Welcome, Salem Health employees!

Learn about your benefits from Moda Health and Delta Dental.

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Your partner in health

For nearly 70 years, Moda Health has been committed to building healthier communities across the Pacific Northwest. In partnership with Salem Health, we are honored to support you and your family—helping you stay well so you can continue caring for our communities.

This site is designed to help you explore your medical and dental plan options so you can select the plans that best meet the needs for you and your family. The medical plan options through Moda Health deliver comprehensive coverage, including prescription drug benefits and free in-network preventive care. The dental plans provide access to Delta Dental’s nationwide networks—the largest in Oregon and throughout the U.S.

Medical Plans 

Salem Health offers two medical plan options:

Medical Plan Comparison Chart

Prime Plan - HDP

  • Lower per-paycheck contributions than the Choice Plan, but higher deductible and out-of-pocket costs.
  • You must meet the deductible before coverage begins, except for preventive care. For family coverage (any non-employee-only plan), the full family deductible must be met before any services are covered.
  • Choose any in-network Tier I, Tier II, or Tier III physician or hospital for your care; Tier IV out-of-network services are limited to urgent/emergency care, massage, acupuncture, spinal manipulation, and certain behavioral health services.
  • The Prime Plan is Medicare Part D creditable.
  • Includes a pre-tax Health Savings Account (HSA) to pay for eligible expenses and Salem Health contributes to your HSA (prorated for partial-year enrollment):
    • $850/year for employee-only coverage
    • $1,700/year for family coverage
  • HSA contributions are pre-tax, grow tax-free, and roll over year to year when unused.

Choice Plan - MHP

  • Higher per-paycheck cost than the Prime Plan, but lower deductible and out-of-pocket maximum.
  • Choose any in-network Tier I, Tier II, or Tier III physician or hospital for your care. Unlike the Prime Plan, the Choice Plan includes Tier IV out-of-network provider coverage.
  • The Choice Plan is Medicare Part D creditable.
  • Additional Cost Tier: Some elective services from Tier II/III providers require an extra copay to promote less invasive treatment options. Not applicable to Tier I providers.
  • Additional Cost Tier procedures include the following:

$100 Copay Tier:

  • Upper endoscopy
  • Spinal injections
  • Viscosupplementation
  • Lumbar discography
  • Pediatric tonsillectomy (chronic tonsillitis/sleep apnea)
  • Sleep studies
  • Advanced imaging

$500 Copay Tier:

  • Knee/shoulder arthroscopy
  • Spine surgery
  • Uncomplicated hernia repair
  • Knee/hip replacement

Some Additional Cost Tier services require prior authorization. A full list of services can be found on the Moda Health website. Contact a Health Navigator for more information regarding the Additional Cost Tier.

Medical plan network tiers 

Both plans offer the same services, but your out-of-pocket costs (deductible, cost sharing, and out of pocket maximum) depend on your provider’s network tier. Be sure to check your provider’s tier each plan year.

To find or verify a provider:

  • Use Find Care, our medical and dental provider search tool.
  • Enter your subscriber ID or select your network to search for in-network providers.

Tier I: Salem Health Hospitals & Clinics and West Valley Hospital

  • Lowest out-of-pocket costs
  • Find Salem Health locations here
  • Find Salem Health providers accepting new patients here (must be on the Salem Health network)
  • Note: Some specialists (e.g., pathologists, radiologists, dermatologists, gastroenterologists) may not be in Tier I and fall under Tier II or III. Not all services have Tier I providers.

