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 and Pay Hub.
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 (Note: Moda's Prescription Benefit Manager will be changing on January 1, 2025 to Array Rx. See more information here: Prescription Plan Manager for Moda Medical.)
VSP*(Vision) Customer Service: 800-877-7195
Claims to submit? Send an itemized statement from your provider to multco@modahealth.com or submit through your member dashboard.
Moda Provider Search - You can search for Moda's providers as a guest by selecting the "Connexus" network. After your plan start date, you can also search by using your subscriber ID# or member dashboard.
Look below for your plan handbooks and program flyers. Additional Moda forms, e.g. reimbursement or release of information forms, are available on the Moda Forms page.
2025 Plan Documents
Moda PPO 400 Plan
- 2025 Moda PPO 400 Summary of Benefits and Coverage (SBC) (2.08 MB)
- 2025 Moda PPO 400 Summary (142.48 KB)
Moda Major Medical Plan
- 2025 Moda Major Medical Summary of Benefits and Coverage (SBC) (2.09 MB)
- 2025 Moda Major Medical Summary (140.15 KB)
Delta Dental 50 Plan
- 2025 Delta Dental 50 Plan Summary (809.14 KB)
2024 Plan Documents
Moda PPO 400 Plan
- 2024 Moda PPO 400 Summary of Benefits and Coverage (SBC) (2.07 MB)
- 2024 Moda PPO 400 Handbook (2.3 MB)
- 2024 Moda PPO 400 Summary (144.52 KB)
Moda Major Medical Plan
- 2024 Moda Major Medical Summary of Benefits and Coverage (SBC) (2.09 MB)
- 2024 Moda Major Medical Handbook (2.23 MB)
- 2024 Moda Major Medical Summary (144.15 KB)
Delta Dental 50 Plan
- 2024 Delta Dental 50 Benefit Plan Summary (959.61 KB)
- 2024 Delta Dental 50 Plan Handbook (2.33 MB)
For Medicare Retirees
- 2024 Moda Medicare Plan Summary (906.7 KB)
- 2024 Moda Medicare Plan Evidence of Coverage (EOC) (1.6 MB)
Moda Medical - Additional Documents
- Active & Fit (276.5 KB)
- Aetna Network User Guide (619.3 KB)
- Behavioral Health Champions (2.03 MB)
- Care Options (505.38 KB)
- Case Management (957.94 KB)
- Chronic Condition Management (116.26 KB)
- CirrusMD Member Flyer (427.3 KB)
- CirrusMD Member FAQ (267.96 KB)
- Gender Confirming Care Needs (153.46 KB)
- Healthcare Cost Estimator (155.25 KB)
- Health Coaching (614.67 KB)
- Health Coaching (614.67 KB)Health Coaching (614.67 KB)Health Coaching (614.67 KB)
- LGBTQIA+ Support Hub
- 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 (143.24 KB)
- Member Dashboard - Be Better Tools (1.24 MB)
- Member Reimbursement (144.7 KB)
- Out of Area Dependent (165.46 KB)
- Provider Directory Tool (219.61 KB)
- Resources for Mental Health and Substance Abuse Treatment (655.87 KB)
- Retiree National Network (166.8 KB)
- Moda Travel Network (104.23 KB)
- Women's Health & Maternity Care (665.43 KB)
WellDyne (Pharmacy Benefits) - Additional Documents
- WellDyne Overview (473.15 KB)
- Pharmacy Benefits FAQ (414.19 KB)
- Mail Order Overview (118.09 KB)
- Specialty Pharmacy Overview (386.22 KB)
- WellDyne Retail Pharmacy List (268.93 KB)
- WellConnect (266.9 KB)
- Wellview Member Portal (257.98 KB)
- WellDyne Reimbursement Claim Form (178.51 KB)
- Free Glucose Meter (234.99 KB)
- WellDyne Member Resources
Moda Pharmacy Benefits - Additional Documents (Effective 1/1/25)
- Ardon Health Specialty Pharmacy Overview (575.58 KB)
- Mail Order Overview (766.34 KB)
- Costco Mail Order Form (325.04 KB)
- Postal Prescription Services Order Form (108.85 KB)
VSP* (Vision) - Additional Documents
- Exclusive Member Extras (2.92 MB)
- Eyeconic (384.58 KB)
- A Look At Your Coverage (Adults) (1.81 MB)
- A Look At Your Coverage (Kids) (617.35 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 (821.03 KB)