Our 2024 plans
Plan benefit details and documents
See all plan names, the per-person deductible and annual out-of-pocket max, and links to plan documents in the tables for your state below.
For high-level medical and dental plan cost and feature details, open the Schedule of Benefits (SOB) PDF linked to in the tables below. And for comprehensive details on what medical plans cover and what services will cost, open the Summary of Benefits and Coverage (SBC) PDF linked to in the tables below. The CSV & LV plans shown below are only available through the federal and state exchanges, and eligibility for these plans is determined by the exchanges based on demographics and income levels.
Alaska
2024 Alaska individual and family medical and dental brochure
Dental plans
|
Plan name |
Deductible |
Annual Max |
Summary of benefits |
|---|---|---|---|
|
Delta Dental PPO 1000 |
$50 |
$1,000 (ages 19+) |
|
|
Delta Dental PPO 1500 |
$50 |
$1,500 (ages 19+) |
|
|
Delta Dental Premier |
$0 |
$1,100 (ages 19+) |
|
|
Delta Dental Premier 1000 Plan |
$50 |
$1,000 (all ages) |
|
|
Delta Dental Premier Healthy Smiles |
$0 |
N/A |
Medical plans
|
Plan name |
Deductible |
Out-of-pocket max |
Summary of benefits |
Summary of benefits and coverage |
|---|---|---|---|---|
|
Moda Pioneer Alaska Standard Gold |
$1,500 |
$8,700 |
||
|
Moda Pioneer Alaska Standard Gold - CSV0 |
$0 |
$0 |
||
|
Moda Pioneer Alaska Standard Gold - Limited valule |
$1,500 |
$8,700 |
||
|
Moda Pioneer Gold 1500 |
$1,500 |
$6,000 |
||
|
Moda Pioneer Gold 1500 - CSV0 |
$0 |
$0 |
||
|
Moda Pioneer Gold 1500 - Limited valule |
$1,500 |
$6,000 |
||
|
Moda Pioneer Alaska Standard Silver |
$5,900 |
$9,100 |
||
|
Moda Pioneer Alaska Standard Silver - CSV0 |
$0 |
$0 |
||
|
Moda Pioneer Alaska Standard Silver - Limited valule |
$5,900 |
$9,100 |
||
|
Moda Pioneer Alaska Standard Silver - CSV1 |
$5,700 |
$7,200 |
||
|
Moda Pioneer Alaska Standard Silver - CSV2 |
$700 |
$3,000 |
||
|
Moda Pioneer Alaska Standard Silver - CSV3 |
$0 |
$1,800 |
||
|
Moda Pioneer Silver 2900 Direct |
$2,900 |
$8,700 |
||
|
Moda Pioneer Silver 4500 |
$4,500 |
$7,750 |
||
|
Moda Pioneer Silver 4500 - CSV0 |
$0 |
$0 |
||
|
Moda Pioneer Silver 4500 - Limited valule |
$4,500 |
$7,750 |
||
|
Moda Pioneer Silver 4500 CSV1 |
$4,000 |
$6,850 |
||
|
Moda Pioneer Silver 4500 CSV2 |
$500 |
$1,500 |
||
|
Moda Pioneer Silver 4500 CSV3 |
$250 |
$500 |
||
|
Moda Pioneer Alaska Standard Bronze |
$7,500 |
$9,400 |
||
|
Moda Pioneer Alaska Standard Bronze - CSV0 |
$0 |
$0 |
||
|
Moda Pioneer Alaska Standard Bronze - Limited valule |
$7,500 |
$9,400 |
||
|
Moda Pioneer Bronze 5500 |
$5,500 |
$9,250 |
||
|
Moda Pioneer Bronze 5500 - CSV0 |
$0 |
$0 |
||
|
Moda Pioneer Bronze 5500 - Limited valule |
$5,500 |
$9,250 |
||
|
Moda Pioneer Bronze 6500 |
$6,500 |
$9,000 |
||
|
Moda Pioneer Bronze 6500 - CSV0 |
$0 |
$0 |
||
|
Moda Pioneer Bronze 6500 - Limited valule |
$6,500 |
$9,000 |
Idaho
2024 Idaho individual and family medical brochure
Medical plans
|
Plan name |
Deductible |
Out-of-pocket max |
Summary of benefits |
Summary of benefits and coverage |
|---|---|---|---|---|
|