Tier II: Moda Health’s Connexus Network 

  • Covers services not typically offered by Salem Health
  • Large statewide network (includes SW Washington and Idaho boarder counties)
  • Includes providers like Salem Clinic, OHSU, Legacy Emanuel and Randall Children’s Hospital, Oregon Oncology Specialists, and many Moda Health behavioral health and alternative care providers

Tier III: Moda Health’s Connexus Network

  • Includes hospitals, surgery centers, and clinics that offer the same types of services as Salem Health, but are not part of the Salem Health system
  • Includes providers like Salem Endoscopy, Samaritan Health, Santiam Memorial Hospital, Silverton Hospital, Oregon Heart Center, Cascade Cardiology, and Salem Women’s Clinic
  • See the full list of Tier III providers and facilities here

Tier IV: Out of network

  • Providers may balance bill (charge you for the difference not covered by insurance)
  • Coverage is limited for those on the Prime Plan
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Travel Benefits

  • When you travel outside the primary service area (Oregon / SW Washington), you may use the Aetna ASA network for care and receive Tier III in-network benefits. 
  • Care must be sought from an Aetna ASA network provider and only when you’re outside the primary service area.
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Out of Area Coverage for Dependents

  • If an enrolled dependent lives in the U.S. but outside the primary service area (Oregon / SW Washington), they can access the Aetna ASA network for in-network coverage at the Tier II benefit level.
  • When a dependent moves out of the primary area, you must notify your Health Navigator Team at 855-425-4543 and provide the dependent’s new address.
  • The out-of-area plan becomes effective the 1st of the month after Moda receives the notification.
  • In-network benefits are not available if a dependent lives outside the service area solely to receive treatment or benefits. 
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Pharmacy

  • Get the best pharmacy benefit by filling prescriptions at Salem Health retail pharmacies.
  • Use the Member Dashboard → Pharmacy Tools to check local drug prices before purchasing.
  • You have access to the ArrayRx Core network—use Find Care to locate a participating pharmacy.
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Dental Plans

Salem Health offers two Delta Dental plan options. The only difference between the two plans is that the Dental + Orthodontia plan includes orthodontic coverage (for adults and children) with a $1,500 lifetime maximum.

Key Details:

  • You may see any dental provider; however, with a Delta Dental PPO or Premier dentist, they can’t charge you more than the plan’s allowed amount for covered services.
  • Your out-of-pocket costs are lower when using a PPO dentist.
  • Both plans pay 100% for preventive care (exams, cleanings, X-rays) and cover basic and major services (fillings, crowns, extractions).
  • Preventive First Dental provides information about which services do not count toward your annual maximum.
  • Passport Dental lets you access dental care while traveling anywhere in the world.

New! Teledentistry.com

Starting 1/1/2026, members will receive 24/7 access to virtual dental care from your phone or computer. You will be connected to an in-network dentist who can help if you:

  • Have a dental problem after hours
  • Need urgent care and don’t have a regular dentist
  • Want to talk to a dentist from home
  • Are traveling and need dentist assistance

Resources

 

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Moda 360 Health Navigators

Do you need support, guidance, answers, or help navigating the healthcare system? A Health Navigator can support you or a family member with any needs related to your benefit plans, including, but not limited to:

  • Locating an in-network provider
  • Finding appointment availability
  • Help with prior authorizations, appeals, or billing issues
  • Connecting you to care programs
  • Claim questions and general plan information

Reach out to a Health Navigator today via email at: navigatorsupport@modahealth.com or call Monday through Friday from 7:30 a.m.- 5:30 p.m. at:

Medical: 855‐425‐4543
Pharmacy: 833‐212‐5030
Dental: 833-212-5029

The Moda health member dashboard

 

Member Dashboard

Visit the Member Dashboard — your personalized member website to:

  • View benefits and plan information
  • View or print your member ID card
  • Find a physician or clinician
  • Submit and review claims
  • Live chat with a Health Navigator
  • Find health tools, wellness services and resources

Now available as an app!
Download the Moda 360 mobile app from your app store and take charge of your health—no matter where you are.

Download from Google play store
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Questions?

We’re here to help. If you have any questions about your benefits coverage, please call our Health Navigator team at 855‐425‐4543 or email us at: navigatorsupport@modahealth.com.

 You can also reference your Member Handbook located in the Member Dashboard.

 

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Copyright © 2025 Moda, Inc. All rights reserved.

Health plans in Oregon and Alaska provided by Moda Health Plan, Inc. Dental plans in Oregon provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon. Dental plans in Alaska provided by Delta Dental of Alaska.

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.

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