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Moda Health and Delta Dental of Oregon are making it easier to choose and use the right plan for you and your family. Our health plans give you better benefit choices, better care and our largest network - Connexus. Plus, you get our Moda 360 team of Health Navigators to connect you with the care, resources and programs that will work best for you.

2021-22 Plan information and materials - See what's new!

NEW! Pharmacy updates

We are changing our pharmacy benefits manager to Navitus on Oct. 1, 2021. This means:

  • New ID cards (to use on or after Oct. 1, 2021). Please share the following information with your pharmacy:
    • PCN: NVT
    • BIN: 610602
    • Rx group: OEBB
  • Changes to the prescription drug list
  • Changes to the pharmacy network
  • A new mail-order pharmacy option

Learn more about 2021-22 pharmacy updates

Moda 360 - your own enhanced member support team

Healthcare can be complicated. That's why we created Moda 360. Every time you call the Moda Health OEBB number on the back of your ID card, you will be connected to a Health Navigator. The Health Navigator will not only answer any questions you may have, but will also serve as your guide to connect you with the care, resources and programs that will work best for you. These include:

  • CirrusMD - text a doctor 24/7 at no cost to you
  • Meru Health - a specialized behavioral health app to support stress, depression and burnout
  • NEW Chat Feature: instantly message your Health Navigator team any questions you may have through your Member Dashboard
  • Effective 10/1/2021 - NEW! Members who have Moda Health and Delta Dental will receive combined medical and dental support from our Moda 360 Health Navigators.

Click here to learn more about Moda 360

Text a doctor

Get the CirrusMD app to connect with a doctor via text, 24/7 at no cost to you. No appointments necessary. Use the app to:

  • Ask urgent or general health questions
  • Message, share photos or video chat
  • Get peace of mind, even at 2 a.m.

Access CirrusMD here

Specialized behavioral health support

Help reduce stress, depression and everything in between with a 12-week therapy program offered through Meru Health. Enjoy:

  • Confidential access to a personal, remote therapist
  • Mindfulness and behavioral techniques that can be practiced anytime
  • Wearable biofeedback training to increase focus and manage stress

Access Meru Health here

Get enhanced benefits

All of our integrated plans come with a coordinated care and non-coordinated care option. If you choose coordinated care, you will receive a number of enhanced benefits such as:

  • Personalized care managed by a PCP 360
  • Lower individual deductible
  • Lower individual out-of-pocket maximum
  • Lower out-of-pocket costs for office visits, specialists and alternative care

Coordinated care (PCP 360)

With coordinated care, you will pick a PCP 360. A PCP 360 delivers full-circle care, coordinating your care with other providers, as needed. They are high quality primary care providers who are willing to partner with you and be accountable for your health.

Coverage wherever you go

Plus, our statewide Connexus Network of contracted providers and hospitals offers a broad selection of providers to make sure you stay covered wherever you go.

Search all in-network (Connexus) Providers

Plan summaries and presentations

COVID-19: What you need to know

If you are experiencing flu-like symptoms and need medical advice, we encourage you to call your doctor immediately or take one of the following actions at no cost share to you:

  • Text a doctor - Cirrus MD for telehealth services
  • Schedule a 2-way video conferencing visits with an in-network provider for primary care and urgent care services

Cost sharing is waived for COVID-19 vaccines.

Cost sharing is waived for COVID-19 testing needs, including:

  • A telehealth or in-person visit to be evaluated for COVID-19 testing
  • Provider office visit, urgent care center visit or emergency room visit to be tested for COVID-19
  • COVID-19 lab tests for all testing facilities
  • Serological antibody tests
  • This is applicable to in-network and out-of-network providers, facilities and laboratories. Members enrolled on a high deductible health plan (Medical Plans 6 or 7), the above services are also covered at no member cost share with the deductible waived

Member cost-sharing is also waived for the in-network treatment of COVID-19, both inpatient and outpatient, and FDA-approved medications administered inpatient for the treatment of COVID-19, for services received March 1, 2020 - December 31, 2021, or the end of the Federal Emergency Order, whichever comes first.

The Well - Our Seasonal Newsletter

We know you're busy, so we've kept it simple: Each edition of The Well is a quick read, with practical ideas to help you stay on the path to better health and clear information about your benefits, so you can make the most of your wellness journey. Think of us as your source for healthy inspiration, news and advice.

Questions?

We're here to help. Just email OEBBquestions@modahealth.com or call your Moda 360 Health Navigators:

Medical/Vision:
866-923-0409

Pharmacy:
866-923-0411

Dental:
866-923-0410

TTY users, please call 711

You can also chat with a Moda 360 Health Navigator by logging in to your Member Dashboard.

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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.

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