Member rights
Understand your rights as a Moda Health Medicare member.
Prior authorization
You have the right to timely access to covered services and drugs. Some require prior authorization (pre-approval) from us to cover a provider visit or prescription drug. Prior authorization is also referred to as organization determination or coverage determination.
Get prior authorization details
Requesting an appeal and filing a complaint
Find out what you need to do to request an appeal or file a complaint. Learn how to appoint a representative.
Learn about appeals and grievances
SMS terms and conditions
These terms and conditions apply to anyone who agrees to receive informational text messages from or on behalf of Moda Health.
Last updated Oct. 1, 2023
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