Our 2022 plans

Start shopping to see the plans available in your area and the rates that apply to you.

Medical plan benefit summaries

You can find basic details about each 2022 plan within the plan’s benefit summary. These details include copayments, coinsurance and deductibles. For more specific plan details, look inside the summaries of benefits and coverage (SBCs).

Quick links:
Oregon Delta Dental, Affinity Network or Beacon Network
Alaska Delta Dental or Pioneer Network
Texas Moda Select Network

Oregon

Dental plans

2022 Oregon individual and family dental brochure


Delta Dental of Oregon
Plan name and benefit summary Deductible Annual Max
Delta Dental PPOSM  $0 $375
Delta Dental EPO  $0 $375
Delta Dental PPOSM Bright Smiles  $0 $375


Medical plans

2022 Oregon Affinity individual and family medical and dental brochure


Affinity Network
Plan name and benefit summary Deductible Annual Max SBC
Moda Health Affinity Silver 3550 Off-exchange only $3,550 $8,550
Moda Health Affinity Silver 3400 Off-exchange only $3,400 $8,700
Moda Health Affinity Silver 4400 Off-exchange only $4,400 $8,700
Moda Health Affinity Oregon Standard Gold $1,500 $7,300
Moda Health Affinity Oregon Standard Gold CSV0 $0 $0
Moda Health Affinity Oregon Standard Silver $3,650 $8,550
Moda Health Affinity Oregon Standard Silver CSV0 $0 $0
Moda Health Affinity Oregon Standard Silver CSV1 $3,650 $6,800
Moda Health Affinity Oregon Standard Silver CSV2 $1,200 $2,850
Moda Health Affinity Oregon Standard Silver CSV3 $100 $1000
Moda Health Affinity Oregon Standard Bronze $8,700 $8,700
Moda Health Affinity Oregon Standard Bronze CSV0 $0 $0
Moda Health Affinity Gold 250 $250 $8,700
Moda Health Affinity Gold 250 CSV0 $0 $0
Moda Health Affinity Gold 1000 $1,000 $8,700
Moda Health Affinity Gold 1000 CSV0 $0 $0
Moda Health Affinity Silver 3500 $3,500 $8,700
Moda Health Affinity Silver 3500 CSV0 $0 $0
Moda Health Affinity Silver 3500 CSV1 $2,500 $6,350
Moda Health Affinity Silver 3500 CSV2 $750 $2,000
Moda Health Affinity Silver 3500 CSV3 $100 $750
Moda Health Affinity Silver 4500 $4,500 $8,700
Moda Health Affinity Silver 4500 – CSV0 $0 $0
Moda Health Affinity Silver 4500 – CSV1 $2,500 $6,350
Moda Health Affinity Silver 4500 – CSV2 $750 $2,000
Moda Health Affinity Silver 4500 – CSV3 $100 $750
Moda Health Affinity Bronze 7000 $7,000 $8,700
Moda Health Affinity Bronze 7000 CSV0 $0 $0
Moda Health Affinity Bronze 8700 $8,700 $8,700
Moda Health Affinity Bronze 8700 – CSV0 $0 $0
Moda Health Affinity Bronze HSA 6900 $6,900 $6,900
Moda Health Affinity Bronze HSA 6900 CSV0 $0 $0

 

2022 Oregon Beacon individual and family medical and dental brochure


Beacon Network
Plan name and benefit summary Deductible Annual Max SBC
Moda Health Beacon Silver 2900 Off-exchange only $2,900 $8,700
Moda Health Beacon Silver 3400 Off-exchange only $3,400 $8,700
Moda Health Beacon Silver 3550 Off-exchange only $3,550 $8,550
Moda Health Beacon Silver 4400 Off-exchange only $4,400 $8,700
Moda Health Beacon Oregon Standard Gold $1,500 $7,300
Moda Health Beacon Oregon Standard Gold CSV0 $0 $0
Moda Health Beacon Oregon Standard Silver $3,650 $8,550
Moda Health Beacon Oregon Standard Silver CSV0 $0 $0
Moda Health Beacon Oregon Standard Silver CSV1 $3,650 $6,800
Moda Health Beacon Oregon Standard Silver CSV2 $1,200 $2,850
Moda Health Beacon Oregon Standard Silver CSV3 $100 $1,000
Moda Health Beacon Oregon Standard Bronze $8,700 $8,700
Moda Health Beacon Oregon Standard Bronze CSV0 $0 $0
Moda Health Beacon Gold 250 $250 $8,700
Moda Health Beacon Gold 250 CSV0 $0 $0
Moda Health Beacon Gold 1000 $1,000 $8,700
Moda Health Beacon Gold 1000 CSV0 $0 $0
Moda Health Beacon Gold 1500 $1,500 $7,500
Moda Health Beacon Gold 1500 CSV0 $0 $0
Moda Health Beacon Silver 3000 $3,000 $8,700
Moda Health Beacon Silver 3000 CSV0 $0 $0
Moda Health Beacon Silver 3000 CSV1 $2,500 $6,350
Moda Health Beacon Silver 3000 CSV2 $750 $2,000
Moda Health Beacon Silver 3000 CSV3 $100 $750
Moda Health Beacon Silver 3500 $3,500 $8,700
Moda Health Beacon Silver 3500 CSV0 $0 $0
Moda Health Beacon Silver 3500 CSV1 $2,500 $6,350
Moda Health Beacon Silver 3500 CSV2 $750 $2,000
Moda Health Beacon Silver 3500 CSV3 $100 $750
Moda Health Beacon Silver 4500 $4,500 $8,700
Moda Health Beacon Silver 4500 — CSV0 $0 $0
Moda Health Beacon Silver 4500 – CSV1 $2,500 $6,350
Moda Health Beacon Silver 4500 – CSV2 $750 $2,000
Moda Health Beacon Silver 4500 – CSV3 $100 $750
Moda Health Beacon Bronze 7000 $7,000 $8,700
Moda Health Beacon Bronze 7000 CSV0 $0 $0
Moda Health Beacon Bronze 8700 $8,700 $8,700
Moda Health Beacon Bronze 8700 – CSV0 $0 $0
Moda Health Beacon Bronze HSA 6900 $6,900 $6,900
Moda Health Beacon Bronze HSA 6900 - CSV0 $0 $0


