Our 2025 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 CSR and AI/AN 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
2025 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 (combined in and out of network) |
|
|
Delta Dental PPO 1500 |
$50 |
$1,500 (combined in and out of network) |
|
|
Delta Dental Premier |
$0 |
$1,100 (combined in and out of network) |
|
|
Delta Dental Premier 1000 Plan |
$50 |
$1,000 |
|
|
Delta Dental Premier Healthy Smiles |
N/A |
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 |
$7,800 |
||
|
Moda Pioneer Alaska Standard Gold - AI/AN Zero |
$0 |
$0 |
||
|
Moda Pioneer Alaska Standard Gold- AI/AN Limited |
$1,500 |
$7,800 |
||
|
Moda Pioneer Gold 1500 |
$1,500 |
$6,000 |
||
|
Moda Pioneer Gold 1500 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Pioneer Gold 1500- AI/AN Limited |
$1,500 |
$6,000 |
||
|
Moda Pioneer Alaska Standard Silver |
$5,000 |
$8,000 |
||
|
Moda Pioneer Alaska Standard Silver - AI/AN Zero |
$0 |
$0 |
||
|
Moda Pioneer Alaska Standard Silver- AI/AN Limited |
$5,000 |
$8,000 |
||
|
Moda Pioneer Alaska Standard Silver - 73% CSR |
$3,000 |
$6,400 |
||
|
Moda Pioneer Alaska Standard Silver - 87% CSR |
$500 |
$3,000 |
||
|
Moda Pioneer Alaska Standard Silver - 94% CSR |
$0 |
$2,000 |
||
|
Moda Pioneer Silver 2900 Direct |
$2,900 |
$8,700 |
||
|
Moda Pioneer Silver 4500 |
$4,500 |
$7,750 |
||
|
Moda Pioneer Silver 4500 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Pioneer Silver 4500- AI/AN Limited |
$4,500 |
$7,750 |
||
|
Moda Pioneer Silver 4500 - 73% CSR |
$4,000 |
$6,500 |
||
|
Moda Pioneer Silver 4500 - 87% CSR |
$500 |
$1,500 |
||
|
Moda Pioneer Silver 4500 - 94% CSR |
$250 |
$500 |
||
|
Moda Pioneer Alaska Standard Bronze |
$7,500 |
$9,200 |
||
|
Moda Pioneer Alaska Standard Bronze - AI/AN Zero |
$0 |
$0 |
||
|
Moda Pioneer Alaska Standard Bronze- AI/AN Limited |
$7,500 |
$9,200 |
||
|
Moda Pioneer Bronze HDHP 5500 |
$5,500 |
$8,050 |
||
|
Moda Pioneer Bronze 5500 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Pioneer Bronze 5500 - AI/AN Limited |
$5,500 |
$8,050 |
||
|
Moda Pioneer Bronze 6500 |
$6,500 |
$9,000 |
||
|
Moda Pioneer Bronze 6500 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Pioneer Bronze 6500- AI/AN Limited |
$6,500 |
$9,000 |
Idaho
2025 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 + Vision Exam |
$1,000 |
$8,000 |
||
|
Moda Select Gold 1000 + Vision Exam - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Gold 1000 + Vision Exam- AI/AN Limited |
$1,000 |
$8,000 |
||
|
Moda Select Gold 2200 + Vision Exam |
$2,200 |
$7,600 |
||
|
Moda Select Gold 2200 + Vision Exam - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Gold 2200 + Vision Exam- AI/AN Limited |
$2,200 |
$7,600 |
||
|
Moda Select Silver 3000 + Vision Exam |
$3,000 |
$8,250 |
||
|
Moda Select Silver 3000 + Vision Exam - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Silver 3000 + Vision Exam- AI/AN Limited |
$3,000 |
$8,250 |
||
|
Moda Select Silver 3000 + Vision Exam - 73% CSR |
$2,750 |
$6,500 |
||
|
Moda Select Silver 3000 + Vision Exam - 87% CSR |
$750 |
$2,000 |
||
|
Moda Select Silver 3000 + Vision Exam - 94% CSR |
$100 |
$750 |
||
|
Moda Select Silver 4000 + Vision Exam |
$4,000 |
$8,900 |
||
|
Moda Select Silver 4000 + Vision Exam - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Silver 4000 + Vision Exam- AI/AN Limited |
$4,000 |
$8,900 |
||
|
Moda Select Silver 4000 + Vision Exam - 73% CSR |
$3,600 |
$7,000 |
||
|
Moda Select Silver 4000 + Vision Exam - 87% CSR |
$500 |
$2,300 |
||
|
Moda Select Silver 4000 + Vision Exam - 94% CSR |
$0 |
$1,000 |
||
|
Moda Select Silver 6400 + Vision Exam |
$6,400 |
$7,350 |
||
|
Moda Select Silver 6400 + Vision Exam - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Silver 6400 + Vision Exam- AI/AN Limited |
$6,400 |
$7,350 |
||
|
Moda Select Silver 6400 + Vision Exam - 73% CSR |
$2,500 |
$6,350 |
||
|
Moda Select Silver 6400 + Vision Exam - 87% CSR |
