moda health logo

Where can I find benefit information?

Located below:
Summary of Benefits and Coverage (SBC) documents provide highlights of benefits, coverage and out-of-pocket costs of each health plan. They also give standard examples of the covered services and costs associated with certain medical conditions and their treatment. 

Summary Plan Descriptions (SPD) provide a broader, more detailed explanation of benefits, coverage and out-of-pocket costs, for each medical and dental plan.  These are available to active and retired employees, as well as COBRA participants.

If you are 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, please contact the Employee Benefits Office at 503-988-3477 or

If you do not know your plan name, this information is listed in your Benefit Overview via SAP Employee Self Service, can be obtained from Moda, or by contacting the Employee Benefits Office at 503-988-3477 or

Who do I contact?

Moda Health Medical Customer Service 503-265-2964
WellDyneRx Member Services 1-888-479-2000 -
US Specialty Care 1-800-641-8475 -
Delta Dental Customer Service 503-265-2965

For current Physician listings choose from the Connexus Network
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.

For Moda forms, i.e.: reimbursement or release of information forms, please visit the Moda Forms site.


Uniform Glossary - SBC (139.71 KB) Uniform Glossary - SBC (Spanish) (348.96 KB)



DSA/CD, FOPPO, IUOE and Prosecuting Attorneys

JCSS, ONA, Physicians, Dentists and IBEW


Local 88, Painters, MCCDA and Non-Represented

2019 Major Medical SBC w/value tier (1.28 MB)

DSA/CD, MCCDA, FOPPO, IUOE and Prosecuting Attorneys

Local 88, JCSS, ONA, Physicians, IBEW, Painters and Non-Represented


New Plan Year documents typically become available after the beginning of the calendar year. Be sure to verify Plan Year in all documents.


Additional Documents