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Welcome, Oregon!

We’ve got plans for you

At Moda Health, we’re more than just a health insurance company. Since 1955, we’ve been finding better ways for Oregonians to access high-quality health plans to achieve better health and wellness. Our medical and dental 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.

Jump to: Dental plans


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Beacon Network

You have a lot to think about when choosing the right medical benefits for you and your family. Our exclusive provider organization (EPO) plans give you access to quality medical services, including clinics, labs and hospitals. We’ll also help you connect with your primary care provider (PCP) and work closely with the rest of your care team. We’re here to support your health journey. 

The Beacon Network covers members residing in the following counties: Clackamas, Clatsop, Columbia, Coos, Curry, Hood River, Jackson, Josephine, Multnomah, Tillamook, Wasco, Washington and Yamhill.

Oregon Beacon map
Moda Beacon Network

Featured health systems in the Beacon Network

You’ll receive the best care and value from healthcare providers and services from the Beacon Network. This network features the following health systems, along with other local providers:

  • Adventist Health Portland (OHSU Health partner)
  • Asante Health System
  • Bay Area Hospital
  • Columbia Memorial Hospital
  • Curry General Hospital
  • Mid-Columbia Medical Center
  • OHSU Doernbecher Children’s Hospital
  • OHSU Hospital
  • Providence Medford
  • Tillamook Regional Medical Center
  • Hillsboro Medical Center (OHSU Health partner)
  • Willamette Valley Medical Center
Network providers

In-network providers

To help you manage your health, you will be required to select an in-network PCP. By establishing a relationship with a PCP, we can work together to achieve your health and wellness goals based on your history and preferences.

Our plans support your personal healthcare needs through partnerships with you, Moda Health, and your in-network providers. Once you’ve selected a PCP, our plans use the Beacon Network to provide cost-effective, coordinated care to achieve your health and wellness goals.

See if your providers are in the Beacon Network >

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Pharmacy benefits

The Navitus Network includes access to over 95% of pharmacies in Oregon, plus more than 65,000 pharmacies nationwide. This means you can fill prescriptions almost anywhere, including these local and national drug store chains:
  • Costco
  • CVS
  • Fred Meyer
  • Rite Aid
  • Safeway and Albertsons
  • Walgreens
  • Walmart

Locate a pharmacy in the Navitus network >


Travel with peace of mind

Our medical plans ensure you’re covered when you travel anywhere in the United States and U.S. territories. While traveling outside of the service area, members can receive in-network emergency or urgent care through the Aetna PPO Network. 


Shop Beacon Network plans now

Affinity Network

Our exclusive provider organization (EPO) plans give you access to quality medical services, including clinics, labs and hospitals. We’ll also help you connect with a primary care provider (PCP) and work closely with the rest of your care team. We’re here to support your health journey.  

The Affinity Network covers members residing in the following counties: Baker, Crook, Deschutes, Douglas, Gilliam, Grant, Harney, Jefferson, Klamath, Lake, Lane, Malheur, Marion, Morrow, Polk, Sherman, Umatilla, Union, Wallowa  and Wheeler.  

Oregon Affinity map
Moda Affinity Network

Featured health systems in the Affinity Network 

You’ll receive the best care and value when you choose healthcare providers and services from the Affinity Network. This network features the following health systems, along with other local providers:

  • Blue Mountain Hospital
  • CHI - St. Anthony Hospital
  • Good Shepherd
  • Grande Ronde Hospital
  • Harney District Hospital
  • Kadlec Regional Medical Center
  • Lake Health District
  • Mercy Medical Center
  • Morrow County Health District
  • Peace Health
  • St. Alphonsus Regional Medical Center
  • Sky Lakes Medical Center
  • St. Charles Health Center
  • St. Luke’s Regional Medical Center
  • Wallowa Memorial Hospital 

*For conditions that require treatment at OHSU or if a referral is made to OHSU, the Affinity EPO Network does offer access to OHSU.

Network providers

In network providers

To help you manage your health, you will be required to select an in-network PCP. By establishing a relationship with a PCP, we can work together to achieve your health and wellness goals based on your history and preferences.

Our plans support your personal healthcare needs through partnerships with you, Moda Health, and your in-network providers. Once you’ve selected a PCP, our plans use the Affinity Network to provide cost-effective, coordinated care to achieve your health and wellness goals.

See if your providers are in the Affinity Network >

Rx Bottle icon

Pharmacy benefits

The Navitus Network includes access to over 95% of pharmacies in Oregon, plus more than 65,000 pharmacies nationwide. This means you can fill prescriptions almost anywhere, including these local and national drug store chains:
  • Costco
  • CVS
  • Fred Meyer
  • Rite Aid
  • Safeway and Albertsons
  • Walgreens
  • Walmart

Locate a pharmacy in the Navitus network >


Travel with peace of mind

Our medical plans ensure you are covered when travelling anywhere in the United States and U.S. territories. While traveling outside of the service area, members can receive in-network emergency or urgent care through the Aetna PPO Network. 


Shop Affinity Network plans now

Dental plans in Oregon

Our network of dental care providers offers you the freedom to choose your own dentist, fast and accurate claims payment, and cost savings by staying in-network. Delta Dental of Oregon covers all of Oregon, and gives you access to providers nationwide.

Oregon — Delta Dental PPOTM Network and Delta Dental Premier® Network 

With our individual and family dental coverage, you'll have access to the Delta Dental PPOTM Network and the Delta Dental Premier® Network. These are two of the largest preferred provider dental networks in Oregon and across the country. The Delta Dental PPO Network offers a selection of more than 1,200 in-network dentists in Oregon and 114,000 nationwide. One of the largest dental networks in Oregon, the Delta Dental Premier Network gives you more choice, including 153,000 participating dentists nationwide.

Dental provider search:

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Delta Dental Network
Shop Delta Dental plans now

Wondering about enrollment periods? 

Enrollment type

Enrollment dates

Info

Pre-shop

Oct. 1, 2023 to Oct. 31, 2023

Browse plan details in advance of open enrollment  

Open Enrollment

Nov. 1, 2023 to Jan. 15, 2024

To change your medical or dental 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:
Learn more about special enrollment > 

Additional Resources

2024 plan materials

2023 plan materials

Go to Healthcare.gov to see if you qualify for lower cost premiums.