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INDIVIDUAL HEALTH PLANS

    Moda's Beacon Network has a nice mix of Providence, Legacy, and Adventist doctors.    Before you read about price and coverage, let's talk about Provider Networks:  

Beacon Network:   The Beacon Network in the Portland area has a broad range of Providence, Legacy, and Adventistproviders, but the Contracted Hospitals are limited to OHSU, Adventist, and Tuality in the Portland area.   You are required to select an in-network  Primary Care Physician (PCP).  There is no coverage outside of the Beacon Network with the exception of emergency and pharmacy services.

 ARE YOU ELIGIBLE FOR A TAX CREDIT?

       The Marketplace link below will allow you to enter your family size, and projected income for 2020 to see if you qualify for a tax credit.   

  https://www.healthcare.gov/see-plans/

 

2020 Moda Medical & Dental Brochure
 

     The brochure below is for the Moda plans in the greater Portland areas and counties.  There is another set of plans for the outer Oregon counties.   

Click on the link below to read about the Medical and Dental plans, including the rates:


2020_Moda_Brochure_&_Rates.pdf

 

1.  Enroll through the  Marketplace

    Even if you don't qualify for a tax credit, you can apply through the Federal Marketplace at http://www.healthcare.gov .   Here are 4 advantages:

1. EASE OF APPLICATION: 
    The process is paperless, and each year you can easily select a new plan.  It's easy to also put different family members on different company plans or policies.  Call Dan at 503-650-4235 and we can do the Marketplace application together via screen-share/phone or in person.   If you decide to do the healthcare.gov application on your own, please consult with me first as it is easy to make a costly error.

2. TAX CREDITS: 
    The Marketplace is the only way to claim the tax credits.  Even if you don't qualify when you apply, you may later on in the year if your health or income changes.  I've had a few clients make costly mistakes when their income dropped mid-year.

3. IF YOU SHOULD APPLY OR RENEW ON YOUR OWN:
   
   The Marketplace application asks "Is a Professional helping you complete this application?"  Here I appreciate you saying yes, then adding my agent name, Dan Neils, and NPN # 757811.  This allows me to be compensated at no cost to you, and appoints as your broker should you need help during the year.   

4.  I'M HERE TO HELP:  
   Should you like my help enrolling or completing the annual enrollment I am at your service.  Just call me at 503-650-4325 or email me at danneils@gmail.com to set up a phone time or in person.  I can complete an application in 1/6 the time you can do so alone, and I can help you avoid common mistakes that are easy to make in an unfamiliar application.

 

2.  Enroll direct using my online Broker Link

       If you qualify for a special enrollment situation and want to apply directly because you don't trust the Marketplace (or other reasons), you can enroll directly by using my broker link below:

http://www.modahealth.com/shop?agentID=757811&agentFN=Dan%20Neils

If you want to apply directly with a paper application call Dan Neils at 503-650-4325 or email me at danneils@gmail.com 

 

3.  Enroll direct using a paper application 

    If you prefer to apply using a paper application, please email me at danneils@gmail.com or call Dan at 503.650.4325 to discuss the best process.    

 

SEARCH FOR PROVIDERS IN THE BEACON NETWORK

       You can check providers using the link below to search the online provider link:

https://www.modahealth.com/ProviderSearch
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Prescription drug information

    When you have expensive prescription drugs it's important to see what drugs are on the Formulary and at what tier. The page you can find these answers is below:
 
 
 

CONTACT INFO

Moda Customer service:   888-393-2940

Moda Billing & Eligibility:  503-265-5696

Delta Dental Customer Service 800-452-1058

Dan Neils 503-650-4325 danneils@gmail.com

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2019 Moda Brochure with Rates

Click filename below to access file

2019_Moda_Brochure_w_Rates.pdf

2020 Moda Individual Brochure

Click filename below to access file

2020_Moda_Brochure_&_Rates.pdf