Welcome to Moda Health, your new medical and pharmacy plan partner that provides whole-person care benefits for you and your family. These benefits are part of PeaceHealth’s ongoing Nurture360 commitment, providing you and your family with access to the resources you need to focus on your mental, physical, spiritual and financial health and well-being.
For nearly 70 years, Moda Health has helped build healthier communities in the Pacific Northwest. We’re excited to be your partner in health. We have a lot in common. You’re focused on safe, compassionate care, every time, every interaction. We’re focused on making sure healthcare works better for all. We’re honored to help take care of you and your family so you can continue to take care of our communities.
Visit the Member Dashboard — your personalized member website to:
Ensure you are equipped with the information you need to make the best decisions for you and your family. Please review the details on your benefits plan and provider network. If you have any questions related to the medical plans, provider network or transition of care, please contact a Moda Health Navigator at 833-599-8602.
Lower monthly premiums? Flexibility in choosing a provider? A lower deductible? Out-of-area dependents? PeaceHealth’s exclusive provider organization (EPO), preferred provider organization (PPO) and account-based health plan (ABHP) benefits offer choices that will keep you and your family covered.
Getting care — where and when you need it — matters. PeaceHealth and Moda Health worked together to build customized networks that offer you two tiers of in-network providers and hospitals. Each represents a broad variety of health systems and clinics.
Explore our networks to learn which one is right for you. Then, search for providers.
Your Moda Health plan offers an expansive and flexible pharmacy plan with enhanced benefits when using PeaceHealth pharmacies, which are available systemwide via in-person employee pharmacies and the online pharmacy system. You’ll be served by dedicated pharmacists and pharmacy technicians who work to help get your medications at affordable prices, while watching out for your safety from drug interactions. Your plan also includes services that make it easier to manage your prescriptions:
Moda Health is committed to better experiences and better value for you through personalized programs and specially trained Moda Health Navigators, connecting you to the resources you need for whole-person health. Moda Health has earned NCQA accreditation, showcasing a commitment to care and controlling costs.
Moda Health strives to understand the whole you, from your health history to your life experiences. We use this information to help you navigate your options while keeping you in the driver’s seat. From personalized healthcare programs, online and/or person-to-person support, mental and emotional health, and maternity and diabetes support, we’re here to connect you to the programs and tools for your unique health journey.
Review our Transition of Care Checklist (En Español, Russian, Tagalog) to help guide you through the big and little things to help you get ready.
If you’re in the middle of treatment, scheduled for a procedure in January, or you’re pregnant, and your providers will not be in-network in 2025, don’t worry, we can help. You may be eligible to have your claims paid at a higher benefit level for a specific amount of time to support your health. Fill out the Transition of Care Request Form to get started.
Call us at 833-599-8602 prior to your benefits effective date if you have any out-of-area dependents so we can ensure they have access to in-network providers.
We’re happy to answer your questions. We’ve got teams across PeaceHealth and Moda that can support you and all your healthcare needs, give us a call! You can also review our FAQs.
Moda Health is observing the following holidays and our business offices will be closed. During this time, medical calls will go to voicemail and the Moda Health Navigator team will respond on the next business day. Pharmacy calls will be forwarded to Navitus.
| January 1: | Closed |
| January 20: | Closed |
| May 26: | Closed |
| July 4: | Closed |
| September 1: | Closed |
| November 27-28: | Closed |
| December 25-26: | Closed |
Whether you have questions about your 2025 benefits, claims, need to schedule an appointment, find an in-network provider with availability or get a prior authorization, Moda Health Navigators are ready to help.
833-599-8602
If you’re not currently a PeaceHealth patient and want to schedule your first appointment, a PeaceHealth Care Navigator can help you. They can also help you understand your healthcare options when you’ve received a new diagnosis or are confused about your next steps.
833-838-6307
Need a priority virtual or in-person appointment for same-day, primary and specialty care needs? You can call the ZoomCare Priority Scheduling Line. Appointments are generally available the same day or next day.
503-386-0755
You have two options for accessing behavioral health support.
If you have a question about your Moda Health benefits contact a Moda Health Navigator at 833-599-8602.
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Health plans in Oregon and Alaska provided by Moda Health Plan, Inc.
This site is meant to help you learn about plans and healthcare for you and your family. This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with the federal Marketplace. If questions regarding benefits arise, the summary of benefits and coverage document is the master resource.