Alaska

2022 Alaska individual and family medical and dental brochure

Dental plans


Dental plans
Plan name and benefit summary Deductible Annual Max
Delta Dental PPOSM 1000 Plan $0 $1,000
Delta Dental PPOSM 1500 Plan $0 $1,500
Delta Dental Premier® Plan $0 $1,000
Delta Dental Premier® Healthy Smiles Plan $0 N/A
Delta Dental Premier® Preventive Alaska Mandated Plan $25 $500


Medical plans


Pioneer Network
Plan name and benefit summary Deductible Annual Max SBC
Moda Pioneer Gold 1500 $1,500 (Tier 1)
$6,000 (Tier 1)

Moda Pioneer Gold 1500 CSV0 $0 (Tier 1)
$0 (Tier 1)

Moda Pioneer Silver 4500 $4,500 (Tier 1)
$7,350 (Tier 1)

Moda Pioneer Silver 4500 CSV0 $0 (Tier 1)
$0 (Tier 1)

Moda Pioneer Silver 4500 CSV1 $3,500 (Tier 1)
$6,500 (Tier 1)

Moda Pioneer Silver 4500 CSV2 $500 (Tier 1)
$1,500 (Tier 1)

Moda Pioneer Silver 4500 CSV3 $250 (Tier 1)
$600 (Tier 1)

Moda Pioneer Bronze 6500 $6,500 (Tier 1)
$8,000 (Tier 1)

Moda Pioneer Bronze 6500 CSV0 $0 (Tier 1)
$0 (Tier 1)

Moda Pioneer Bronze HDHP 5500 $5,500 (Tier 1)
$7,000 (Tier 1)

Moda Pioneer Bronze HDHP 5500 CSV0 $0 (Tier 1)
$0 (Tier 1)



Texas

2022 Texas individual and family medical brochure

Shop Texas plans

Medical plans


Moda Select Network
Plan name and benefit summary Deductible Annual Max SBC
Moda Select Gold 1000 $1,000 $8,000
Moda Select Gold 1000 Zero Cost Share $0 $0
Moda Select Gold 1000 Limited Value $1,000 $8,000
Moda Select Gold 1800 $1,800 $7,000
Moda Select Gold 1800 Zero Cost Share $0 $0
Moda Select Gold 1800 Limited Value $1,800 $7,000
Moda Select Silver 3500 $3,500 $8,000
Moda Select Silver 3500 Zero Cost Share $0 $0
Moda Select Silver 3500 73% AV $2,500 $6,350
Moda Select Silver 3500 87% AV $750 $2,000
Moda Select Silver 3500 94% AV $100 $750
Moda Select Silver 3500 Limited Value $3,500 $8,000
Moda Select Silver 4800 $4,800 $8,000
Moda Select Silver 4800 Zero Cost Share $0 $0
Moda Select Silver 4800 73% AV $2,500 $6,350
Moda Select Silver 4800 87% AV $750 $2,000
Moda Select Silver 4800 94% AV $100 $750
Moda Select Silver 4800 Limited Value $4,800 $8,000
Moda Select Silver 6400 $6,400 $8,000
Moda Select Silver 6400 Zero Cost Share $0 $0
Moda Select Silver 6400 73% AV $2,500 $6,350
Moda Select Silver 6400 87% AV $750 $2,000
Moda Select Silver 6400 94% AV $100 $750
Moda Select Silver 6400 Limited Value $6,400 $8,000
Moda Select Bronze 8700 $8,700 $8,700
Moda Select Bronze 8700 Zero Cost Share $0 $0
Moda Select Bronze 8700 Limited Value $8,700 $8,700
Moda Select Bronze HSA 6900 $6,900 $6,900
Moda Select Bronze HSA 6900 Zero Cost Share $0 $0
Moda Select Bronze HSA 6900 Limited Value $6,900 $6,900