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Specialties defined
AcupuncturistAcupuncture is the practice of inserting needles into the body to reduce pain or induce anesthesia. The practice is based on ancient Chinese medicine, and has been adapted to western medicine.
AddictionologyThe branch of medicine concerned with the study, prevention and treatment of addictive diseases and the physiological and psychological disorders associated with substance dependence. Psychiatrists and psychologists are the most common clinical practitioners associated with this practice, although Neurologists and Anesthesiologists also practice this form of medicine.
AllergyAn allergist/immunologist is a physician trained in the prevention, diagnosis, and treatment of immune system problems such as allergies, asthma, inherited immunodeficiency diseases, autoimmune diseases, and even AIDS.
AmbulanceA vehicle designed to transport ill or injured patients. It may be used under emergency or nonemergency conditions and is equipped with supplies and personnel to provide patient care en route.
AnesthesiologyAn anesthesiologist is a doctor who has specialized knowledge and training in anesthesiology and pain relief. Anesthesiology is the practice of medicine dedicated to the relief of pain and total care of the surgical patient before, during, and after surgery. Anesthesiologists can pursue a subspecialty in pain management.
AudiologyAn audiologist is a licensed health care professional who diagnoses, evaluates, and treats hearing disorders and communication problems. A licensed audiologist has to complete a minimum of a Master's degree in audiology.
Birthing CenterA medical facility, often associated with a hospital, that is designed to provide a comfortable, homelike setting during childbirth and that is generally less restrictive than a hospital in its regulations, as in permitting midwifery or allowing family members or friends to attend the delivery.
Cardiothoracic SurgeryCardiac surgery (involving the heart and great vessels) and thoracic surgery (involving the lungs and any other thoracic organ) are separate surgical specialties, except in the USA, where they are frequently grouped together, so that a surgeon training in the cardiothoracic specialty will receive a broader but less specialized experience in both fields.
CardiologyCardiology is a branch of medicine concerned with the study of the structure, function and diseases of the heart.
Cardiovascular DiseaseCardiovascular disease refers to the class of diseases that involve the heart or blood vessels (arteries and veins). While the term technically refers to any disease that affects the cardiovascular system, it is usually used to refer to those related to atherosclerosis (arterial disease).
Chemical DependencyChemical Dependency (including alcoholism) means a substance-related disorder, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, (DSM-IVTR), except for those related to foods, tobacco, or tobacco products.
ChiropracticChiropractic Medicine is practiced by a licensed doctor of Chiropractic who diagnoses and treats conditions related to the effects of those conditions on the nervous system and general health. Chiropractic doctors use natural non-invasive treatment approaches, including spinal adjustments, exercise programs, and other forms of therapeutics to help patients eliminate their pain and optimize their health.
Clinical Social WorkerA mental health professional trained to provide services to individuals, families and groups.
Dental HygienistA dental hygienist is a licensed dental professional who specializes in preventive medical care, typically, but not limited to, focusing on techniques in oral hygiene
Denturist/OP EndorsementA denturist, is a member of the oral health care team who provides an oral health examination, takes impressions of the surrounding oral tissues, constructs and delivers removable oral prosthesis (dentures and partial dentures) directly to the patient.
DermatologyDermatology is the study of investigation, diagnosing, treatment and prevention of skin problems of all kinds. Dermatologist as a profession is a specialty focusing on diverse disorders and diseases of the skin, mucous membrane, hair, nails and a number of sexually transmitted diseases.
Diagnostic RadiologyA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
DieticianAn expert in food and nutrition.
Durable Medical EquipmentMedical equipment used in the course of treatment or home care, including such items as crutches, knee braces, wheelchairs, hospital beds, prostheses, etc
EndocrinologyEndocrinology is a branch of medicine dealing with disorders of the endocrine system and its specific secretions called hormones. Although every organ system secretes and responds to hormones (including the brain, lungs, heart, intestine, skin, and the kidney), the clinical specialty of endocrinology focuses primarily on the endocrine organs, meaning the organs whose primary function is hormone secretion. These organs include the pituitary, thyroid, adrenals, ovaries and testes, and pancreas. An endocrinologist is a doctor who specializes in treating disorders of the endocrine system, such as diabetes, hyperthyroidism, and many others.
