Zoomers are assigned to a network based on the coverage region where you reside (Oregon, Cowlitz and Clark counties in Washington, Seattle, or all other areas), but can explore networks prior to open enrollment and see which network your current provider is in. Your assigned home network will be on your member identification card.
You will be able to locate in-network providers by visiting Moda Health’s provider search tool, Find Care. This allows you to see the specific providers included in each network tier. This information may help you decide which plan is right for you.
Search for in-network providers using Find Care tool
We have developed a highly customized network with Moda Health, which is not their standard network structure. The Connexus PeaceHealth Network and the Aetna® PPO Network through Aetna Signature Administrators® networks have been modified to align with our ZoomCare strategy. To confirm a provider is in-network, visit your Member Dashboard and search Find Care or call a Moda 360 Health Navigator.
Note: The following provider groups are not in-network:
If a provider group is out-of-network this means there is no coverage for services provided.
For residents of OR and SW Washington:
The in-network physicians and clinicians include:
*Joint ventures include Fresenius Kidney Care Longview, LLC, Mt. Baker Imaging, LLC, RiverBend Ambulatory Surgery Center, Southwest Washington Regional Surgery Center, Oregon Imaging Centers and Emerging Health, LLC
If you need additional help finding in-network physicians or clinicians, you can contact the Moda Health Navigators at 833-599-5891.
For residents of Seattle or out-of-area residents and dependents:
The in-network physicians and clinicians include:
Aetna® PPO Network through Aetna Signature Administrators®
Important note: While you will have access to the Aetna network, the medical plan is managed by Moda Health.
For Zoomers and dependents (all geographies):
Search for in-network physicians, clinicians and pharmacies
Zoomers in Cowlitz and Clark Counties will access the PeaceHealth Network and the Connexus PeaceHealth Network.
Zoomers in Seattle and all other Washington counties will access the PeaceHealth Network and the Aetna® PPO Network through Aetna Signature Administrators®.
You will access the PeaceHealth Network and the Aetna® PPO Network through Aetna Signature Administrators®.
Important note: While you will have access to the Aetna network, the medical plan is managed by Moda Health.
We have developed a highly customized network with Moda Health, which is not their standard network structure. The Connexus PeaceHealth Network and the Aetna® PPO Network have been modified to align with our strategy. To confirm if a physician or clinician is in network, visit your Member Dashboard and search Find Care or call a Moda Health Navigator.
Note: The following provider groups are not in-network:
There are some provider groups that are not in-network, including Family Care Network, which means there is no coverage for services provided.
Yes, you are covered for urgent and emergency services when you travel through the Aetna® PPO Network through Aetna Signature Administrators®.
Note: Traveling for the purpose of receiving medical treatment or benefits is not covered (it’s also known as “medical tourism”).
Yes. Through your Moda Health medical plan, you have access to the Behavioral Health 360 program.
If you have dependents who live outside your designated network coverage area, please contact a Moda 360 Navigator at 833-599-5891 with their current address. Once their address is documented with Moda Health, your out-of-area dependents will receive in-network benefits when they see an in-network physician or clinician using the Aetna PPO® Network, through Aetna Signature Administrators®.
We have networks and plans to cover all Zoomers. Your network is assigned based on where you live and will be on your Member ID card.
Yes. You can enroll in IDX identity protection at no extra cost and keep your financial and medical information safe. You can access and enroll in this program in your Member Dashboard. Be sure to have your Member ID card with you, prior to enrolling.
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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.