Moda Health Individual and Family plans
Since 1955, Moda Health has been delivering high-quality, member-centered coverage to individuals and families across Oregon. Our plans combine affordability, provider choice and member-focused service, making it easy for you to match your clients with the right health solution.
The Affinity Network
Exclusive provider organization (EPO) plans for Oregon residents
Moda Health’s Affinity Network is available through EPO plans that offer clients coordinated, cost-effective care. These plans include access to top regional providers, streamlined referrals within the network and a strong focus on preventive care and primary care (PCP) engagement.
- Designed for Oregon residents
- No out-of-network coverage
- Members select an in-network primary care provider
- Emphasis on team-based, coordinated care
Featured health systems
High-quality providers your clients can count on
The Affinity Network includes a wide range of trusted health systems across Oregon and bordering regions, including:
- OHSU and its affiliated partners (e.g., Adventist Health Portland, Hillsboro Medical Center)
- Providence Medford, PeaceHealth, Legacy Health and Salem Health
- Asante Health System, St. Charles Health System and more
Use our FindCare tool to search for in-network health systems
In-network primary care
A partnership for better outcomes
Moda Health’s individual EPO plans are PCP-directed, meaning members choose a primary care provider who serves as their healthcare partner. This helps drive preventive care, personalized treatment and better cost control. You can assure your clients that support, navigation and wellness tools are built into their care experience.
Pharmacy benefits
Broad access through the Navitus Network
Clients have access to more than 62,000 pharmacies nationwide through Navitus. National and regional chains include:
- Walgreens
- Walmart
- Costco
- CVS
- Fred Meyer
- Albertsons/Safeway
- Rite Aid
Nationwide coverage when out of state
Peace of mind wherever your clients are
When your clients are outside of Oregon, they’ll get full-service medical care with in-network benefits through:
- Moda Select Network service areas in Alaska, Idaho and Texas
- Aetna PPO Network through Aetna Signature Administrators nationwide. This includes service areas outside the Moda Select Network in Alaska, Idaho and Texas and outside the Affinity Network in Oregon.
Dental plans
Keep your clients smiling
Dental plans are offered through our trusted partner, Delta Dental of Oregon.
Ready to help your clients enroll?
Whether they’re shopping on the Marketplace or directly through Moda Health, we’re here to support you with tools, resources and responsive service every step of the way.