to 25% on services including acupuncture, chiropractic, and therapeutic massage. Members will need to see providers who are in the ChooseHealthy network. If you have a plan that includes alternative care benefits, you will need to exhaust those benefits before you can use ChooseHealthy for alternative care.
  • Access to no-cost online health classes

 

Prescription price check

See prescription medication costs and how much you would pay by medication tier at an in-network pharmacy. This tool makes it easy. Simply log in to your Member Dashboard to find medication cost estimates and generic options.

TruHearing

Hearing aids are costly. Using TruHearing makes them more affordable. Eligible members can get a routine hearing aid exam and hearing aids through TruHearing. To schedule an appointment, please call 866-202-2170.

Individual Assistance Program (IAP) 

Powered by Canopy, the Moda Health IAP is a free and confidential service that can assist you and your eligible family members with a variety of personal concerns including:

  • Marital conflict
  • Conflict at work
  • Depression or anxiety
  • Stress management
  • Family relationships
  • Financial/legal/consumer concerns
  • Alcohol or drug abuse

IAP professional counselors can help you identify problems, establish goals, make recommendations, and develop an action plan.

Employee Assistance Program (EAP)

If you have coverage through your employer, you may have access to EAP. Powered by Canopy, the Moda Health EAP is a free and confidential service that can assist you and your eligible family members with a variety of personal concerns including:

  • Marital conflict
  • Conflict at work
  • Depression or anxiety
  • Stress management
  • Family relationships
  • Financial/legal/consumer concerns
  • Alcohol or drug abuse

EAP professional counselors can help you identify problems, establish goals, make recommendations, and develop an action plan.

Travel Assist

Need help more than 100 miles from home? Call Assist America® for emergency medical assistance and much more:

  • Medical consultations
  • Foreign hospital admission help
  • Prescription assistance

Learn more at assistamerica.com. For more information, call 800-304-4585.

 

 


Questions?

Medical Customer Service is at 844-931-1779.

We're available 6:00 a.m. to 6:00 p.m. Monday through Friday, 9:00 a.m. to Noon Saturday, Sunday, and Holidays (Central Time).

See more contact details

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