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.
Moda is returning as the PPO plan provider for 2023!
- Stay tuned for updated SPD documents for 2023.
- PPO Health Plan Change from Cigna to Moda FAQ - learn more about the transition from Cigna to Moda
- See additional informational flyers at the bottom of this page
Who Do I Contact?
Moda Medical Customer Service: 888-445-7413
Moda Dental Customer Service: 888-447-8194
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)
Additional Documents - Moda Medical
- Active & Fit (276.5 KB)
- Aetna Network User Guide (619.3 KB)
- Behavioral Health Champions (2.06 MB)
- Case Management (957.94 KB)
- Chronic Condition Management (111.63 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 (869.2 KB)
- Member Dashboard - Be Better Tools (1.24 MB)
- Out of Area Dependent (2.29 MB)
- Resources for Mental Health and Substance Abuse Treatment (655.87 KB)
- Retiree National Network (220.62 KB)
- Women's Health & Maternity Care (665.43 KB)
Additional Documents - Moda Delta Dental
-
Oral Health, Total Health flyer and enrollment form (572.09 KB)
- Delta Dental PPO Provider Guide (1.18 MB)
Additional Documents - VSP (Vision)
- 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)
Additional Documents - WellDyne
- 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)
For Dental Providers, 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.
More Moda forms, i.e.: reimbursement or release of information forms are on the Moda Forms site.
