Moda Health is pleased to offer its members a variety of plan types to help fit their healthcare needs. Below are the 2021 medical provider networks for our Oregon individual, small group, and large group members. Members save money by seeing in-network providers. Check medical plan summaries to see which medical network is included with each plan.

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Connexus Network

This is one of the largest preferred provider organization (PPO) medical networks in Oregon. It includes thousands of primary care providers and specialists working together with Moda Health to help keep members healthy. Groups located anywhere in Oregon can choose a plan with this network. Members can see in-network providers in all counties in Oregon and some areas in Washington and Idaho.

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Health systems participating in Connexus include:

Synergy Network

The Synergy network offers an integrated care experience to members living throughout the state, as well as border counties in Washington and Idaho. This network connects members to a Moda Medical Home or PCP360, who work together to coordinate care, and keep members feeling their best.

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2. Choosing the right network. Moda Health Alaska offers two networks: the Moda Health Alaska Select network and the ODS+Providence Alaska network. In each network, members are welcome to see any licensed provider at the in-network benefit level; however their benefits will go further when they choose to see a contracted provider.

Health systems participating in Synergy include:

Synergy plans are available to small and large employer groups.

Beacon EPO Network

The Beacon EPO Network offers a personalized care experience that gives members quick access to quality care at an affordable cost. This network is available to individuals who purchase health coverage directly from Moda or through the federal marketplace exchange, and reside in Clackamas, Clatsop, Columbia, Coos, Curry, Hood River, Jackson, Josephine, Multnomah, Tillamook, Wasco, Washington or Yamhill counties. Beacon EPO plans are only available to members who reside within the Beacon EPO service area. Beacon EPO members are required to select an in-network Primary Care Physician.

Health systems participating in Beacon EPO include:

To choose an in-network primary care provider (PCP), members can go to ShopModaPlans.com to search for a Beacon EPO provider or confirm that their PCP is in-network.

Affinity EPO Network

The Affinity EPO Network offers a personalized care experience that gives members quick access to quality care at an affordable cost. This network is available to individuals who purchase health coverage directly from Moda or through the federal marketplace exchange, and reside in Baker, Crook, Gilliam, Grant, Harney, Jefferson, Klamath, Lake, Lane, Malheur, Marion, Morrow, Polk, Sherman, Umatilla, Union, Wallowa or Wheeler counties. Affinity EPO plans are only available to members who reside within the Affinity EPO service area. Affinity EPO members are required to select an in-network Primary Care Physician.

Health systems participating in Affinity EPO include:

To choose an in-network primary care provider (PCP), members can go to ShopModaPlans.com to search for an Affinity EPO provider or confirm that their PCP is in-network.

Please note: Beginning Jan. 1, 2019, all Oregon Individual plans including Beacon EPO and Affinity EPO, will be connected to an Exclusive Provider Organization (EPO) network. Individual EPO plans do not have out-of-network benefits, so it is important that your patients are referred to providers within the Individual plan and network in which the patient is enrolled.

Please review your patient's Moda member ID card and check our provider directory Findcare, to ensure care is referred to other in-network Beacon EPO or Affinity EPO providers. Services provided to Moda Individual members by out-of-network providers will result in higher costs for patients enrolled in these plans.

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