Idaho health insurance
We've got plans for you!
We may be new to Idaho, but we’re not new to healthcare. For over 70 years we’ve been finding better ways for our members to access high-quality health plans to achieve better health and wellness. At Moda Health, you’ll find that we are much more than just a health insurance company. Our individual and family medical plans come with expert guidance, caring customer service and helpful wellness services, tools and programs that deliver better value and a better experience — all of which you can expect from us. Today, we offer health insurance plans that help build healthier communities in Idaho.
Moda Select Network
Our individual medical plans give you access to providers in the Moda Select Network. This network includes a group of licensed medical professionals, clinics, pharmacies, labs and hospitals in Idaho. These providers offer quality care and services to our individual members.
The Moda Select Network covers members residing in the following counties: Ada, Adams, Bannock, Bear Lake, Benewah, Bingham, Boise, Bonner*, Bonneville, Boundary*, Canyon, Caribou, Cassia, Clearwater* Elmore, Franklin, Fremont, Gem, Idaho*, Jefferson, Kootenai, Latah*, Lewis*, Madison, Minidoka, Nez Perce*, Oneida, Owyhee, Payette, Shoshone*, Power, Teton, and Washington.
*Starting Jan. 1, 2026, the Moda Select Network will expand to these counties in Idaho
Moda Select Network
Featured health systems in the Moda Select Network
You’ll receive the best care and value when you choose healthcare providers and services from the Moda Select Network, giving you access to trusted health partners in your area.
Treasure Valley
South Central Idaho
Southeast Idaho
Eastern Idaho
North Idaho
In-network providers
With the Moda Select Network, we’ve carefully selected a community of primary care providers (PCPs) and specialists to ensure you have better value and better care on your journey to better health.
You will want to review the providers that are in-network for the year that your plan will be effective.
See if your provider is in the 2026 Moda Select Network >
See if your provider is in the 2025 Moda Select Network >
Pharmacy benefits
The Navitus Network includes access to over 87% of pharmacies in Idaho and 62,000 pharmacies nationwide. This means you can fill prescriptions almost anywhere, including local and national drug store chains.
Locate a pharmacy in the Navitus Network >
Travel with peace of mind
Our medical plans ensure you are covered when you travel anywhere in the United States and U.S. territories.
When you’re traveling outside of Idaho, you’ll get full-service medical care (starting January 1, 2026) with in-network benefits through:
- Moda Select service areas in Alaska and Texas
- Affinity Network service areas in Oregon
- Aetna® PPO Network through Aetna Signature Administrators® nationwide. This includes service areas outside the Moda Select Network in Alaska, Texas and outside the Affinity Network in Oregon.
|
Enrollment type |
Enrollment dates |
Info |
|---|---|---|
|
Pre-shop |
Oct. 1, 2025 to Oct. 14, 2025 |
Browse plan details in advance of open enrollment. |
|
Open Enrollment |
Oct. 15, 2025 to Dec. 15, 2025 |
To change your medical plan outside of these dates, you’ll have to qualify for Special Enrollment. |
|
Special Enrollment |
Anytime depending on qualifying event(s) |
Certain life events might qualify you for Special Enrollment. This means you can enroll in a health plan outside of the annual Open Enrollment period. Here are a few of the qualifying events that could make you or those you cover eligible: |
Additional Resources
Are you eligible for subsidies?
Visit the Your Health Idaho website to see if you qualify for lower cost premiums. We want to make sure you have all the information to help you make the best choice for you. Some Affordable Care Act health insurance tax credits are set to expire at the end of 2025, unless they are extended by federal legislation. This means the amount of financial help you receive to pay for your premiums may be reduced or eliminated. You can visit the Your Health Idaho website to get the most up-to-date information on 2026 subsidies. If you do enroll on the exchange, consider a Moda plan. If you do not qualify for financial assistance, please return here to enroll directly.
Go to the Your Health Idaho website to see if you qualify for lower cost premiums.
Impacted by Medicaid eligibility changes?
Medicaid redetermination is when the state checks to see if you still qualify for Medicaid. If you no longer qualify for Medicaid because of a redetermination, you may find affordable coverage through a subsidized ACA Marketplace plan. Visit our Medicaid redetermination page to learn more and find your state Medicaid office.