EndodontistThe branch of dentistry that deals with diseases of the tooth root, dental pulp, and surrounding tissue.
Emergency MedicineProvides immediate recognition, evaluation, care, stabilization, and disposition of all ages of patients in response to acute illness and injury.
Family PracticeFamily practice medicine is the medical specialty which provides continuing, comprehensive health care for the individual and family. It is a specialty that integrates the biological, clinical and behavioral sciences. The scope of family medicine encompasses all ages, both sexes, each organ system and every disease entity.
GastroenterologyGastroenterology is a branch of medicine concerned with digestive diseases. The practice of gastroenterology concentrates on the diagnosis and treatment of diseases involving the esophagus, stomach, small intestine and large intestine (colon), liver, gallbladder, and pancreas. This medical field is really a subspecialty of Internal Medicine.
General PracticeGeneral practice deals with diseases of a general nature for all ages. A general practitioner (GP) or family physician (FP) is a physician who provides primary care. A GP/FP treats acute and chronic illnesses, provides preventive care and health education for all ages and both sexes. Some also care for hospitalized patients, do minor surgery and/or obstetrics.
GeneticsGenetics is the branch of biology that deals with heredity, especially the mechanisms of hereditary transmission and the variation of inherited characteristics among similar or related organisms.
GeriatricsGeriatric medicine focuses on health promotion and the prevention and treatment of disease and disability in later life.
HematologyHematology is the branch of biology, pathology, clinical laboratory medicine, internal medicine, and pediatrics that is concerned with the study of blood, the blood-forming organs, and blood diseases. Hematology includes the study of etiology, diagnosis, treatment, prognosis, and prevention of blood diseases.
Hematology OncologyDiagnosis and treatment of diseases of the blood, spleen and lymph glands.
Home Health CareService providing nursing, therapy and health related social services in the patient’s home.
Home Infusion TherapyThe IV administration of therapeutics–analgesics, antibiotics, chemotherapy, parenteral nutrition–outside of a formal healthcare environment.
HospiceA facility or service that provides care for the terminally ill patient and provides support to the family. The care, primarily for pain control and symptom relief, can be provided in the home or in an inpatient setting.
Infectious DiseaseInfectious disease medicine is a medical field concerned with diagnosis, treatment, and preventive measures for infectious bacterial and viral diseases of all types. Conditions include AIDS, influenza, hepatitis, and travel-related illnesses.
Internal MedicineDoctors of internal medicine ('internists') are medical specialists who typically focus on adult medicine and have had special study and training focusing on the prevention and treatment of adult diseases.
LaboratoryA medical laboratory or clinical laboratory is a laboratory where tests are done on clinical specimens in order to get information about the health of a patient.
Massage TherapistA person who practices therapeutic massage. In many states, massage therapists can be licensed after completing a specified training program. Licensed therapists may practice independently or in a medical setting.
Medical SuppliesDisposable health care materials that include ostomy supplies, catheters, oxygen and diabetic supplies.
MidwiferyA health care profession where providers give prenatal care to expectingmothers, attend the birth of the infant, and provide postpartum care to the mother and her infant. Practitioners of midwifery are known as midwives.
NaturopathicNaturopathic medicine is the practice of assisting in the health of patients through the application of natural remedies. Most naturopaths consider their care complementary, not supplementary, to the care of a traditional medical professional (MD or physician). Naturopathic medicine (also known as naturopathy) is a school of medical philosophy and practice that seeks to improve health and treat disease chiefly by assisting the body's innate capacity to recover from illness and injury.
Neonatal Intensive CareA unit, usually shortened NICU and also called a newborn intensive care unit, intensive care nursery (ICN), and special care baby unit, is a unit of a hospital specializing in the care of ill or premature newborn infants. The NICU is distinct from a special care nursery (SCN) in providing a high level of intensive care to premature infants while the SCN provides specialized care for infants with less severe medical problems.
NeonatologyNeonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn infant. It is a hospital-based specialty, and is usually practiced in neonatal intensive care units (NICUs).
NephrologyNephrology refers to the field related to medical conditions of the kidney, and a nephrologist treats people with kidney diseases of various types, including those who have lost kidney function entirely and must rely on dialysis or kidney transplant. Nephrology also includes illnesses caused by abnormalities of the body's water and mineral balance, hypertension (high blood pressure) and diabetes related kidney diseases.
