High-quality health plans made for you
As a public employee, you and your family deserve a plan that works hard for you - the Moda Synergy Moda Synergy health plan. And, NEW this year, we've expanded our Synergy Network to cover you all across Oregon. The network includes all existing Synergy providers plus all providers who were previously part of the Summit Network.
Choose a Moda Synergy health plan to enjoy:
- Medical and pharmacy benefits with providers across Oregon, and in Washington and Idaho
- PCP 360s to partner with you and be accountable for your health
- OHSU, Legacy Health and Adventist Health hospital systems, in network
- $10 copay for in-network specialist visits without the need for referrals
- Alternative care with a NEW massage benefit! Take advantage of our alternative care services for only a $10 copay.
- Medical $250 deductible per person
- Pharmacy benefits, including $0 copay for value medications and vaccines
- Cost-effective mail-order pharmacy options
Our medical plans also cover most routine, in-network preventive care at no cost to you. These services may include:
- Periodic health exams
- Well-baby care
- Women's annual exams
- Many immunizations and lab services
- Preventive cancer and other health screenings
No cost-sharing for chronic care office visits
Members with chronic conditions are covered at no cost-share. This means that members have no out-of-pocket costs when they see their chosen PCP 360 for the following chronic conditions:
- Asthma
- Heart conditions
- Cholesterol
- High blood pressure
- Diabetes
See medical plan details
Learn more about how our medical, dental and pharmacy plans work:
View more plan details >High-quality health plans made for you
As a public employee, you and your family deserve a plan that works hard for you — the Moda Synergy health plan. And, NEW this year, we've expanded our Synergy Network to cover you all across Oregon. The network includes all existing Synergy providers plus all providers who were previously part of the Summit Network.
Choose a Moda Synergy health plan to enjoy:
- Medical and pharmacy benefits with providers across Oregon, and in Washington and Idaho
- PCP 360s to partner with you and be accountable for your health
- OHSU, Legacy Health and Adventist Health hospital systems, in network
- $10 copay for in-network specialist visits without the need for referrals
- Alternative care with a NEW massage benefit! Take advantage of our alternative care services for only a $10 copay.
- Medical $250 deductible per person
- Pharmacy benefits, including $0 copay for value medications and vaccines
- Cost-effective mail-order pharmacy options
Our medical plans also cover most routine, in-network preventive care at no cost to you. These services may include:
- Periodic health exams
- Well-baby care
- Women's annual exams
- Many immunizations and lab services
- Preventive cancer and other health screenings
No cost-sharing for chronic care office visits
Members with chronic conditions are covered at no cost-share. This means that members have no out-of-pocket costs when they see their chosen PCP 360 for the following chronic conditions:
- Asthma
- Heart conditions
- Cholesterol
- High blood pressure
- Diabetes
See medical plan details
Learn more about how our medical, dental and pharmacy plans work:
View more plan details >Medical benefits for the whole you
As a Moda PEBB member, you can count on comprehensive, quality plans at a great value. Choose the 2018 Synergy or 2018 Summit plan, based on where you live. Each offers access to quality networks and care, through the nearby Moda medical home you select.
Medical plan highlights
- Better choice - Select your doctor from Moda's large networks. You can pick from thousands of quality providers across Oregon, Washington and Idaho. It's a freedom to care that can't be beat.
- Better price - You'll save more with Moda! You'll pay less or the same as your current plan - and other 2017 PEBB options. We even have plans with low or no premium share if you participate in the health engagement model (HEM) program! All our plans give you low out of pocket costs.
- Better access - Connect with top doctors in more places. With Moda's Medical Homes, you can access OHSU, Legacy Health, Salem Health and dozens more locations near you.
- Better care - Expect compassion here - like caring teams dedicated to your wellbeing. You'll also have handy tools to support your health journey. Whatever your needs, we're here to guide you.
- Better convenience - Enjoy an easier way to manage your benefits. With Moda, you get robust medical and Delta Dental Plan of Oregon dental plans together from one partner. That means integrated coverage for your whole body.
Lots of value you'll love
Synergy and Summit plans provide great benefits with low out-of-pocket costs. For example, full-time plans* give you:
- Free in-network preventive care, including labs and screenings
- $10 in-network specialist visits
- Doctors who connect with each other to coordinate your care
- Medical $250 deductible per person
- Pharmacy $50 deductible per person
- Pharmacy benefits, including $0 copay for value medications and vaccines
- Cost-effective mail-order pharmacy options
*Part-time Summit and Synergy plan benefits differ from the full-time plans.
Medical homes make care personal
Before using your plan, you'll pick a Moda Medical Home - the place you go for your primary care needs. Your primary care provider works together with you and the rest of your care team to provide the best treatments for you.
- Personalized care centered on you
- Faster, easier ways to find and access quality care
- Support in meeting your health goals
- Lower out-of-pocket costs with your Medical Home
Your Medical Home team may include your primary doctor and other medical, vision or pharmacy providers. It's a personal touch to your healthcare that can't be beat.
See medical plan details
Learn more about how our medical, dental and pharmacy plans work:
View more plan details >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.
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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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