Fall 2018

Open enrollment is Aug. 15 through Sept. 15

There are few things more important than choosing the right health plan for you and your family. With open enrollment fast approaching – Aug. 15 to Sept. 15 – here are the plan highlights and changes that you need to know about Moda’s 2018-2019 health plans.

The following benefits and requirements are part of Moda’s 2018-2019 health plans:

Delta Dental PPO providers required — Members enrolled on our Delta Dental Exclusive PPO plan must use a Delta Dental PPO provider in order to receive benefits. Out-of-network benefits are not covered with this plan.

Virtual Visits — Virtual Visits allows you to receive urgent care at home by connecting you with licensed Oregon Health & Science University (OHSU) providers from your computer or mobile device. OEBB Moda members receive the Virtual Visits benefit for a $10 copay, which is not subject to the deductible. Members on the Evergreen and Fir plans will have a $10 copay after the deductible. To learn more about our Virtual Visits, log in to your myModa account and see “Virtual Care” on the home page. To schedule a Virtual Visit, go to ohsu.edu/virtualvisits.

Active&Fit Direct^TM — Our Active&Fit Direct program allows Moda members to receive a discounted gym membership at any participating facility for just $25 a month. Learn more here.

No referrals needed — With medical plans, no referrals are required for in-network specialist visits for members.

Plan changes The following are changes to Moda’s 2018-2019 medical and dental plans. These changes are effective Oct. 1, 2018.

Medical plans

• We will offer a new High-Deductible Health Plan (HDHP) Option. This new plan, Fir, will include a $2,000 per individual deductible and a $4,000 per family deductible. Health Savings Accounts (HSA) are no longer a requirement for members who enroll in an HDHP option.

Dental plans
Our dental plan enhancements will include:

• Composite fillings are covered on the posterior teeth.
• Nitrous oxide is covered at 50 percent for all plans and is subject to the 12-month waiting period. This applies to members who did not enroll when they were first eligible on the plan.
• Coverage for night guards will increase to $250 from $150.

Remember that your open enrollment period runs from Aug. 15, 2018 to Sept. 15, 2018 for most entities. Please check with your HR administration for your specific open enrollment timeline.