Moda Health group plans
If you have Moda Health care coverage through your employer, you and your family may have access to medical, dental, pharmacy and vision benefits based on your employer's offerings. To determine which benefits you have and to access details of coverage and usage, log in Member Dashboard, your personal member website. Another useful resource to find participating providers is our provider search tool, Find Care. Please have your member ID number handy before starting your search.
Group sites
Healthy support, online
Member Dashboard
Member Dashboard, our personalized member website, puts you in the driver's seat of your pharmacy care. You'll love everything you can do at Member Dashboard - see your prescription history, check medication costs, find a pharmacy, review claims and more. This tool helps you make the most of your pharmaceutical care.
You can log in to Member Dashboard to learn more about your medical and dental plan benefits.
Member care resources
Our member care resources come with every plan and are easy to find at Member Dashboard. These resources and personal support give you that extra nudge toward better health. Based on your plan, you can access health coaching, nursing advice, text with a doctor, wellness tracking tools and more. Tap in to live well at every stage of your life.
Medical benefits
As a member, you'll enjoy a diverse provider network, friendly customer service representatives, and our Member care resources tools to help you stay healthy. You can access all of these from Member Dashboard.
Each Moda Health medical plan covers 100 percent of in-network preventive care, including women's annual exams, well-baby care, routine physicals and immunizations.
Dental benefits
Healthy teeth are happy teeth. With our individual and family dental coverage, you'll have access to Delta Dental, the nation's largest dental network. Your smile will thank you, wherever you roam. You can access all of these from Member Dashboard.
When you need a dentist, just tap into the extensive Delta Dental Network for care, near or far. Delta Dental plans have participating providers who will not charge more than your plan's allowed amount.
Pharmacy
Preferred drug program
This program uses tiers to provide the right prescriptions at the right prices. You and your provider can choose between preventive, value, select, preferred, non-preferred, preferred specialty or non-preferred specialty tier drugs. Each tier has a different copay or coinsurance amount, based on your benefit. Please see your member handbook for specific copay or coinsurance amounts for each tier
Pharmacy benefits, and then some
Pharmacy network
Navitus network
The Navitus Network includes access to over 95% of pharmacies in Oregon, plus more than 65,000 pharmacies nationwide. This means you can fill prescriptions almost anywhere, including these local and national drug store chains:
- Costco
- CVS
- Fred Meyer
- Rite Aid
- Safeway and Albertsons
- Walgreens
- Walmart
Locate a pharmacy in the Navitus network
ArrayRx, formerly the Northwest Prescription Drug Consortium
Locate a pharmacy in the ArrayRx, formerly NW Prescription Drug Consortium, Core network
Locate a pharmacy in the ArrayRx, formerly Prescription Drug Consortium, Broad network
Mail-order services
If you have a chronic health condition, our mail-order services may be for you. This program is open to members who require ongoing treatment for conditions like high blood pressure, asthma or diabetes.
If your plan allows, you can order up to a 90-day supply of medication. To get started, contact either:
- Costco Mail Order at 800-607-6851 or visit the Costco website
- Postal Prescription Services (PPS) at 800-552-6694 or visit the PPS website.
Health support, online
Member Dashboard
Members have access to the Member Dashboard, our personalized member website. The Member Dashboard can be used for the following:
- Checking medication costs
- Viewing prescription history
- Finding in-network pharmacies
- Reviewing drug interactions
You can access the dashboard at modahealth.com/memberdashboard >
Formularies and medication tiers
Group plans
Search our formulary to see medications by tier and coverage level.
- Prescription drug list for Large Group
- Preferred Drug List - interactive tool for plans coverage details
If unsure which documents apply to you, please contact Pharmacy Services at 888-361-1610.
Questions?
If you want to know about your plan
To learn more about Moda Health pharmacy benefits, including formularies and medication tiers, please visit the Member Dashboard or contact Moda Health Pharmacy Customer Service at 503-243-3960 or toll-free at 888-361-1610.
Vision benefits
To verify if your plan includes vision, log in to Member Dashboard for details.
Medical benefits
As a member, you'll enjoy a diverse provider network, friendly customer service representatives, and our member care resources to help you stay healthy. You can access all of these from Member Dashboard.
Each Moda Health medical plan covers 100 percent of in-network preventive care, including women's annual exams, well-baby care, routine physicals and immunizations.
Dental benefits
Healthy teeth are happy teeth. With our individual and family dental coverage, you'll have access to Delta Dental, the nation's largest dental network. Your smile will thank you, wherever you roam. You can access all of these from Member Dashboard.
When you need a dentist, just tap into the extensive Delta Dental Network for care, near or far. Delta Dental plans have participating providers who will not charge more than your plan's allowed amount.
Pharmacy
Preferred drug program
This program uses tiers to provide the right prescriptions at the right prices. You and your provider can choose between value, select, preferred, non-preferred, preferred specialty or non-preferred specialty tier drugs. Each tier has a different copay or coinsurance amount, based on your benefit.
Pharmacy benefits, and then some
Pharmacy network
Navitus network
The Navitus Network includes access to over 90% of pharmacies in Alaska, plus more than 65,000 pharmacies nationwide. This means you can fill prescriptions almost anywhere, including these local and national drug store chains:
- Carrs
- Costco
- CVS
- Fred Meyer
- Walgreens
- Walmart
Locate a pharmacy in the Navitus network >
Mail-order services
If you have a chronic health condition, our mail-order services may be for you. This program is open to members who require ongoing treatment for conditions like high blood pressure, asthma or diabetes.
If your plan allows, you can order up to a 90-day supply of medication. To get started, just visit one of these pharmacies online or call for more information.
Postal Prescription Services (PPS)
Contact Postal Prescription Services (PPS) at 800-552-6694 or visit the PPS website.
Costco Mail Order Pharmacy
Contact Costco Mail Order Pharmacy at 800-607-6861 or visit the Costco home delivery website.
Health support, online
Member Dashboard
Members have access to the Member Dashboard, our personalized member website. You will love everything they can do at Member Dashboard, including:
- Checking medication costs
- Viewing prescription history
- Finding in-network pharmacies
- Reviewing drug interactions
You can access the dashboard at modahealth.com/memberdashboard >
Formularies and medication tiers
Group plans using the Navitus pharmacy network
For group plans that use the Navitus Network, search our formulary to see medications by tier and coverage level.
- Prescription drug list for Large Group
- Preferred Drug List - interactive tool for plans coverage details
If unsure which documents apply to you, please contact Pharmacy Services at 844-235-8017.
Questions?
If you want to know about your plan
To learn more about Moda Health pharmacy benefits, including formularies and medication tiers, please visit the Member Dashboard or contact Moda Health Pharmacy Customer Service toll-free at 844-235-8017.
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, eligibility, incentive and utilization
Rate finder is now in the Producer Dashboard
Log in with your current username and password to create quotes for groups up to 50.
Producer DashboardLog in
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:
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