Our 2025 plans

Plan benefit details and documents

See all plan names, the per-person deductible and annual out-of-pocket max, and links to plan documents in the tables for your state below.

For high-level medical and dental plan cost and feature details, open the Schedule of Benefits (SOB) PDF linked to in the tables below. And for comprehensive details on what medical plans cover and what services will cost, open the Summary of Benefits and Coverage (SBC) PDF linked to in the tables below. The CSR and AI/AN plans shown below are only available through the federal and state exchanges, and eligibility for these plans is determined by the exchanges based on demographics and income levels.

Jump to: Alaska, Idaho, Oregon, Texas

Alaska

2025 Alaska individual and family medical and dental brochure

Dental plans

Delta Dental of Alaska

Plan name

Deductible

Annual Max

Summary of benefits

Delta Dental PPO 1000

$50

$1,000 (combined in and out of network)

Delta Dental PPO 1500

$50

$1,500 (combined in and out of network)

Delta Dental Premier

$0

$1,100 (combined in and out of network)

Delta Dental Premier 1000 Plan

$50

$1,000

Delta Dental Premier Healthy Smiles

N/A

N/A

Medical plans

Pioneer Network

Plan name

Deductible

Out-of-pocket max

Summary of benefits

Summary of benefits and coverage

Moda Pioneer Alaska Standard Gold

$1,500

$7,800

Moda Pioneer Alaska Standard Gold - AI/AN Zero

$0

$0

Moda Pioneer Alaska Standard Gold- AI/AN Limited

$1,500

$7,800

Moda Pioneer Gold 1500

$1,500

$6,000

Moda Pioneer Gold 1500 - AI/AN Zero

$0

$0

Moda Pioneer Gold 1500- AI/AN Limited

$1,500

$6,000

Moda Pioneer Alaska Standard Silver

$5,000

$8,000

Moda Pioneer Alaska Standard Silver - AI/AN Zero

$0

$0

Moda Pioneer Alaska Standard Silver- AI/AN Limited

$5,000

$8,000

Moda Pioneer Alaska Standard Silver - 73% CSR

$3,000

$6,400

Moda Pioneer Alaska Standard Silver - 87% CSR

$500

$3,000

Moda Pioneer Alaska Standard Silver - 94% CSR

$0

$2,000

Moda Pioneer Silver 2900 Direct

$2,900

$8,700

Moda Pioneer Silver 4500

$4,500

$7,750

Moda Pioneer Silver 4500 - AI/AN Zero

$0

$0

Moda Pioneer Silver 4500- AI/AN Limited

$4,500

$7,750

Moda Pioneer Silver 4500 - 73% CSR

$4,000

$6,500

Moda Pioneer Silver 4500 - 87% CSR

$500

$1,500

Moda Pioneer Silver 4500 - 94% CSR

$250

$500

Moda Pioneer Alaska Standard Bronze

$7,500

$9,200

Moda Pioneer Alaska Standard Bronze - AI/AN Zero

$0

$0

Moda Pioneer Alaska Standard Bronze- AI/AN Limited

$7,500

$9,200

Moda Pioneer Bronze HDHP 5500

$5,500

$8,050

Moda Pioneer Bronze 5500 - AI/AN Zero

$0

$0

Moda Pioneer Bronze 5500 - AI/AN Limited

$5,500

$8,050

Moda Pioneer Bronze 6500

$6,500

$9,000

Moda Pioneer Bronze 6500 - AI/AN Zero

$0

$0

Moda Pioneer Bronze 6500- AI/AN Limited

$6,500

$9,000

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Idaho

2025 Idaho individual and family medical brochure

Medical plans

Moda Select Network

Plan name

Deductible

Out-of-pocket max

Summary of benefits

Summary of benefits and coverage

Moda Select Gold 1000 + Vision Exam

$1,000

$8,000

Moda Select Gold 1000 + Vision Exam - AI/AN Zero

$0

$0

Moda Select Gold 1000 + Vision Exam- AI/AN Limited

$1,000

$8,000

Moda Select Gold 2200 + Vision Exam

$2,200

$7,600

Moda Select Gold 2200 + Vision Exam - AI/AN Zero

$0

$0

Moda Select Gold 2200 + Vision Exam- AI/AN Limited

$2,200

$7,600

Moda Select Silver 3000 + Vision Exam

$3,000

$8,250

Moda Select Silver 3000 + Vision Exam - AI/AN Zero

$0

$0

Moda Select Silver 3000 + Vision Exam- AI/AN Limited

$3,000

$8,250

Moda Select Silver 3000 + Vision Exam - 73% CSR

$2,750

$6,500

Moda Select Silver 3000 + Vision Exam - 87% CSR

$750

$2,000

Moda Select Silver 3000 + Vision Exam - 94% CSR

$100

$750

Moda Select Silver 4000 + Vision Exam

$4,000

$8,900

Moda Select Silver 4000 + Vision Exam - AI/AN Zero

$0

$0

Moda Select Silver 4000 + Vision Exam- AI/AN Limited

$4,000

$8,900

Moda Select Silver 4000 + Vision Exam - 73% CSR

$3,600

$7,000

