Moda Health Plan, Inc. has made the difficult decision to discontinue all individual Medicare Advantage plans. Beginning January 1, 2025, Moda will no longer be offering Medicare Advantage plans in the state of Oregon. 2024 Moda plans can be applied for through November 30, 2024, on Medicare.gov, but will end on December 31, 2024.
For Medicare Advantage member support for 2024 plans, see our member support page.
We have greatly valued the trust placed in us to provide health insurance to Medicare beneficiaries within our community.
If you are already a member, you can use your Member Dashboard to access plan materials, review claims and much more Log in to your Member Dashboard >
Have questions or need help? Contact us.
We offer Medicare Supplement Plans A, F, High-deductible F, G, High-deductible G and N. Below is a breakdown of the basic benefits covered by all plans and additional benefits that are plan-specific. For more detailed information about these plans and rates, see our Medicare Supplement brochure. Medicare Supplement brochure.
We also offer individual dental plans. individual dental plans.
If you have questions about our plans or would like to request a free Moda Health Medicare Supplement enrollment packet, please call us toll-free at 855-718-1767 or send us an email.
Once you are ready to enroll, you have two options to apply:
Upon your digital signature, the application will be sent to us directly. You may want to save a copy for your records.
Learn more about our Medicare Supplement plans:
You have access to the TruHearing program, which provides discounts on hearing aids. These services are a complement to the Medicare Supplement plan, but are not insurance. They may not be available in all areas and may be changed or discontinued at any time.
These additional services are a complement to the Medicare Supplement plan, but are not insurance. They may not be available in all areas and may be discontinued at any time.
It is important to us to provide you with the best health plans possible, matched by the best customer service possible. That's why we've added extra benefits for added convenience:
You can apply for coverage if you live in Alaska, are 65 or older as of the date your policy is effective and are enrolled in Medicare Part A and B. For more information regarding eligibility periods and conditions for enrollment, please download the Moda Health Medicare Supplement brochure and paper application for a complete description or contact us for qualifications review.
If you apply during an open enrollment period (within six months of becoming eligible for Part B), your coverage will start the first of the month following the date we receive your application. If you do not apply during an open enrollment period, we will notify you of the date coverage will begin after your application is approved.
If you transfer directly to a Moda Health Medicare Supplement plan from a Medicare Advantage, a Medicare Supplement (Medigap) policy or other coverage, we will credit month for month the amount of time you were enrolled under one of those plans. If you were enrolled for six or more months, you will not have a six-month pre-existing waiting period.
For our individual and family dental plans, there are exclusion periods on Class 2 and Class 3 services. These exclusion periods may be waived with 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the expected effective date of the new policy. Please see the dental benefit descriptions for more details on benefits with exclusion periods.
As a member of a Moda Health Medicare Supplement plan, you are free to choose any licensed doctor or provider for your healthcare needs.
Should you seek care from a doctor or provider who has not accepted Medicare assignment, you will be responsible for paying the difference between what Medicare pays and the maximum amount the doctor or provider can charge Medicare patients for covered services. However, using Medicare-assigned doctors and providers can reduce those out-of-pocket expenses.
Medicare Supplement plans do not offer benefits for prescription drugs. People who want to add prescription drug coverage to their plan will need to purchase a stand-alone Prescription Drug Plan (PDP). Moda Health does not offer a stand-alone PDP. For information on the stand-alone PDPs available in your area, please visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227).
For an additional premium, Moda Health provides Medicare Supplement plan members the opportunity to enroll in one of our individual dental plans. See also dental plans we offer.
Send claims to:
Moda Health Plan, Inc.
Attn: Medicare Supplement
P.O. Box 40384
Portland, OR 97240-0384
Please include the following information:
If the treatment is for an accidental injury, include a statement with the date, time, place and circumstances of the accident when you send us the physician or professional provider's bill.
For Plans F, High-deductible F, G, High-deductible G and N, if you received emergent or urgent care out of the country, submit the same information indicated above to the address listed along with the following additional information in order to receive reimbursement for the expense:
We offer Medicare Supplement Plans A, F, High-deductible F, G, High-deductible G and N. The following is a breakdown of the basic benefits covered by all plans and additional benefits that are plan-specific.
