Health Plans

Moda Health formerly ODS Health Plans

2017Moda Health Plans in Oregon

Preferred Provider Organization (PPO) plans
Qualified Health Savings Account (HSA) plans

Moda Health Plan List

Plan Name Plan Type Plan Details Networks Rates Application
Beacon: available in: Clackamas, Clatsop, Columbia, Coos, Curry, Hood River, Jackson, Josephine, Marion, Multnomah, Polk, Wasco, Washington and Yamhill counties.
Beacon Be Integrated (G) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now
Beacon Be Prepared (S) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now
Beacon Be Protected (G) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now
Beacon Be Steady (S) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now
Oregon Std. Bronze (B) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now
Oregon Std. Silver (S) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now
Oregon Std. Gold (G) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now
Affinity Network: available in: Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa and Wheeler counties
Oregon Std. Bronze (B) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now
Oregon Std. Silver (S) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now
Oregon Std. Gold (G) PPO Benefit Summary Provider & Rx Search Click for Rates Apply Now

10 Essential Benefits

Healthcare reform says all health plans must include ten essential benefits. The basic benefits include:

  1. Outpatient Care - the kind you get without being admitted to a hospital
  2. Emergency Services - for issues that could lead to death or disable you if you do not treat them.
  3. Inpatient Care - covers room and board, tests, drugs, and care from doctors and nurses while admitted, which may include organ and tissue transplants, and hospice and respite care.
  4. Maternity and Newborn Care - care before and after your baby is born
  5. Mental Health and Substance Use Disorder Services - this includes behavioral health treatment, counseling, and psychotherapy.
  6. Prescription Drugs - covers retail, mail order, and specialty drugs.
  7. Rehabilitative and Habilitative Services - services and devices to help you recover if you are injured, or have a disability or chronic condition. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
  8. Laboratory Services - covers lab tests, X-ray services, and pathology, and imaging and diagnostics such as MRI, CT scan, and PET scan.
  9. Preventive and Wellness Services - including mammograms, colonoscopies, vaccines. Covered in full if you use in-network providers for care such as routine physicals, screening, and immunizations. Disease management coordinates care for diabetes, asthma, and other conditions.
  10. Pediatric Services - including dental care (preventive, basic, major) and vision care (eye exam, lenses, and eyewear).