Idaho health insurance
We've got plans for you!
Since 1955, we’ve been finding better ways for our members to access high-quality health plans to achieve better health and wellness. At Moda Health, you’ll find that we are much more than just a health insurance company. Our individual and family medical plans come with expert guidance, caring customer service and helpful wellness services, tools and programs that deliver better value and a better experience — all of which you can expect from us.
Moda Select Network
Our individual medical plans give you access to providers in the Moda Select Network. This network includes a group of licensed medical professionals, clinics, pharmacies, labs and hospitals in Idaho. These providers offer quality care and services to our individual members.
The Moda Select Network covers members residing in the following counties: Ada, Adams, Bannock, Bear Lake, Benewah, Bingham, Boise, Bonneville, Canyon, Caribou, Cassia, Elmore, Franklin, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Oneida, Owyhee, Payette, Power, Teton, and Washington.
Moda Select Network
Featured health systems in the Moda Select Network
You’ll receive the best care and value when you choose healthcare providers and services from the Moda Select Network, giving you access to trusted health partners in your area.
Treasure Valley
South Central Idaho
Southeast Idaho
Eastern Idaho
Northern Idaho
In-network providers
With the Moda Select Network, we’ve carefully selected a community of primary care providers (PCPs) and specialists to ensure you have better value and better care on your journey to better health.
See if your provider is in the Moda Select Network >
Pharmacy benefits
The Navitus Network includes access to over 93% of pharmacies in Idaho, plus almost 64,000 pharmacies nationwide. This means you can fill prescriptions almost anywhere, including local and national drug store chains.
Locate a pharmacy in the Navitus Network >
Travel with peace of mind
Our medical plans ensure you are covered when you travel anywhere in the United States and U.S. territories. While traveling outside of the service area you can receive full coverage care through these networks:
- Idaho counties outside the Moda Select network: Out of Network except for Urgent and Emergent care
- Alaska: Pioneer
- Oregon: Moda Select, Affinity
- Southwest Washington - Clark and Cowlitz counties: Moda Select, Affinity
- Washington (not Clark or Cowlitz counties): Aetna® PPO
- Other states: Aetna® PPO
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Enrollment type |
Enrollment dates |
Info |
|---|---|---|
|
Pre-shop |
Oct. 1, 2024 to Oct. 14, 2024 |
Browse plan details in advance of open enrollment. |
|
Open Enrollment |
Oct. 15, 2024 to Dec. 16, 2024 |
To change your medical plan outside of these dates, you’ll have to qualify for Special Enrollment. |
|
Special Enrollment |
Anytime depending on qualifying event(s) |
Certain life events might qualify you for Special Enrollment. This means you can enroll in a health plan outside of the annual Open Enrollment period. Here are a few of the qualifying events that could make you or those you cover eligible: |
Additional Resources
Go to the Your Health Idaho website to see if you qualify for lower cost premiums.
Impacted by Medicaid eligibility changes?
Medicaid redetermination is when the state checks to see if you still qualify for Medicaid. Paused during the COVID-19 pandemic, redetermination now takes place annually. If you no longer qualify for Medicaid because of a redetermination, you may find affordable coverage through a subsidized ACA Marketplace plan. Visit our Medicaid redetermination page to learn more and find your state Medicaid office.