All of our Medicare Supplement plans offer basic benefits that help pay for Medicare-eligible hospital and physician expenses.
A summary of each plan is listed below. For more detailed information about these plans and rates, see our Medicare Supplement brochure. If you are ready to enroll, you can also download our application.
If you have questions about our plans or would like to request a free Moda Health Medicare Supplement enrollment packet, please call us toll-free at 855-718-1767. You can also send us an email with your questions or request for more information.
We also offer individual dental plans.
Learn more about our Medicare Supplement plans:
Plan A
It is important to us to provide you with the best health plans possible, matched by the best customer service possible. That's why we've added extra benefits for added convenience:
Am I eligible?
You can apply for coverage if you live in Oregon and are enrolled in Medicare Part A and B. This includes individuals who are under age 65 and are enrolled in Medicare because of disability. For more information regarding eligibility periods and conditions for enrollment, please download the Moda Health Medicare Supplement brochure and application for a complete description or contact us for qualifications review.
When does coverage begin?
If you apply during an open enrollment period (within six months of becoming eligible for Part B), your coverage will start the first of the month following the date we receive your application. If you do not apply during an open enrollment period, we will notify you of the date coverage will begin after your application is approved.
Is there a waiting or an exclusion period?
If you transfer directly to a Moda Health Medicare Supplement plan from a Medicare Advantage, a Medicare Supplement (Medigap) policy or other coverage, we will credit month for month the amount of time you were enrolled under one of those plans. If you were enrolled for six or more months, you will not have a six-month pre-existing waiting period.
For our individual and family dental plans, there are exclusion periods on Class 2 and Class 3 services. These exclusion periods may be waived with 12 continuous months of prior dental coverage from a comparable plan with no more than a 90-day break in coverage from the end of the old policy to the expected effective date of the new policy. Please see the dental benefit descriptions for more details on benefits with exclusion periods.
Can I see the doctors I want if I enroll in a Moda Health Medicare Supplement plan?
As a member of a Moda Health Medicare Supplement plan, you are free to choose any licensed doctor or provider for your healthcare needs.
Should you seek care from a doctor or provider who has not accepted Medicare assignment, you will be responsible for paying the difference between what Medicare pays and the maximum amount the doctor or provider can charge Medicare patients for covered services. However, using Medicare-assigned doctors and providers can reduce those out-of-pocket expenses.
Are there prescription benefits available in my Moda Health Medicare Supplement plan?
Medicare Supplement plans do not offer benefits for prescription drugs. People who want to add prescription drug coverage to their plan will need to purchase a stand-alone Prescription Drug Plan (PDP). Moda Health does not offer a stand-alone PDP. For information on the stand-alone PDPs available in your area, please visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227).
Are there dental benefits available in my Moda Health Medicare Supplement plan?
For an additional premium, Moda Health provides Medicare Supplement plan members the opportunity to enroll in one of our individual dental plans with Delta Dental of Oregon.
What is the address for filing a claim?
Send claims to:
Moda Health Plan, Inc.
Attn: Medicare Supplement
P.O. Box 40384
Portland, OR 97240-0384
Please include the following information:
If the treatment is for an accidental injury, include a statement with the date, time, place and circumstances of the accident when you send us the physician or professional provider's bill.
For Plans F, High-deductible F, G, High-deductible G and N, if you received emergent or urgent care out of the country, submit the same information indicated above to the address listed along with the following additional information in order to receive reimbursement for the expense:
If you have questions about our plans or would like to request a free Moda Health Medicare Supplement enrollment packet, please call us toll-free at 855-718-1767. You can also send us an email with your questions or request for more information.
If you have reviewed our Medicare Supplement plans and rates, listed in our brochure and you are ready to enroll, you can also download our application, complete, sign and send it to us at:
Mail:
Moda Health Plan, Inc.
Attn: Medicare Membership Accounting
P.O. Box 40384
Portland, OR 97240-0384
Fax:
Fax a copy of your completed and signed application to 503-224-1975
Email:
Email a scanned copy of your completed and signed application to bemc@modahealth.com.