Moda Select Silver 4000 + Vision Exam - 87% CSR

$500

$2,300

Moda Select Silver 4000 + Vision Exam - 94% CSR

$0

$1,000

Moda Select Silver 6400 + Vision Exam

$6,400

$7,350

Moda Select Silver 6400 + Vision Exam - AI/AN Zero

$0

$0

Moda Select Silver 6400 + Vision Exam- AI/AN Limited

$6,400

$7,350

Moda Select Silver 6400 + Vision Exam - 73% CSR

$2,500

$6,350

Moda Select Silver 6400 + Vision Exam - 87% CSR

$750

$2,000

Moda Select Silver 6400 + Vision Exam - 94% CSR

$100

$750

Moda Select Bronze 8900 + Vision Exam

$8,900

$9,200

Moda Select Bronze 8900 + Vision Exam - AI/AN Zero

$0

$0

Moda Select Bronze 8900 + Vision Exam- AI/AN Limited

$8,900

$9,200

Moda Select Bronze 9200 + Vision Exam

$9,200

$9,200

Moda Select Bronze 9200 + Vision Exam - AI/AN Zero

$0

$0

Moda Select Bronze 9200 + Vision Exam- AI/AN Limited

$9,200

$9,200

Moda Select Bronze HDHP 7500

$7,500

$7,500

Moda Select Bronze 7500 - AI/AN Zero

$0

$0

Moda Select Bronze 7500 - AI/AN Limited

$7,500

$7,500

Shop Idaho plans

Oregon

Dental plans

2025 Oregon individual and family dental brochure

Delta Dental of Oregon

Plan name

Deductible

Annual Max

Summary of benefits

Delta Dental EPO

$0

$1,500

Delta Dental PPO

$0

$1,000

Delta Dental PPO Bright Smiles

N/A

N/A

Delta Dental PPO MAC

$0

$1,200

Delta Dental Premier 1000

$50

$1,000

Willamette EPO

$0

None

Medical plans

2025 Oregon Affinity individual and family medical and dental brochure

Affinity Network

Plan name

Deductible

Out-of-pocket max

Summary of benefits

Summary of benefits and coverage

Moda Health Oregon Standard Gold Affinity

$1,500

$7,000

Moda Health Oregon Standard Gold Affinity - AI/AN Zero

$0

$0

Moda Health Oregon Standard Gold Affinity - AI/AN Limited

$1,500

$7,000

Moda Health Affinity Gold 250

$250

$8,500

Moda Health Affinity Gold 250 - AI/AN Zero

$0

$0

Moda Health Affinity Gold 250 - AI/AN Limited

$250

$8,500

Moda Health Affinity Gold 1000

$1,000

$8,850

Moda Health Affinity Gold 1000 - AI/AN Zero

$0

$0

Moda Health Affinity Gold 1000 - AI/AN Limited

$1,000

$8,850

Moda Health Affinity Gold 1500

$1,500

$7,900

Moda Health Affinity Gold 1500 - AI/AN Zero

$0

$0

Moda Health Affinity Gold 1500 - AI/AN Limited

$1,500

$7,900

Moda Health Oregon Standard Silver Affinity

$5,500

$9,200

Moda Health Oregon Standard Silver Affinity - AI/AN Zero

$0

$0

Moda Health Oregon Standard Silver Affinity - AI/AN Limited

$5,500

$9,200

Moda Health Oregon Standard Silver Affinity - 73% CSR

$5,000

$7,350

Moda Health Oregon Standard Silver Affinity - 87% CSR

$1,150

$3,050

Moda Health Oregon Standard Silver Affinity - 94% CSR

$150

$1,100

Moda Health Affinity Silver 2900 Direct

$2,900

$8,700

Moda Health Affinity Silver 3000

$3,000

$8,400

Moda Health Affinity Silver 3000 - AI/AN Zero

$0

$0

Moda Health Affinity Silver 3000 - AI/AN Limited

$3,000

$8,400

Moda Health Affinity Silver 3000 - 73% CSR

$2,600

$6,500

Moda Health Affinity Silver 3000 - 87% CSR

$1,200

$2,100

Moda Health Affinity Silver 3000 - 94% CSR

$100

$975

Moda Health Affinity Silver 3400

$3,400

$8,250

Moda Health Affinity Silver 3400 - AI/AN Zero

$0

$0

Moda Health Affinity Silver 3400 - AI/AN Limited

$3,400

$8,250

Moda Health Affinity Silver 3400 - 73% CSR

$2,600

$6,500

Moda Health Affinity Silver 3400 - 87% CSR

$1,200

$2,100

Moda Health Affinity Silver 3400 - 94% CSR

$100

$975

Moda Health Affinity Silver 3500 Direct

$3,500

$8,700

Moda Health Affinity Silver 3650 Direct

$3,650

$9,000

Moda Health Affinity Silver 4400 Direct

$4,400

$8,150

Moda Health Affinity Silver 4500

$4,500

$7,600

Moda Health Affinity Silver 4500 - AI/AN Zero

$0

$0

Moda Health Affinity Silver 4500 - AI/AN Limited

$4,500

$7,600

Moda Health Affinity Silver 4500 - 73% CSR

$3,000

$6,300

Moda Health Affinity Silver 4500 - 87% CSR

$1,100

$2,200

Moda Health Affinity Silver 4500 - 94% CSR

$100

$975

Moda Health Affinity Silver 6000

$6,000

$7,800

Moda Health Affinity Silver 6000 - AI/AN Zero

$0

$0

