Moda Health medical network

Our medical plans include a provider network that connects you with care in your hometown and across the country. As an OEBB member, your health plan includes access to this provider network.

Connexus network

This is one of the largest PPO networks in the state of Oregon and stretches from Southern Washington, Idaho, and into Northern California. It includes thousands of primary care physicians and specialists working together with Moda Health to help keep you healthy.

In- and out-of-network care

It is important to remember you may pay more for services from out-of-network providers than from in-network providers. Out-of-network providers may also bill you for the difference between your maximum plan allowance and their billed charges. This is known as "balance billing." In-network providers do not do this. See our plan summaries or your Member Handbook to learn more about in-network and out-of-network benefits and costs.

Travel network

When you hit the road, care is never far. Our travel network comes with each medical plan in Oregon. When traveling outside of the Connexus service area you have in-network coverage through Aetna PPO Network with the Aetna Signature Administrators. You will use the travel network when:

1. You need urgent or emergency care. Medically necessary emergency services are covered at the in-network benefit level.
2. You are not traveling for the purpose of receiving treatment or benefits (medical tourism).

Dependents Who Live Outside the Service Area Part-Time

Do you have a dependent living outside of the Connexus service area? If so, make sure to receive in-network benefits by updating your address in the myOEBB system. If any of your dependents live outside of the coverage service area, it is important to know what network to use to receive the in-network benefit level.

• Dependents living outside of the Connexus Network service area use Moda Health's national network, the Aetna PPO Network through Aetna Signature Administrators except for dependents living in Idaho or Alaska.
• Dependents living in Idaho will use the Connexus Network and the First Health Network.
• Dependents living in Alaska will use the First Health Network.

Dependents who live outside of the Connexus service area can still participate in Coordinated Care by selecting a PCP360. When they are in the Connexus service area, they will utilize their PCP360. When they are away, they will use their network as indicated above.

Subscribers Who Live Outside of the Connexus Service Area

Members living full-time outside of the Connexus Network service area receive in-network care through:

• The Aetna PPO Network through Aetna Signature Administrators except for members living in Idaho or Alaska.
• If you live in Idaho, you will use the Connexus Network and the First Health Network.
• If you live in Alaska, you will use the First Health Network.

Members who live full-time outside of the Connexus service area are not eligible to participate in Coordinated Care.

Members living full-time outside of the Connexus Network service area receive in-network care through:

• New! Starting 10/1/2024, If you live full-time outside the Connexus Network service area and are 18 years and older, you are eligible to participate in coordinated care through Teladoc's primary care program. You will need update your address in myOEBB system, choose and use a virtual Teladoc provider as your PCP 360 for primary care services to receive the better benefits.

Nominate your provider

Don't see your provider in the directory?

To nominate your medical provider, please fill out our medical provider nomination request form. Once completed, return the form to your provider's office, and let them know you would like them to initiate a network participation request with Moda Health.

Please note: New provider participation is contingent on credentialing approval, network needs, state and federal regulations, and other factors.