$750 |
$2,000 |
||
|
Moda Select Silver 6400 + Vision Exam - 94% CSR |
$100 |
$750 |
||
|
Moda Select Bronze 8900 + Vision Exam |
$8,900 |
$9,200 |
||
|
Moda Select Bronze 8900 + Vision Exam - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Bronze 8900 + Vision Exam- AI/AN Limited |
$8,900 |
$9,200 |
||
|
Moda Select Bronze 9200 + Vision Exam |
$9,200 |
$9,200 |
||
|
Moda Select Bronze 9200 + Vision Exam - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Bronze 9200 + Vision Exam- AI/AN Limited |
$9,200 |
$9,200 |
||
|
Moda Select Bronze HDHP 7500 |
$7,500 |
$7,500 |
||
|
Moda Select Bronze 7500 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Bronze 7500 - AI/AN Limited |
$7,500 |
$7,500 |
Oregon
Dental plans
2025 Oregon individual and family dental brochure
|
Plan name |
Deductible |
Annual Max |
Summary of benefits |
|---|---|---|---|
|
Delta Dental EPO |
$0 |
$1,500 |
|
|
Delta Dental PPO |
$0 |
$1,000 |
|
|
Delta Dental PPO Bright Smiles |
N/A |
N/A |
|
|
Delta Dental PPO MAC |
$0 |
$1,200 |
|
|
Delta Dental Premier 1000 |
$50 |
$1,000 |
|
|
Willamette EPO |
$0 |
None |
Medical plans
2025 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 |
$1,500 |
$7,000 |
||
|
Moda Health Oregon Standard Gold Affinity - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Oregon Standard Gold Affinity - AI/AN Limited |
$1,500 |
$7,000 |
||
|
Moda Health Affinity Gold 250 |
$250 |
$8,500 |
||
|
Moda Health Affinity Gold 250 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Gold 250 - AI/AN Limited |
$250 |
$8,500 |
||
|
Moda Health Affinity Gold 1000 |
$1,000 |
$8,850 |
||
|
Moda Health Affinity Gold 1000 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Gold 1000 - AI/AN Limited |
$1,000 |
$8,850 |
||
|
Moda Health Affinity Gold 1500 |
$1,500 |
$7,900 |
||
|
Moda Health Affinity Gold 1500 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Gold 1500 - AI/AN Limited |
$1,500 |
$7,900 |
||
|
Moda Health Oregon Standard Silver Affinity |
$5,500 |
$9,200 |
||
|
Moda Health Oregon Standard Silver Affinity - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Oregon Standard Silver Affinity - AI/AN Limited |
$5,500 |
$9,200 |
||
|
Moda Health Oregon Standard Silver Affinity - 73% CSR |
$5,000 |
$7,350 |
||
|
Moda Health Oregon Standard Silver Affinity - 87% CSR |
$1,150 |
$3,050 |
||
|
Moda Health Oregon Standard Silver Affinity - 94% CSR |
$150 |
$1,100 |
||
|
Moda Health Affinity Silver 2900 Direct |
$2,900 |
$8,700 |
||
|
Moda Health Affinity Silver 3000 |
$3,000 |
$8,400 |
||
|
Moda Health Affinity Silver 3000 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Silver 3000 - AI/AN Limited |
$3,000 |
$8,400 |
||
|
Moda Health Affinity Silver 3000 - 73% CSR |
$2,600 |
$6,500 |
||
|
Moda Health Affinity Silver 3000 - 87% CSR |
$1,200 |
$2,100 |
||
|
Moda Health Affinity Silver 3000 - 94% CSR |
$100 |
$975 |
||
|
Moda Health Affinity Silver 3400 |
$3,400 |
$8,250 |
||
|
Moda Health Affinity Silver 3400 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Silver 3400 - AI/AN Limited |
$3,400 |
$8,250 |
||
|
Moda Health Affinity Silver 3400 - 73% CSR |
$2,600 |
$6,500 |
||
|
Moda Health Affinity Silver 3400 - 87% CSR |
$1,200 |
$2,100 |
||
|
Moda Health Affinity Silver 3400 - 94% CSR |
$100 |
$975 |
||
|
Moda Health Affinity Silver 3500 Direct |
$3,500 |
$8,700 |
||
|
Moda Health Affinity Silver 3650 Direct |
$3,650 |
$9,000 |
||
|
Moda Health Affinity Silver 4400 Direct |
$4,400 |
$8,150 |
||
|
Moda Health Affinity Silver 4500 |
$4,500 |
$7,600 |
||
|
Moda Health Affinity Silver 4500 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Silver 4500 - AI/AN Limited |
$4,500 |
$7,600 |
||
|
Moda Health Affinity Silver 4500 - 73% CSR |
$3,000 |
$6,300 |
||
|
Moda Health Affinity Silver 4500 - 87% CSR |
$1,100 |
$2,200 |
||
|
Moda Health Affinity Silver 4500 - 94% CSR |
$100 |
$975 |
||
|
Moda Health Affinity Silver 6000 |
$6,000 |
$7,800 |
||
|