Moda Select Gold 1000 Separate Rx + Vision Exam |
$1,000 |
$8,000 |
||
|
Moda Select Gold 1000 Separate Rx + Vision Exam - CSV0 |
$0 |
$0 |
||
|
Moda Select Gold 1000 Separate Rx + Vision Exam - Limited value |
$1,000 |
$8,000 |
||
|
Moda Select Gold 2200 + Vision Exam |
$2,200 |
$7,600 |
||
|
Moda Select Gold 2200 + Vision Exam - CSV0 |
$0 |
$0 |
||
|
Moda Select Gold 2200 + Vision Exam - Limited value |
$2,200 |
$7,600 |
||
|
Moda Select Silver 3000 Separate Rx + Vision Exam |
$3,000 |
$8,250 |
||
|
Moda Select Silver 3000 Separate Rx + Vision Exam - CSV0 |
$0 |
$0 |
||
|
Moda Select Silver 3000 Separate Rx + Vision Exam - Limited value |
$3,000 |
$8,250 |
||
|
Moda Select Silver 3000 Separate Rx + Vision Exam - CSV1 |
$2,750 |
$6,750 |
||
|
Moda Select Silver 3000 Separate Rx + Vision Exam - CSV2 |
$750 |
$2,000 |
||
|
Moda Select Silver 3000 Separate Rx + Vision Exam - CSV3 |
$100 |
$750 |
||
|
Moda Select Silver 6400 + Vision Exam |
$6,400 |
$7,350 |
||
|
Moda Select Silver 6400 + Vision Exam - CSV0 |
$0 |
$0 |
||
|
Moda Select Silver 6400 + Vision Exam - Limited value |
$6,400 |
$7,350 |
||
|
Moda Select Silver 6400 + Vision Exam - CSV1 |
$2,500 |
$6,350 |
||
|
Moda Select Silver 6400 + Vision Exam - CSV2 |
$750 |
$2,000 |
||
|
Moda Silver Select 6400 + Vision Exam - CSV3 |
$100 |
$750 |
||
|
Moda Select Bronze 8900 + Vision Exam |
$8,900 |
$9,450 |
||
|
Moda Select Bronze 8900 + Vision Exam - CSV0 |
$0 |
$0 |
||
|
Moda Select Bronze 8900 + Vision Exam - Limited value |
$8,900 |
$9,450 |
||
|
Moda Select Bronze HSA 7500 |
$7,500 |
$7,500 |
||
|
Moda Select Bronze 7500 - CSV0 |
$0 |
$0 |
||
|
Moda Select Bronze 7500 - Limited value |
$7,500 |
$7,500 |
Oregon
Dental plans
2024 Oregon individual and family dental brochure
|
Plan name |
Deductible |
Annual Max |
Summary of benefits |
|---|---|---|---|
|
Delta Dental EPO |
$0 |
$1,500 (ages 19+) |
|
|
Delta Dental PPO |
$0 |
$1,000 (ages 19+) |
|
|
Delta Dental PPO Bright Smiles |
$0 |
N/A |
|
|
Delta Dental PPO MAC |
$0 |
$1,200 (ages 19+) |
|
|
Delta Dental Premier 1000 |
$50 |
$1,000 (all ages) |
Medical plans
2024 Oregon Affinity individual and family medical and dental brochure
|
Plan name |
Deductible |
Out-of-pocket max |
Summary of benefits |
Summary of benefits and coverage |
|---|---|---|---|---|
|
Moda Health Oregon Standard Gold (Affinity) |
$1,800 |
$7,550 |
||
|
Moda Health Oregon Standard Gold (Affinity) -CSV0 |
$0 |
$0 |
||
|
Moda Health Oregon Standard Gold (Affinity) - Limited value |
$1,800 |
$7,550 |
||
|
Moda Health Affinity Gold 250 |
$250 |
$8,700 |
||
|
Moda Health Affinity Gold 250 - CSV0 |
$0 |
$0 |
||
|
Moda Health Affinity Gold 250 - Limited value |
$250 |
$8,700 |
||
|
Moda Health Affinity Gold 1000 |
$1,000 |
$8,700 |
||
|
Moda Health Affinity Gold 1000 - CSV0 |
$0 |
$0 |
||
|
Moda Health Affinity Gold 1000 - Limited value |
$1,000 |
$8,700 |
||
|
Moda Health Oregon Standard Silver (Affinity) |
$5,500 |
$9,450 |
||
|
Moda Health Oregon Standard Silver (Affinity) - CSV0 |
$0 |
$0 |
||
|
Moda Health Oregon Standard Silver (Affinity) - Limited value |
$5,500 |
$9,450 |
||
|
