Oregon health insurance
We’ve got plans for you!
At Moda Health, we’re more than just a health insurance company. Since 1955, we’ve been finding better ways for Oregonians to access high-quality health plans to achieve better health and wellness. Our medical and dental 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.
Jump to: Dental plans
Affinity Network
You have a lot to think about when choosing the right health benefits for you and your family. Our exclusive provider organization (EPO) plans give you access to quality medical services, including clinics, labs and hospitals. We’ll also help you connect with a primary care provider (PCP) and work closely with the rest of your care team. We’re here to support your health journey.
The Affinity Network covers members residing in Oregon.
Moda Affinity Network
Featured health systems in the Affinity Network
You’ll receive the best care and value when you choose healthcare providers and services from the Affinity Network. This network features the following health systems, along with other local providers:
- Adventist Health Portland (OHSU Health partner)
- Asante Health System
- Bay Area Hospital
- Blue Mountain Hospital
- CHI - St. Anthony Hospital
- Columbia Memorial Hospital
- Curry General Hospital
- Good Shepherd
- Grande Ronde Hospital
- Harney District Hospital
- Hillsboro Medical Center (OHSU Health Partner)
- Kadlec Regional Medical Center
- Lake Health District
- Mercy Medical Center
- Mid-Columbia Medical Center
- Morrow County Health District
- OHSU Doernbecher Children’s Hospital
- OHSU Hospital
- Peace Health
- Providence Medford
- St. Alphonsus Regional Medical Center
- Salem Health
- Sky Lakes Medical Center
- St. Charles Health Center
- St. Luke’s Regional Medical Center
- Tillamook Regional Medical Center
- Wallowa Memorial Hospital
- Willamette Valley Medical Center
In network providers
To help you manage your health, you will be required to select an in-network PCP. By establishing a relationship with a PCP, we can work together to achieve your health and wellness goals based on your history and preferences.
Our plans support your personal healthcare needs through partnerships with you, Moda Health, and your in-network providers. Once you’ve selected a PCP, our plans use the Affinity Network to provide cost-effective, coordinated care to achieve your health and wellness goals.
See if your providers are in the Affinity Network >
Pharmacy benefits
The Navitus Network includes access to over 95% of pharmacies in Oregon, plus more than 65,000 pharmacies nationwide. This means you can fill prescriptions almost anywhere, including these local and national drug store chains:- Costco
- CVS
- Fred Meyer
- Rite Aid
- Safeway and Albertsons
- Walgreens
- Walmart
Locate a pharmacy in the Navitus network >
Travel with peace of mind
Our medical plans ensure you are covered when travelling anywhere in the United States and U.S. territories. While traveling outside of Oregon, members can receive in-network emergency or urgent care through the Aetna PPO Network.
Dental plans in Oregon
Our network of dental care providers offers you the freedom to choose your own dentist, fast and accurate claims payment, and cost savings by staying in-network. Delta Dental of Oregon covers all of Oregon, and gives you access to providers nationwide.
Shop Delta Dental plans nowOregon — Delta Dental PPOTM Network and Delta Dental Premier® Network and Willamette Dental Network
With our individual and family dental coverage, you'll have access to the Delta Dental PPOTM Network and the Delta Dental Premier® Network. These are two of the largest preferred provider dental networks in Oregon and across the country.
The Delta Dental PPO Network offers a selection of more than 1,200 in-network dentists in Oregon and 114,000 nationwide. One of the largest dental networks in Oregon, the Delta Dental Premier Network gives you more choice, including 153,000 participating dentists nationwide.
Delta Dental of Oregon also offers the Willamette Dental Network. With nearly 50 connected locations across Oregon, Washington, and Idaho, this network gives you seamless, personalized care no matter which Willamette Dental office you visit.
Dental provider search:
Delta Dental Network
Wilamette Dental Network
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Enrollment type |
Enrollment dates |
Info |
|---|---|---|
|
Pre-shop |
Oct. 1, 2024 to Oct. 31, 2024 |
Browse plan details in advance of open enrollment |
|
Open Enrollment |
Nov. 1, 2024 to Jan. 15, 2025 |
To change your medical or dental plan outside of these dates, you’ll have to qualify for Special Enrollment. |
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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: |
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.