We offer Medicare Supplement Plans A, F, High-deductible F, G, High-deductible G and N. The following is a breakdown of the basic benefits covered by all plans and additional benefits that are plan-specific.
All of our Medicare Supplement plans offer basic benefits that help pay for Medicare-eligible hospital and physician expenses.
A summary of each plan is listed below. For more detailed information about these plans and rates, download our brochure. If you are ready to enroll, you can also download our application.
If you have questions about our plans or would like to request a free Moda Health Medicare Supplement enrollment packet, please call us toll-free at 855-718-1767. You can also send us an email with your questions or request for more information.
We also offer individual dental plans.
Learn more about our Medicare Supplement plans:
You have access to the TruHearing program, which provides discounts on hearing aids. These services are a complement to the Medicare Supplement plan, but are not insurance. They may not be available in all areas and may be changed or discontinued at any time.
These additional services are a complement to the Medicare Supplement plan, but are not insurance. They may not be available in all areas and may be discontinued at any time.
It is important to us to provide you with the best health plans possible, matched by the best customer service possible. That's why we've added extra benefits for added convenience:
You can apply for coverage if you live in Alaska, are 65 or older as of the date your policy is effective and are enrolled in Medicare Part A and B. For more information regarding eligibility periods and conditions for enrollment, please download the Moda Health Medicare Supplement brochure and application for a complete description or contact us for qualifications review.
If you apply during an open enrollment period (within six months of becoming eligible for Part B), your coverage will start the first of the month following the date we receive your application. If you do not apply during an open enrollment period, we will notify you of the date coverage will begin after your application is approved.
If you transfer directly to a Moda Health Medicare Supplement plan from a Medicare Advantage, a Medicare Supplement (Medigap) policy or other coverage, we will credit month for month the amount of time you were enrolled under one of those plans. If you were enrolled for six or more months, you will not have a six-month pre-existing waiting period.
For our individual and family dental plans, there are exclusion periods on Class 2 and Class 3 services. These exclusion periods may be waived with 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the expected effective date of the new policy. Please see the dental benefit descriptions for more details on benefits with exclusion periods.
As a member of a Moda Health Medicare Supplement plan, you are free to choose any licensed doctor or provider for your healthcare needs.
Should you seek care from a doctor or provider who has not accepted Medicare assignment, you will be responsible for paying the difference between what Medicare pays and the maximum amount the doctor or provider can charge Medicare patients for covered services. However, using Medicare-assigned doctors and providers can reduce those out-of-pocket expenses.
Medicare Supplement plans do not offer benefits for prescription drugs. People who want to add prescription drug coverage to their plan will need to purchase a stand-alone Prescription Drug Plan (PDP). Moda Health does not offer a stand-alone PDP. For information on the stand-alone PDPs available in your area, please visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227).
Moda Health provides Medicare Supplement plan members the opportunity to enroll in one of our individual dental plans. See also dental plans we offer.
Send claims to:
Moda Health Plan, Inc.
Attn: Medicare Supplement
P.O. Box 40384
Portland, OR 97240-0384
Please include the following information:
If the treatment is for an accidental injury, include a statement with the date, time, place and circumstances of the accident when you send us the physician or professional provider's bill.
For Plans F, High-deductible F, G, High-deductible G and N, if you received emergent or urgent care out of the country, submit the same information indicated above to the address listed along with the following additional information in order to receive reimbursement for the expense:
If you have questions about our plans or would like to request a free Moda Health Medicare Supplement enrollment packet, please call us toll-free at 855-718-1767. You can also send us an email with your questions or request for more information.
If you have reviewed our Medicare Supplement plans and rates, listed in our brochure and you are ready to enroll, you can also download our application, complete, sign and send it to us at:
Mail:
Moda Health Plan, Inc.
Attn: Medicare Membership Accounting
P.O. Box 40384
Portland, OR 97240-0384
Fax:
Fax a copy of your completed and signed application to 503-224-1975
Email:
Email a scanned copy of your completed and signed application to bemc@modahealth.com.
To learn more about our individual dental plans go to DeltaDentalAK.com.
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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:
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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