How do I find a Community Care Network (CCN) provider?
You can find providers online at the Moda Health OEBB website.
Our customer service team is also available to help members find CCN providers.
OEBB Moda Health Medical/Vision
Toll-free: 866-923-0409
Local: 503-265-2909
What if I need care for a condition and there is no specialist in the network?
The Community Care Network is a comprehensive network of primary care and specialty providers. In the event that there is no CCN provider for a specialty, our team will facilitate the process of locating a provider and extend in-network benefits. The Moda Health Care Coordinators are available to help identify providers and assist in directing your care.
Does my whole family have to enroll in the Community Care Plan (CCP)?
Yes. Subscribers and their dependents are all required to enroll in the same plan.
What if a member of my family (such as a dependent in college) lives outside the CCN service area?
Out-of-area dependents can utilize the Connexus or Moda Health Travel Network, depending on where they reside. Dependents living in Oregon, but that are outside of the CCN service area, will be able to use Connexus providers. Dependents outside of the Connexus service area will have access to the Moda Health Travel Network. Dependent addresses will need to be updated in MyOEBB for this change to take effect. For more information, please contact Moda Health Customer Service.
OEBB Moda Health Medical/Vision
Toll-free: 866-923-0409
Local: 503-265-2909
Other than a premium reduction, what are the benefits of enrolling in the Community Care Plan?
This new plan offers a coordinated team approach, a high level of personal service and an overall better health experience. OEBB - Plan 4 will offer additional benefits, including:
Plus, as a member of the CCP, you will play an important role in leading a change in healthcare. This new plan is evolving and dynamic, which means that along your journey, you will notice enhancements that create a personal and more coordinated approach. This will improve your care and experience.
The CCN encompasses a comprehensive network of providers and facilities. Providers and facilities in the CCN provide high-quality, individualized care with proven results.
With Plan 4, you'll get a more comprehensive healthcare plan that enables you to engage with providers and Moda Health Care Coordinators. Each is focused on helping you address your specific health needs.
What happens if a provider refers me to a provider not in the Community Care Network?
We are working with providers to ensure they refer members to CCN providers. Services received by a non-CCN-participating provider will be paid at the out-of-network benefit level.
To ensure that providers are in-network, you can contact Moda Health Customer Service.
OEBB Moda Health Medical/Vision
Toll-free: 866-923-0409
Local: 503-265-2909
What does "more integrated care" mean?
As a member of the Community Care Plan, you will benefit from a coordinated team approach, including a high level of personal service, more engagement with providers and Moda Health Care Coordinators, and an overall better experience on your health journey.
How can I get care while traveling? Will my benefits be paid in- or out-of-network?
You will have access to the Moda Health Travel Network. The Moda Health Travel Network allows medical plan members to receive emergency and non-emergency care outside of their primary service area while traveling. As an eligible member seeking care through a PHCS Healthy Directions provider, you will receive in-network benefits. If you have dependents living outside the primary network area, your dependents can also use the Moda Health Travel Network to receive care at an in-network benefit level.
Please note, the Moda Health Travel Network is not an alternative primary network. Members must seek in-network services whenever possible, and preauthorization is required for in-patient services.
Is a referral required to see a specialist?
There are no referrals currently required on the CCN plan.
Are special preauthorizations required if I am in the network?
There are no referrals currently required on the CCN plan. Standard plan preauthorization requirements apply.
Does all my care have to be within the Community Care Network?
The CCN provides a comprehensive network of providers, aimed to support the spectrum of healthcare needs. If a specialty service cannot be supported by the CCN, Moda Health Care Coordinators will help you identify providers and assist in directing your care. We will then extend in-network benefits for these providers.
Can I change plans during the year if I don't like the Community Care Network or if my provider drops out of the network?
Members selecting the Community Care Network will have the opportunity to change plans at the next open enrollment period.
If you move out of the service area, your school district or educational entity will assist in providing plan options in your new area.
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We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
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