General benefits
- Are the medical, vision, pharmacy and dental benefit plans administered on a calendar-year basis or a plan-year basis?
-
All benefits, including medical, vision, pharmacy and dental plans, are administered on a plan-year basis. The plan year begins Oct. 1 and goes through Sept. 30.
- What are the benefits, copayments and out-of-network benefits for each plan?
-
Plan comparison documents with complete plan information are located on the plan summaries page.
- Are there any late enrollee penalties?
-
Members who do not enroll when originally eligible can only enroll during the annual open enrollment period, unless members experience a qualified status change. Members who do not enroll in the dental plan when originally eligible and later elect to enroll during open enrollment will be eligible for preventive services only for the first 12 months of coverage.
- Does OEBB or Moda Health require members to use their social security numbers as identification?
-
Members are not required to use their social security numbers as identification. OEBB will assign unique identification numbers. These numbers also are used by Moda Health. OEBB members should present their Moda Health ID cards when receiving services. Providers should bill Moda Health using the member’s unique ID number.
- When an OEBB member has dual OEBB coverage, does the deductible have to be satisfied or will it be picked up by the other plan?
-
The deductible still must be satisfied prior to any benefit reimbursement. Examples of how plans coordinate benefits can be found in the medical, pharmacy and dental sections.
We're sorry, this information is not available in . Please use the dropdown at the top of the page if you would like to view information for another state.
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:
Changing your location to Oregon
You can return to your previous location in the site header.