Our provider networks

Treasure Valley

With Moda Health’s no-referrals plans, you’ll have peace of mind with the Saint Alphonsus Health Alliance – and the over 3,600 participating providers from some of the most trusted primary care practices in the Treasure Valley, including:

• Saint Alphonsus Medical Group
• Primary Health Medical Group
• Full Circle Health
• Terry Reilly Health Services
• Meridian Family Medicine
• Valley Family Health Care
• Black Canyon Medical Group

In addition, Saint Alphonsus Health System offers you access to:

• Saint Alphonsus Regional Medical Center and Saint Alphonsus Medical Center – Nampa
• The region's only Level II trauma center
• 6 emergency facilities in Idaho and Oregon
• TSE-certified high-performing Trauma, Chest Pain and Stroke center (Saint Alphonsus hospitals in Boise and Nampa)
• Groundbreaking cancer treatment programs and access to the most clinical trials in the region
• Idaho's only Neuro, Surgical, Trauma Intensive Care Unit

Southeast Idaho

Through Moda Health’s partnership with the Patient Quality Alliance, you’ll have access to a comprehensive, clinically integrated network in Southeast Idaho that offers some of the highest quality healthcare in the region. With Moda Health’s no-referral plans, you’ll benefit from:

• Over 1,300 primary care and specialty providers
• Level II trauma center
• A nationally recognized heart surgery program
• The highest quality ratings for surgical outcomes
• Neonatal Intensive Care
• A comprehensive cancer treatment center
• Inpatient and outpatient behavioral health
• Over 20 post acute care facilities and organizations

The Patient Quality Alliance includes the following 6 community hospital systems:

• Lost Rivers Medical Center
• Power County Hospital
• Portneuf Medical Center
• Oneida County Hospital
• Caribou Medical Center
• Franklin County Medical Center

South Central Idaho

Experience better with Moda Health’s no-referrals plans and the top hospital in the South Central Idaho region.

• STEMI Level II, Stroke Level III and Trauma Level IV crisis care
• Award winning Environmental, Health & Safety
• Accredited for quality care and superior customer service
• Countryside Care & Rehab center
• Convenient Minidoka Medical Center for family care
• Cassia Regional maternity center (named to US News & World Report on centers of excellence)

Eastern Idaho

Providing members of eastern Idaho with high-quality healthcare services in a caring and compassionate manner. They are a committed partner in care and dedicated to excellence and progress. They provide a wide variety of inpatient and outpatient services including:

• Emergency medical
• Pulmonary rehabilitation
• Radiology
• Labor and delivery
• Respiratory therapy
• Community health services

Northern Idaho

Kootenai Health offers comprehensive medical services to patients in northern Idaho and the Inland Northwest. Their main campus in Coeur d’Alene has a 330-bed community-owned hospital. With over 25 clinic specialties, including family medicine, cardiology, orthopedics and surgery, they provide a wide range of services. Their accreditations and designations include:

• Magnet for nursing excellence
• Level III Trauma Center, Level III NICU and Level I STEMI
• Cancer accreditation from the American College of Surgeons Commission
• Five Star Hospital Quality Star Rating from the Centers of Medicare and Medicaid Services (CMS)

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:

Individual and family plans

• 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