Our medical plans come with resources and support to help you get well sooner and live well longer. Check your Member Dashboard to see what services come with your plan.
Enjoy fast and private access to a dedicated doctor in under a minute — at no cost to you. (HDHP plans are subject to deductible.) With the CirrusMD app, all you need is internet access to:
Sign up at Moda Health - myCirrusMD or download the CirrusMD app from the App Store or Google Play.
Care coordination - registered nurses work directly with facilities and providers to facilitate preauthorization of scheduled procedures, inpatient stays, and follow–up care as needed for members during urgent or emergent admissions. During the time a member is receiving care or is hospitalized, care coordination nurses may refer them to a case management nurse if they require additional assistance and coordination for complex or catastrophic conditions.
The hospital calls Moda Health to notify us of all urgent/emergent hospital admissions within 48 hours, or as soon as possible.
Moda Health is dedicated to supporting diversity, equity and inclusion within our healthcare services for LGBTQIA+ individuals and allies. We prioritize your well-being by offering specialized benefits tailored to meet the unique needs of the LGBTQIA+ community, including mental health support and gender-affirming care. For detailed information on our offerings and how to access these services, visit our LGBTQIA+ Support Hub.
Case management is a voluntary service for members experiencing complex conditions or catastrophic events and need assistance from a case management registered nurse or behavioral health specialist. Case managers can help by working with members and their families as patient advocates to:
If you want to make a referral to case management, please call Moda Health Healthcare Services case management at 503–948–5561 or toll–free at 800–592–8283. You can also email casemgmtrefer@modahealth.com, fax a referral to 503–243–5105, or complete and submit our online referral form.
A member can self-refer to case management or be referred by a family member, caregiver, provider or facility staff. To make a referral, you’ll be asked to provide the following information:
Once a referral is received, a case manager will evaluate the member’s situation and contact the member within five (5) business days.
We offer complete identity protection through IDX Identity at no cost to you on some plans. Enjoy peace of mind with the best care and the highest level of identity theft protection.
How it works
IDX Identity constantly scans to detect suspicious activity related to your identity.
Just log in to Member Dashboard and follow the links to IDX Identity.
Moda Health offers in–depth support programs for those dealing with chronic health conditions. You have access to tools and resources that help you maintain a healthy lifestyle. Individual health coaches provide you with one–on–one support. These specialized programs include:
Get started on a fun and engaging digital wellness platform designed to support your physical, emotional, and social well-being. Begin your journey with your annual Health Risk Assessment. Then set personalized health goals, interact with colleagues in social streams and even earn rewards through wellness challenges.
Stay active in the gym or at home. With the Active&Fit Direct™ program, you have access to:
Access to these health and wellness services from ChooseHealthy:
See prescription medication costs and how much you would pay by medication tier at an in-network pharmacy. This tool makes it easy. Simply log in to your Member Dashboard to find medication cost estimates and generic options.
Hearing aids are costly. Using TruHearing makes them more affordable. Eligible members can get a routine hearing aid exam and hearing aids through TruHearing. To schedule an appointment, please call 866-202-2170.
Powered by Canopy, the Moda Health IAP is a free and confidential service that can assist you and your eligible family members with a variety of personal concerns including:
IAP professional counselors can help you identify problems, establish goals, make recommendations and develop an action plan.
If you have coverage through your employer, you may have access to EAP. Powered by Canopy, the Moda Health EAP is a free and confidential service that can assist you and your eligible family members with a variety of personal concerns including:
EAP professional counselors can help you identify problems, establish goals, make recommendations and develop an action plan.
Need help more than 100 miles from home? Call Assist America® for emergency medical assistance and much more:
Learn more at assistamerica.com. For more information, call 800-304-4585.
Medical Customer Service
844-931-1775
8:30am-6:30pm Mon-Fri (Mountain Time)