Member care resources

Our commitment to our members starts with the smallest need — comparing the price of new prescriptions — and goes beyond, providing care coordination for complicated treatment plans and dedicated support for acute and chronic conditions. That’s Moda Well-being.

A better experience for your employees

What does it mean to provide a better experience? To us, it means removing barriers. Providing curated tools and information that meet each member’s specific needs. Guiding each member by answering questions, speaking to doctors or pharmacists on their behalf, and helping them get the most out of their benefits. And providing expert support from care coordinators, case managers and health coaches, to help them take care of their whole health.

Member support

We’ll help your employees get the most out of their benefits and better manage their costs.

  • Claims and appeals support
  • Pharmacy locator
  • Provider locator
  • Cost estimates tool
  • Prescription price checker

Care management

Whether your employee needs a fast answer from a doctor, or they are dealing with a surgery or complicated health condition and need someone who will advocate for them, we’re here to help.

  • Care coordination and case management
  • Text a doctor, 24/7
  • Virtual care

Condition and disease management

Acute and chronic conditions deserve extra support, and we’ve got the experts and tools to help.

  • Counseling
  • Health coaching
  • Medication interaction finder
  • Prescription history finder

Wellness management

Every employee on your team can benefit from discounts, tools and resources to help them maintain and improve their health.

  • Counseling
  • Personal health assessment
  • Personalized wellness program (for Groups 1-50)
  • Discounted gym membership
  • Hearing aid discounts

These additional services are not insurance, may not be available in all areas, and may be discontinued at any time with 30 days advance notice.