Moda Health Oregon Standard Silver (Affinity) - CSV1 |
$5,500 |
$7,550 |
||
|
Moda Health Oregon Standard Silver (Affinity) - CSV2 |
$1,300 |
$3,200 |
||
|
Moda Health Oregon Standard Silver (Affinity) - CSV3 |
$150 |
$1,075 |
||
|
Moda Health Affinity Silver 3400 Direct |
$3,400 |
$8,700 |
||
|
Moda Health Affinity Silver 3500 |
$3,500 |
$8,600 |
||
|
Moda Health Affinity Silver 3500 - CSV0 |
$0 |
$0 |
||
|
Moda Health Affinity Silver 3500 - Limited value |
$3,500 |
$8,600 |
||
|
Moda Health Affinity Silver 3500 - CSV1 |
$2,600 |
$6,500 |
||
|
Moda Health Affinity Silver 3500 - CSV2 |
$1,000 |
$2,100 |
||
|
Moda Health Affinity Silver 3500 - CSV3 |
$100 |
$750 |
||
|
Moda Health Affinity Silver 3550 Direct |
$3,550 |
$9,450 |
||
|
Moda Health Affinity Silver 4400 Direct |
$4,400 |
$8,150 |
||
|
Moda Health Affinity Silver 4500 |
$4,500 |
$8,050 |
||
|
Moda Health Affinity Silver 4500 - CSV0 |
$0 |
$0 |
||
|
Moda Health Affinity Silver 4500 - Limited value |
$4,500 |
$8,050 |
||
|
Moda Health Affinity Silver 4500 - CSV1 |
$3,000 |
$6,400 |
||
|
Moda Health Affinity Silver 4500 - CSV2 |
$1,000 |
$2,100 |
||
|
Moda Health Affinity Silver 4500 - CSV3 |
$100 |
$750 |
||
|
Moda Health Affinity Silver 6400 |
$6,400 |
$8,000 |
||
|
Moda Health Affinity Silver 6400- CSV0 |
$0 |
$0 |
||
|
Moda Health Affinity Silver 6400 - Limited value |
$6,400 |
$8,000 |
||
|
Moda Health Affinity Silver 6400- CSV1 |
$2,750 |
$7,050 |
||
|
Moda Health Affinity Silver 6400- CSV2 |
$1,000 |
$2,200 |
||
|
Moda Health Affinity Silver 6400- CSV3 |
$100 |
$800 |
||
|
Moda Health Oregon Standard Bronze (Affinity) |
$9,450 |
$9,450 |
||
|
Moda Health Oregon Standard Bronze (Affinity) - CSV0 |
$0 |
$0 |
||
|
Moda Health Oregon Standard Bronze (Affinity) - Limited value |
$9,450 |
$9,450 |
||
|
Moda Health Affinity Bronze 7750 |
$7,750 |
$9,450 |
||
|
Moda Health Affinity Bronze 7750 - CSV0 |
$0 |
$0 |
||
|
Moda Health Affinity Bronze 7750 - Limited value |
$7,750 |
$9,450 |
||
|
Moda Health Affinity Bronze 9000 |
$9,000 |
$9,000 |
||
|
Moda Health Affinity Bronze 9000 - CSV0 |
$0 |
$0 |
||
|
Moda Health Affinity Bronze 9000 - Limited value |
$9,000 |
$9,000 |
||
|
Moda Health Affinity Bronze HSA 7500 |
$7,500 |
$7,500 |
||
|
Moda Health Affinity Bronze 7500 - CSV0 |
$0 |
$0 |
||
|
Moda Health Affinity 7500 - Limited value |
$7,500 |
$7,500 |
2024 Oregon Beacon individual and family medical and dental brochure
|
Plan name |
Deductible |
Out-of-pocket max |
Summary of benefits |
Summary of benefits and coverage |
|---|---|---|---|---|
|
Moda Health Oregon Standard Gold (Beacon) |
$1,800 |
$7,550 |
||
|
Moda Health Oregon Standard Gold (Beacon) - CSV0 |
$0 |
$0 |
||
|
Moda Health Oregon Standard Gold (Beacon) - Limited value |
$1,800 |
$7,550 |
||
|
Moda Health Beacon Gold 250 |
$250 |
$8,700 |
||
|
Moda Health Beacon Gold 250 - CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon Gold 250 - Limited value |
$250 |
$8,700 |
||
|
Moda Health Beacon Gold 1000 |
$1,000 |
$8,700 |
||
|
Moda Health Beacon Gold 1000 - CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon Gold 1000 - Limited value |
$1,000 |
$8,700 |
||
|
Moda Health Beacon Gold 1500 |
