Moda Health

Moda Health logo

Moda Health is a health insurance company based in Portland, Oregon. Established in 1955, it was originally known as ODS Health. The company provides medical and dental insurance in Oregon, Washington, and Alaska. Moda Health offers a variety of health plans for individuals, families, and groups, aiming to provide accessible, quality healthcare solutions.

History[edit | edit source]

Moda Health began its operations in 1955, focusing initially on dental insurance. Over the years, it expanded its services to include medical insurance, becoming a significant player in the Pacific Northwest's healthcare sector. The company underwent a rebranding in 2013, changing its name from ODS Health to Moda Health. This rebranding reflected its broader health and wellness ambitions beyond dental insurance.

Services[edit | edit source]

Moda Health provides a wide range of health insurance products and services, including:

Individual and Family Plans: Health insurance plans designed for individuals and families not covered by employer-based health insurance.
Group Plans: Offering health benefits to employees of businesses and organizations.
Medicare Plans: Moda Health offers Medicare Advantage plans for seniors and other Medicare-eligible individuals.
Dental Plans: As part of its origins, Moda continues to offer comprehensive dental insurance plans.
Pharmacy Services: Through partnerships and its pharmacy benefit management services, Moda Health aims to make prescription drugs more affordable and accessible.

Network and Coverage[edit | edit source]

Moda Health's network includes thousands of healthcare providers across Oregon, Washington, and Alaska. The company emphasizes its commitment to working with a wide range of healthcare professionals and facilities to ensure members have access to quality care. Coverage details and network size vary by plan and geographic location.

Community Involvement[edit | edit source]

Moda Health is known for its community involvement and sponsorship activities, particularly in Oregon. It has been a sponsor of the Portland Trail Blazers, demonstrating its commitment to local sports and community health initiatives.

Challenges and Controversies[edit | edit source]

Like many health insurance companies, Moda Health has faced challenges and controversies, including financial difficulties and disputes over coverage decisions. However, it has taken steps to address these issues, including restructuring its finances and improving its customer service and claims processing.

Future Directions[edit | edit source]

Moda Health continues to focus on innovation and improving the health and well-being of its members. This includes investing in technology to enhance customer experience, expanding its service offerings, and strengthening its healthcare provider network.