Moda Health Affinity Silver 6000 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Silver 6000 - AI/AN Limited |
$6,000 |
$7,800 |
||
|
Moda Health Affinity Silver 6000 - 73% CSR |
$2,750 |
$6,950 |
||
|
Moda Health Affinity Silver 6000 - 87% CSR |
$1,000 |
$2,200 |
||
|
Moda Health Affinity Silver 6000 - 94% CSR |
$200 |
$975 |
||
|
Moda Health Oregon Standard Bronze Affinity |
$9,200 |
$9,200 |
||
|
Moda Health Oregon Standard Bronze Affinity - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Oregon Standard Bronze Affinity - AI/AN Limited |
$9,200 |
$9,200 |
||
|
Moda Health Affinity Bronze 7750 |
$7,750 |
$8,500 |
||
|
Moda Health Affinity Bronze 7750 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Bronze 7750 - AI/AN Limited |
$7,750 |
$8,500 |
||
|
Moda Health Affinity Bronze 9000 |
$9,000 |
$9,200 |
||
|
Moda Health Affinity Bronze 9000 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Bronze 9000 - AI/AN Limited |
$9,000 |
$9,200 |
||
|
Moda Health Affinity Bronze HDHP 7500 |
$7,500 |
$7,500 |
||
|
Moda Health Affinity Bronze 7500 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Health Affinity Bronze 7500 - AI/AN Limited |
$7,500 |
$7,500 |
Texas
2025 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 |
$7,800 |
||
|
Moda Select Texas Standard Gold - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Texas Standard Gold - AI/AN Limited |
$1,500 |
$7,800 |
||
|
Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) |
$1,000 |
$8,000 |
||
|
Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited |
$1,000 |
$8,000 |
||
|
Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) |
$1,800 |
$7,000 |
||
|
Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - Limited value |
$1,800 |
$7,000 |
||
|
Moda Select Texas Standard Silver |
$5,000 |
$8,000 |
||
|
Moda Select Texas Standard Silver - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Texas Standard Silver - AI/AN Limited |
$5,000 |
$8,000 |
||
|
Moda Select Texas Standard Silver - 73% CSR |
$3,000 |
$6,400 |
||
|
Moda Select Texas Standard Silver - 87% CSR |
$500 |
$3,000 |
||
|
Moda Select Texas Standard Silver - 94% CSR |
$0 |
$2,000 |
||
|
Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) |
$3,500 |
$8,600 |
||
|
Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited |
$3,500 |
$8,600 |
||
|
Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - 73% CSR |
$2,500 |
$6,550 |
||
|
Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - 87% CSR |
$750 |
$2,000 |
||
|
Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - 94% CSR |
$100 |
$750 |
||
|
Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) |
$4,800 |
$7,500 |
||
|
Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited |
$4,800 |
$7,500 |
||
|
Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - 73% CSR |
$2,500 |
$6,200 |
||
|
Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - 87% CSR |
$750 |
$2,000 |
||
|
Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - 94% CSR |
$100 |
$750 |
||
|
Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) |
$6,400 |
$7,400 |
||
|
Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited |
$6,400 |
$7,400 |
||
|
Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - 73% CSR |
$2,500 |
$6,200 |
||
|
Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - 87% CSR |
$750 |
$2,000 |
||
|
Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - 94% CSR |
$100 |
$750 |
||
|
Moda Select Texas Standard Bronze |
$7,500 |
$9,200 |
||
|
Moda Select Texas Standard Bronze - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Texas Standard Bronze - AI/AN Limited |
$7,500 |
$9,200 |
||
|
Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) |
$8,700 |
$8,700 |
||
|
Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - AI/AN Limited |
$8,700 |
$8,700 |
||
|
Moda Select Bronze HDHP 7500 |
$7,500 |
$7,500 |
||
|
Moda Select Bronze 7500 - AI/AN Zero |
$0 |
$0 |
||
|
Moda Select Bronze 7500 - AI/AN Limited |
$7,500 |
$7,500 |