$1,500 |
$7,000 |
||
|
Moda Health Beacon Gold 1500 - CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon Gold 1500 - Limited value |
$1,500 |
$7,000 |
||
|
Moda Health Oregon Standard Silver (Beacon) |
$5,500 |
$9,450 |
||
|
Moda Health Oregon Standard Silver (Beacon) - CSV0 |
$0 |
$0 |
||
|
Moda Health Oregon Standard Silver (Beacon) - Limited value |
$5,500 |
$9,450 |
||
|
Moda Health Oregon Standard Silver (Beacon) - CSV1 |
$5,500 |
$7,550 |
||
|
Moda Health Oregon Standard Silver (Beacon) - CSV2 |
$1,325 |
$3,150 |
||
|
Moda Health Oregon Standard Silver (Beacon) - CSV3 |
$150 |
$1,075 |
||
|
Moda Health Beacon Silver 2900 Direct |
$2,900 |
$8,700 |
||
|
Moda Health Beacon Silver 3000 |
$3,000 |
$8,700 |
||
|
Moda Health Beacon Silver 3000 - CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon Silver 3000 - Limited value |
$3,000 |
$8,700 |
||
|
Moda Health Beacon Silver 3000 - CSV1 |
$2,600 |
$6,500 |
||
|
Moda Health Beacon Silver 3000 - CSV2 |
$1,000 |
$2,100 |
||
|
Moda Health Beacon Silver 3000 - CSV3 |
$100 |
$750 |
||
|
Moda Health Beacon Silver 3400 Direct |
$3,400 |
$8,700 |
||
|
Moda Health Beacon Silver 3500 |
$3,500 |
$8,600 |
||
|
Moda Health Beacon Silver 3500 - CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon Silver 3500 - Limited value |
$3,500 |
$8,600 |
||
|
Moda Health Beacon Silver 3500 - CSV1 |
$2,600 |
$6,500 |
||
|
Moda Health Beacon Silver 3500 - CSV2 |
$1,000 |
$2,100 |
||
|
Moda Health Beacon Silver 3500 - CSV3 |
$100 |
$750 |
||
|
Moda Health Beacon Silver 3650 Direct |
$3,650 |
$9,000 |
||
|
Moda Health Beacon Silver 4400 Direct |
$4,400 |
$8,150 |
||
|
Moda Health Beacon Silver 4500 |
$4,500 |
$8,050 |
||
|
Moda Health Beacon Silver 4500 - CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon Silver 4500 - Limited value |
$4,500 |
$8,050 |
||
|
Moda Health Beacon Silver 4500 - CSV1 |
$3,000 |
$6,400 |
||
|
Moda Health Beacon Silver 4500 - CSV2 |
$1,000 |
$2,100 |
||
|
Moda Health Beacon Silver 4500 - CSV3 |
$100 |
$750 |
||
|
Moda Health Beacon Silver 6400 |
$6,400 |
$8,000 |
||
|
Moda Health Beacon Silver 6400- CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon Silver 6400 - Limited value |
$6,400 |
$8,000 |
||
|
Moda Health Beacon Silver 6400- CSV1 |
$2,750 |
$7,050 |
||
|
Moda Health Beacon Silver 6400- CSV2 |
$1,000 |
$2,200 |
||
|
Moda Health Beacon Silver 6400- CSV3 |
$100 |
$800 |
||
|
Moda Health Oregon Standard Bronze (Beacon) |
$9,450 |
$9,450 |
||
|
Moda Health Oregon Standard Bronze (Beacon) - CSV0 |
$0 |
$0 |
||
|
Moda Health Oregon Standard Bronze (Beacon) - Limited value |
$9,450 |
$9,450 |
||
|
Moda Health Beacon Bronze 7750 |
$7,750 |
$9,450 |
||
|
Moda Health Beacon Bronze 7750 - CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon Bronze 7750 - Limited value |
$7,750 |
$9,450 |
||
|
Moda Health Beacon Bronze 9000 |
$9,000 |
$9,000 |
||
|
Moda Health Beacon Bronze 9000 - CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon Bronze 9000 - Limited value |
$9,000 |
$9,000 |
||
|
Moda Health Beacon Bronze HSA 7500 |
$7,500 |
$7,500 |
||
|
Moda Health Beacon Bronze HSA 7500 - CSV0 |