Moda Health Affinity Silver 6000 - AI/AN Limited

$6,000

$7,800

Moda Health Affinity Silver 6000 - 73% CSR

$2,750

$6,950

Moda Health Affinity Silver 6000 - 87% CSR

$1,000

$2,200

Moda Health Affinity Silver 6000 - 94% CSR

$200

$975

Moda Health Oregon Standard Bronze Affinity

$9,200

$9,200

Moda Health Oregon Standard Bronze Affinity - AI/AN Zero

$0

$0

Moda Health Oregon Standard Bronze Affinity - AI/AN Limited

$9,200

$9,200

Moda Health Affinity Bronze 7750

$7,750

$8,500

Moda Health Affinity Bronze 7750 - AI/AN Zero

$0

$0

Moda Health Affinity Bronze 7750 - AI/AN Limited

$7,750

$8,500

Moda Health Affinity Bronze 9000

$9,000

$9,200

Moda Health Affinity Bronze 9000 - AI/AN Zero

$0

$0

Moda Health Affinity Bronze 9000 - AI/AN Limited

$9,000

$9,200

Moda Health Affinity Bronze HDHP 7500

$7,500

$7,500

Moda Health Affinity Bronze 7500 - AI/AN Zero

$0

$0

Moda Health Affinity Bronze 7500 - AI/AN Limited

$7,500

$7,500

Shop Oregon plans

Texas

2025 Texas individual and family medical brochure

Medical plans

Moda Select Network

Plan name

Deductible

Out-of-pocket max

Summary of benefits

Summary of benefits and coverage

Moda Select Texas Standard Gold

$1,500

$7,800

Moda Select Texas Standard Gold - AI/AN Zero

$0

$0

Moda Select Texas Standard Gold - AI/AN Limited

$1,500

$7,800

Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD)

$1,000

$8,000

Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero

$0

$0

Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited

$1,000

$8,000

Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD)

$1,800

$7,000

Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero

$0

$0

Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - Limited value

$1,800

$7,000

Moda Select Texas Standard Silver

$5,000

$8,000

Moda Select Texas Standard Silver - AI/AN Zero

$0

$0

Moda Select Texas Standard Silver - AI/AN Limited

$5,000

$8,000

Moda Select Texas Standard Silver - 73% CSR

$3,000

$6,400

Moda Select Texas Standard Silver - 87% CSR

$500

$3,000

Moda Select Texas Standard Silver - 94% CSR

$0

$2,000

Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD)

$3,500

$8,600

Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero

$0

$0

Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited

$3,500

$8,600

Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - 73% CSR

$2,500

$6,550

Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - 87% CSR

$750

$2,000

Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - 94% CSR

$100

$750

Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD)

$4,800

$7,500

Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero

$0

$0

Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited

$4,800

$7,500

Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - 73% CSR

$2,500

$6,200

Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - 87% CSR

$750

$2,000

Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - 94% CSR

$100

$750

Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD)

$6,400

$7,400

Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero

$0

$0

Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited

$6,400

$7,400

Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - 73% CSR

$2,500

$6,200

Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - 87% CSR

$750

$2,000

Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - 94% CSR

$100

$750

Moda Select Texas Standard Bronze

$7,500

$9,200

Moda Select Texas Standard Bronze - AI/AN Zero

$0

$0

Moda Select Texas Standard Bronze - AI/AN Limited

$7,500

$9,200

Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD)

$8,700

$8,700

Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero

$0

$0

Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited

$8,700

$8,700

Moda Select Bronze HDHP 7500

$7,500

$7,500

Moda Select Bronze 7500 - AI/AN Zero

$0

$0

Moda Select Bronze 7500 - AI/AN Limited

$7,500

$7,500

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