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Eligible members must reside in the state of Oregon, and/or reside in specific service areas of the plan.
Individual Plans for Oregon
Moda Health offers a variety of plans for individuals and families
residing in Oregon who want choice, quality, and value
in their health insurance program. If you are already
enrolled, check your ID card to see what type of plan
you have. If you are interested in enrolling, Moda Health offers
the following types of individual medical and dental plans:
Apex Plan [More
The Apex plan is best for those looking for a higher level of benefits and a lower total out-of-pocket cost. The Apex plan includes services that can be accessed before the deductible, including preventive care, pharmacy services, unlimited doctor’s office or urgent care center visits, and alternative care.
Maximizer Plan [More
The Maximizer plan is ideal
for individuals who want broad
coverage for a range of services,
including pharmacy benefits.
The Maximizer includes a $20
co-payment for doctor office
visits, alternative care and urgent
Foundation Plan [More
Our Foundation plan is a great, low-cost option for individuals primarily needing catastrophic coverage in case of unforeseen and serious medical needs, while still providing preventive care benefits with the deductible waived.
HSA Value Plan [More
The Moda Health HSA Value Plan is their lower priced HSA eligible plan. Premiums
are very compelling and this plan features wellness
benefits that are not subject to the deductible...
Beneficial Value Plan [More
The Beneficial Value plan is
suited to individuals shopping for
a lower premium cost. The
Beneficial Value plan offers
catastrophic coverage and also
waives the deductible for
preventive care and the first three
office and alternative care visits
per plan year.
WellConnect Plan [More
Our WellConnect plan encourages members to engage in their own healthcare. Members who seek care within our Community Care Network (CCN) enjoy a higher benefit level and receive high-quality, individualized care from an interconnected group of providers. This plan also offers tiered access to the Moda Health Plus Network.
Individual Dental Plan [More Info]
Looking for a dental plan to add to your Moda Health individual
health benefit plan coverage? Our dental plan gives you
the freedom to choose your own dental professional with
no waiting period or deductible for preventive services.
Applicants must be approved by Moda Health underwriting. Effective dates are assigned by underwriting and are generally
the first day of the month following underwriting approval.
Members have the option to pay monthly by electronic checking account deduction,
monthly via billing statement subject to a $2.00 fee per month or quarterly
via a billing statement. Premium must be collected and sent in with the application.