We’ve got great plans, created especially to meet the needs of busy, hardworking PEBB members just like you, and your family.
Healthcare can be complicated. That’s why we created Moda 360 — your own enhanced member support team. Every time you call Moda Health, you will be connected with a Moda 360 health navigator. The health navigator will not only answer any questions you may have, but will also serve as your guide to connect you with the care, resources and programs that will work best for you. Moda 360 health navigators are a dedicated team that will help you identify, coordinate and connect with the many resources available to you.
These resources include:
As a PEBB Moda Health member, you’ll enjoy all of the benefits that come with coordinated care, which include having your own PCP 360. A PCP 360 is a high-quality primary care provider who delivers full-circle care. They will partner with you and be accountable for your health.
With our Synergy Network, you get high-quality care close to home to cover all of Oregon, Southern Washington and Idaho. The network consists of OHSU Health, Legacy Health, Adventist Health and many more hospitals and providers.
The Moda Synergy plan covers dependents who live outside of the service area (for example: college students). Out-of-area dependents will need to select a PCP 360 and utilize that provider when they are in the service area. When they are away from the service area they have access to our travel network and will receive in-network benefits. Please update the address of your out-of-area dependent in the PEBB enrollment system.
We offer both health and dental plans ― because we know that oral health plays an important role in overall health.
Choose a Moda Synergy Medical Plan to enjoy:
Our one statewide network — Synergy — gives you access to providers in Oregon, Southern Washington and Idaho. So, you’ll be covered close to home, and wherever you go. PLUS, you get access to OHSU Health.
Choose Delta Dental to connect with the nation’s largest network of dentists. Plus, you’ll receive preventive services without paying out of your pocket at any in-network dentist provider. With a Delta Dental plan, you also get:
The largest dental network in Oregon and nationally, it includes more than 2,400 Delta Dental Premier dentists in Oregon and over 155,000 nationwide.
The largest preferred provider organization (PPO) dental network in Oregon and nationally, it includes more than 1,300 Delta Dental PPO dentists in Oregon and over 108,000 nationwide.
With both plans, participating providers will not charge more than the Delta Dental of Oregon allowed amount. If you choose a provider on the PPO plan, you will pay less out of your pocket and your benefits will go further.
We have dedicated PEBB customer service team. Contact them at PEBBcustomerservice@modahealth.com.
Copyright © 2019 Moda, Inc. All rights reserved.
Health plans in Oregon and Alaska provided by Moda Health Plan, Inc. Dental plans in Oregon provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon. Dental plans in Alaska provided by Delta Dental of Alaska.
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.