When reviewing your plan information, please be sure to choose the document that corresponds to the plan you are enrolled in, as these documents are specific to the stated plan.
If you would like a printed copy of any of these documents, or access in another language, contact the Benefits Office at 503-988-3477 or employee.benefits@multco.us.
View your current benefits on the Workday Benefits application.
Important Reminder for Moda Members: The Transition of Care Period Ended on 6/30/23 for Out-of-Network Behavioral Health Providers
The transition of care period for out-of-network behavioral health providers – previously allowing Moda members to have care at out-of-network providers covered as in-network – ended on June 30th, 2023. From July 1st forward, all visits to an out-of-network behavioral health provider will be billed as out-of-network, which means you will have out-of-pocket costs.
- Transition of Care Period Ending for Behavioral Health Providers Out of Moda's Network.pdf (55.11 KB)
Who Do I Contact?
Moda Medical Customer Service: 888-445-7413
Moda Delta Dental Customer Service: 888-447-8194
WellDyne (Pharmacy) Customer Service: 888-479-2000
VSP*(Vision) Customer Service: 800-877-7195
Claims to submit? Send an itemized statement from your provider to multco@modahealth.com
Look below for your plan handbooks and program flyers. Additional Moda forms, i.e.: reimbursement or release of information forms are on the Moda Forms site.
2023 Plan Documents
Moda PPO 400 plan
- 2023 Moda PPO 400 Summary of Benefits and Coverage SBC (3.67 MB)
- 2023 Moda PPO 400 Handbook (2.08 MB)
Moda Major Medical plan
- 2023 Moda Major Medical Summary of Benefits and Coverage SBC (3.69 MB)
- 2023 Moda Major Medical Handbook (2.03 MB)
Delta Dental 50 plan
- 2023 Delta Dental 50 Plan Summary (684.54 KB)
- 2023 Delta Dental 50 Handbook (3.54 MB)
2022 Plan Documents
For Local 88, ONA, Non-Represented, JCSS, MCCDA, DSA, Dentists, Physicians, Prosecuting Attorneys, FOPPO, and IBEW
Delta Dental 50 plan
- 2022 Delta Dental 50 Plan Summary (2.36 MB)
- 2022 Delta Dental 50 Plan Booklet (SPD) (2.66 MB)
For IUOE
Delta Dental plan
- 2022 Delta Dental Plan Summary (IUOE only) (1.76 MB)
- 2022 Delta Dental Plan Booklet (SPD) (IUOE only) (2.68 MB)
Moda Medical - Additional Documents
- Active & Fit (276.5 KB)
- Aetna Network User Guide (619.3 KB)
- Behavioral Health Champions (163.06 KB)
- Case Management (957.94 KB)
- Chronic Condition Management (111.63 KB)
- CirrusMD Member Flyer (427.3 KB)
- CirrusMD Member FAQ (267.96 KB)
- Gender Confirming Care Needs (1.27 MB)
- Healthcare Cost Estimator (155.25 KB)
- Health Coaching (614.67 KB)
- Machine Readable Files - This link leads to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
- Member Dashboard (920.38 KB)
- Member Dashboard - Be Better Tools (1.24 MB)
- Member Reimbursement (144.7 KB)
- Out of Area Dependent (2.29 MB)
- Resources for Mental Health and Substance Abuse Treatment (655.87 KB)
- Retiree National Network (220.62 KB)
- Moda Travel Network (694.23 KB)
- Women's Health & Maternity Care (665.43 KB)
WellDyne (Pharmacy Benefits) - Additional Documents
- Mail Order Overview (118.09 KB)
- Pharmacy Network Listing (255.32 KB)
- WellConnect (270.35 KB)
- Wellview Member Portal (226.61 KB)
- WellDyne Reimbursement Claim Form (178.51 KB)
- WellDyne Member Resources
VSP* (Vision) - Additional Documents
- Exclusive Member Extras (2.92 MB)
- Eyeconic (384.58 KB)
- A Look At Your Coverage (Adults) (900.52 KB)
- A Look At Your Coverage (Kids) (628.88 KB)
- Your Vision Coverage Works Overtime (In-Network) (821.92 KB)
* VSP coverage is included in Moda PPO 400 plans. The Moda Major Medical Plan does not include vision coverage.
Moda Delta Dental
Choose your provider from the available networks:
- Delta PPO Network dentists offer services with the lowest out-of-pocket costs.
- Dentists on the Premier Network are also in-network providers, but services can be more costly.
- Services provided by an out-of-network provider are subject to balance billing and therefore, most costly.
Moda Delta Dental - Additional Documents
-
Health Through Oral Wellness (820.8 KB)
-
Oral Health, Total Health flyer and enrollment form (572.09 KB)
- Delta Dental PPO Provider Guide (1.18 MB)