Welcome to Moda Health, your new medical and pharmacy plan partner that provides innovative, high-quality care benefits for you and your family. These benefits are available for ZoomCare employees and their families starting Jan. 1, 2025.
For nearly 70 years, Moda Health has helped build healthier communities in the Pacific Northwest. We’re excited to be your partner in health. We have a lot in common. You’re focused on making healthcare easy, delivering innovative, high-quality, convenient healthcare. We’re focused on making sure healthcare works better for all. We’re honored to help take care of you and your family so you can continue to take care of our communities.
Moda Health is committed to better experiences and better value for you through personalized programs and specially trained Health Navigators and Behavioral Health Champions, connecting you to the resources you need, more quickly and more efficiently, for whole-person health. Moda Health has earned NCQA accreditation, showcasing a commitment to care and controlling costs.
Your Moda Health plan offers an expansive and flexible pharmacy plan with enhanced benefits when using PeaceHealth pharmacies, which are available systemwide via in-person employee pharmacies and the online pharmacy system. You’ll be served by dedicated pharmacists and pharmacy technicians who work to help get your medications at affordable prices, while watching out for your safety from drug interactions. Your plan also includes tools and services that make it easier to manage your prescriptions:
Ensure you are equipped with the information you need to make the best decisions for you and your family. Please review the details on your benefits plan and provider network.
Flexibility in choosing a provider? Out-of-area dependents? ZoomCare’s exclusive provider organization (EPO), preferred provider organization (PPO) and account-based health plan (ABHP) benefits offer choices that will keep you and your family covered.
Getting care — where and when you need it — matters. ZoomCare and Moda Health worked together to build customized networks that offer you two tiers of in-network providers and hospitals. Each represents a broad variety of health systems and clinics.
Moda Health partners with you on your healthcare journey. We strive to understand the whole you, from your health history to your life experiences. We use this information to help you navigate your options while keeping you in the driver’s seat. From personalized health care programs, online and/or person-to-person support, mental and emotional health, and maternity and diabetes support, we’re here to connect you to the programs and tools for your unique health journey.
Review our Transition of Care Checklist to help guide you through the big and little things to help you get ready.
If you’re in the middle of treatment, scheduled for a procedure in January, or you’re pregnant, and your providers will not be in-network in 2025, don’t worry, we can help. You may be eligible to have your claims paid at a higher benefit level for a specific amount of time to support your health. Fill out the Transition of Care Request Form to get started.
Call us at (833) 599-5891 if you have any out-of-area dependents so we can ensure they have access to in-network providers.
We’re happy to answer your questions. Give us a call! You can also review our FAQs.
Moda Health is observing the following upcoming holidays and our business offices will be closed. During this time, medical calls will go to voicemail and the Moda Health Navigator team will respond on the next business day. Pharmacy calls will be forwarded to Navitus.
December 24 Closed
December 25 Closed
January 1 Closed
January 20 Closed
Whether you have questions about your 2025 benefits, transition of care or want to confirm if your provider is in-network in 2025, the Moda 360 Health Navigator team is ready to help.
Moda 360 Medical Navigators: (833) 599-5891
Moda 360 Pharmacy Navigators: (833) 599-5904
Need a behavioral health provider or service? The Moda Health Behavioral Health Champion team can help find providers that are right for you.
Moda Health Behavioral Champion team: (833) 212-5027
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Health plans in Oregon and Alaska provided by Moda Health Plan, Inc.
This site is meant to help you learn about plans and healthcare for you and your family. This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with the federal Marketplace. If questions regarding benefits arise, the summary of benefits and coverage document is the master resource.