Medical coverage just for you
Moda Health offers evidence-based, cost-effective medical plans to people throughout Washington. When you choose Moda Health, you choose much more than a health plan: you partner with people who are passionate about helping you get well sooner and live well longer.
Moda Health medical plans give members flexibility and support for a range of healthcare needs.
Member benefits
As a member of Moda Health, your member benefits go beyond what you've come to expect from standard health coverage. You have access to the tools, resources and individual support you need to navigate your way to better health.
Our team of healthcare professionals and health coaching programs are part of Moda Health's ongoing commitment to improve the quality of care we deliver to you throughout your health journey.
Extensive provider network
All Moda Health medical plans are designed to give members the freedom to see any licensed provider they choose. To make healthcare easy and convenient to you, we are proud to offer you the First Choice Health PPO Washington network and the ODS Plus network. These two expansive networks give you broad physician choice and geographic coverage so you know the care you need is never far away. When using a Moda Health preferred provider, members receive quality medical care and the highest benefits. A lower level of benefit may apply when seeing an out-of-network provider.
Individual pharmacy plans
Washington individuals and their families enrolled in the Moda Health PPO Premium plan are automatically issued the Moda Health Rx plan. This medical pharmacy plan includes maternity and prescription coverage for both generic and brand name drugs. With over 95 percent of pharmacies throughout the state of Washington, the Moda Health standard pharmacy network gives individuals greater access to their prescription needs. To locate a pharmacy near you, go to Find Care and click "Search as a guest". All other plans are enrolled in the Washington Prescription Drug Program (WPDP).
All Moda Health Washington residents receive an Rx discount card through the WPDP. This free program offers discounts on prescription drugs not covered under members' medical plans. All prescription drugs are eligible for a discount: members must pay the cost in full after the discount is applied.
For more information, download the individual and family plans brochure. If you have further questions, please take a look at our FAQ pages. Some limitations and exclusions apply to Moda Health medical plans.
If you have any questions about our individual medical plans, please call our Washington sales team toll-free at 866-939-0368.