$0 |
$0 |
||
|
Moda Health Beacon 7500 - Limited value |
$7,500 |
$7,500 |
Texas
2024 Texas individual and family medical brochure
Medical plans
|
Plan name |
Deductible |
Out-of-pocket max |
Summary of benefits |
Summary of benefits and coverage |
|---|---|---|---|---|
|
Moda Select Texas Standard Gold |
$1,500 |
$8,700 |
||
|
Moda Select Texas Standard Gold - CSV0 |
$0 |
$0 |
||
|
Moda Select Texas Standard Gold - Limited value |
$1,500 |
$8,700 |
||
|
Moda Select Gold 1000 ($0 Virtual Care) |
$1,000 |
$8,000 |
||
|
Moda Select Gold 1000 ($0 Virtual Care) - CSV0 |
$0 |
$0 |
||
|
Moda Select Gold 1000 ($0 Virtual Care) - Limited value |
$1,000 |
$8,000 |
||
|
Moda Select Gold 1800 ($0 Virtual Care) |
$1,800 |
$7,000 |
||
|
Moda Select Gold 1800 ($0 Virtual Care) - CSV0 |
$0 |
$0 |
||
|
Moda Select Gold 1800 ($0 Virtual Care) - Limited value |
$1,800 |
$7,000 |
||
|
Moda Select Texas Standard Silver |
$5,900 |
$9,100 |
||
|
Moda Select Texas Standard Silver - CSV0 |
$0 |
$0 |
||
|
Moda Select Texas Standard Silver - Limited value |
$5,900 |
$9,100 |
||
|
Moda Select Texas Standard Silver - CSV1 |
$5,700 |
$7,200 |
||
|
Moda Select Texas Standard Silver - CSV2 |
$700 |
$3,000 |
||
|
Moda Select Texas Standard Silver - CSV3 |
$0 |
$1,800 |
||
|
Moda Select Silver 3500 ($0 Virtual Care) |
$3,500 |
$8,700 |
||
|
Moda Select Silver 3500 ($0 Virtual Care) - CSV0 |
$0 |
$0 |
||
|
Moda Select Silver 3500 ($0 Virtual Care) - Limited value |
$3,500 |
$8,700 |
||
|
Moda Select Silver 3500 ($0 Virtual Care) - CSV1 |
$2,500 |
$6,550 |
||
|
Moda Select Silver 3500 ($0 Virtual Care) - CSV2 |
$750 |
$2,000 |
||
|
Moda Select Silver 3500 ($0 Virtual Care) - CSV3 |
$100 |
$750 |
||
|
Moda Select Silver 4800 ($0 Virtual Care) |
$4,800 |
$7,800 |
||
|
Moda Select Silver 4800 ($0 Virtual Care) - CSV0 |
$0 |
$0 |
||
|
Moda Select Silver 4800 ($0 Virtual Care) - Limited value |
$4,800 |
$7,800 |
||
|
Moda Select Silver 4800 ($0 Virtual Care) - CSV1 |
$2,500 |
$6,350 |
||
|
Moda Select Silver 4800 ($0 Virtual Care) - CSV2 |
$750 |
$2,000 |
||
|
Moda Select Silver 4800 ($0 Virtual Care) - CSV3 |
$100 |
$750 |
||
|
Moda Select Silver 6400 ($0 Virtual Care) |
$6,400 |
$7,400 |
||
|
Moda Select Silver 6400 ($0 Virtual Care) - CSV0 |
$0 |
$0 |
||
|
Moda Select Silver 6400 ($0 Virtual Care) - Limited value |
$6,400 |
$7,400 |
||
|
Moda Select Silver 6400 ($0 Virtual Care) - CSV1 |
$2,500 |
$6,350 |
||
|
Moda Select Silver 6400 ($0 Virtual Care) - CSV2 |
$750 |
$2,000 |
||
|
Moda Select Silver 6400 ($0 Virtual Care) - CSV3 |
$100 |
$750 |
||
|
Moda Select Texas Standard Bronze |
$7,500 |
$9,400 |
||
|
Moda Select Texas Standard Bronze - CSV0 |
$0 |
$0 |
||
|
Moda Select Texas Standard Bronze - Limited value |
$7,500 |
$9,400 |
||
|
Moda Select Bronze 8700 ($0 Virtual Care) |
$8,700 |
$8,700 |
||
|
Moda Select Bronze 8700 ($0 Virtual Care) - CSV0 |
$0 |
$0 |
||
|
Moda Select Bronze 8700 ($0 Virtual Care) - Limited value |
$8,700 |
$8,700 |
||
|
Moda Select Bronze HSA 7500 |
$7,500 |
$7,500 |
||
|
Moda Select Bronze 7500 - CSV0 |
$0 |
$0 |
||
|
Moda Select Bronze 7500 - Limited Value |
$7,500 |
$7,500 |