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This document summarizes the benefits and coverage of the Moda Health Plan, detailing costs, deductibles, co-pays, and services covered under the PPO plan for the coverage period 12/01/2012 to 11/30/2013.
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How to fill out Moda Health Plan, Inc.: Associated Employers Trust - Select 1500 Rx 2-15-30-60

01
Visit the Moda Health Plan website or obtain a physical application form.
02
Fill in your personal information including your name, address, and contact details.
03
Provide information about your employer and their associated group number.
04
Select the 'Associated Employers Trust - Select 1500 Rx 2-15-30-60' plan option from the available health plan choices.
05
Complete any required health history or medical questions as needed.
06
Review the application for accuracy and completeness.
07
Submit the application online or return the physical form as instructed.

Who needs Moda Health Plan, Inc.: Associated Employers Trust - Select 1500 Rx 2-15-30-60?

01
Individuals who are employed by a participating employer offering this health plan.
02
Employees looking for a comprehensive health insurance option with prescription coverage.
03
Families who need affordable healthcare options provided through their employer.
04
Anyone who values a structured health plan with specified copayment tiers for medications.
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People Also Ask about

Who acquired Medica HealthCare Plans? Medica HealthCare Plans was acquired by UnitedHealth Group.
Moda Health is a member of Delta Dental.
Moda Health is a member of Delta Dental.
The Moda family of enterprises includes Moda Health, Delta Dental Plan of Oregon/Alaska, ODS Community Dental, Eastern Oregon Coordinated Care Organization, Ardon Health, BenefitHelp Solutions, Astra Practice Partners, Dental Commerce Corporation, Healthy Grid, Arrow Dental, and PropacPayless Pharmacy.
In-network preventive care, primary care, specialist, urgent care, virtual visits, outpatient mental health and chemical dependency, outpatient rehabilitation and habilitation, adult and children's eye exams, as well as most in and out of network prescription medications are covered before you meet your deductible.
(Moda) is an Oregon-domiciled health care service contractor that provides medical plans to more than 90,000 insured medical members in Oregon and Alaska. Moda is also licensed to transact health insurance in Washington, Idaho, California and Texas, but is not currently offering insurance products in these states.
For questions about your Moda Health medical and vision coverage, please contact Medical Customer Service at 503-382-5337 or toll-free at 800-960-4637.

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Moda Health Plan, Inc.: Associated Employers Trust - Select 1500 Rx 2-15-30-60 is a health insurance plan that provides a range of health benefits to members, including coverage for prescription medications with specified copay tiers.
Employers and employees who are enrolled in the Moda Health Plan, Inc.: Associated Employers Trust - Select 1500 Rx 2-15-30-60 must file necessary documentation to ensure compliance with the plan's requirements.
To fill out the Moda Health Plan form, individuals should provide accurate personal information, select appropriate coverage options, and ensure that all required signatures and dates are included.
The purpose of this health plan is to offer comprehensive health and pharmacy benefits to its members, promoting healthcare access and affordability.
Members must report personal details such as name, address, date of birth, insurance identification number, and details of dependents as well as any changes in employment or coverage status.
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