NeurologyNeurology is a branch of medicine dealing with the nervous system and its disorders. Neurological disorders affect the central nervous system (brain, brainstem and cerebellum), the peripheral nervous system (peripheral nerves, cranial nerves), or the autonomic nervous system (parts of which are located in both central and peripheral nervous system). Physicians specializing in the field of neurology are called neurologists; surgery on the nervous system is performed by physicians called neurosurgeons.
Nurse PractitionerA nurse practitioner (NP) is a registered nurse who has completed advanced education (generally a minimum of a master's degree) and training in the diagnosis and management of common medical conditions, including chronic illnesses. Most nurse practitioners specialize in a particular field of medical care.
NutritionNutrition services refer to nutritional diagnosis and treatment by health professionals, including physicians, dieticians, behavioral health specialists, and nutritionists. The nutrition programs of the Older Americans Act, found in Title IIIC, are usually identified in appropriations bills as three activities: congregate nutrition services, home-delivered nutrition services (“Meals on Wheels”), and nutrition services incentives program, and are provided by a variety of allied health professionals.
Obstetrics GynecologyAn obstetrician is a physician who has successfully completed specialized education and training in the management of pregnancy, labor, and pueperium (the time-period directly following childbirth). A gynecologist is a physician who has successfully completed specialized education and training in the health of the female reproductive system, including the diagnosis and treatment of disorders and diseases. An obstetrician/gynecologist is a physician specialist who provides medical and surgical care to women and has particular expertise in pregnancy, childbirth, and disorders of the reproductive system. An obstetrician/gynecologist, commonly abbreviated OB/GYN, can serve as a primary physician.
Occupational TherapyOccupational therapists provide skilled treatment to help individuals develop, regain, or maintain the skills necessary to participate in all facets of their lives. This health profession helps people whose lives have been altered by physical or mental disease, injury, or other health problems. Occupational therapists can provide: customized treatment programs to improve one's ability to perform daily activities, home and job site evaluations with adaptation recommendations, performance skills assessments and treatment, adaptive equipment recommendations and usage training, guidance to family members and caregivers.
OncologyOncology is the field of medicine concerned with the diagnosis and treatment of cancer. While cancer can occur anywhere in the body, all cancers have one thing in common – they are caused by the out-of-control growth of abnormal cells. Chemotherapy drugs are used to kill cancer cells and slow the progression of the disease.
OphthalmologyMedical doctors that deal with ophthalmology, or the study of the eye, its appendages, and related diseases.
OpticianAn optician is a licensed health care practitioner who provides lenses for the correction vision problems.
OptometryOptometry is a health care profession concerned with eyes and related structures, as well as vision, visual systems, and vision information processing.
Oral PathologistIs the specialty of dentistry and pathology concerned with recognition, diagnosis, investigation and management of diseases of the oral cavity, jaws, and adjacent structures
Oral SurgeonThe branch of dentistry concerned with the surgical and adjunctive treatment of diseases, injuries, and deformities of the oral and maxillofacial region.
OrthodontistOrthodontics is the branch of dentistry that specializes in the diagnosis, prevention and treatment of dental and facial irregularities
OrthopedicsOrthopaedics is a surgical specialty devoted to the diagnosis, treatment, rehabilitation and prevention of injuries and diseases of the musculoskeletal system. This complex system includes bones, joints, ligaments, tendons, muscles, and nerves. Once devoted to the care of children with spine and limb deformities, orthopaedics now cares for patients of all ages, from newborns with clubfeet to young athletes requiring arthroscopic surgery to older people with arthritis.
OsteopathicOsteopathy refers to the practice of osteopathic physicians. Osteopathic physicians believe a proper working musculoskeletal system is at the core of a person's well-being. They regard the body as a unit, not a collection of separate parts. Doctors of osteopathy (DOs) base diagnosis and treatment on the idea that the body's systems are interconnected. Instead of treating specific symptoms or illnesses.
OtolaryngologyOtolaryngology is the branch of medicine that specializes in the diagnosis and treatment of ear, nose, throat, and head & neck disorders. Practitioners are called otolaryngologists. A commonly used term for this specialty is ENT (ear, nose and throat).
Palliative CareA form of medical care or treatment that concentrates on reducing the severity of diseasesymptoms, rather than striving to halt, delay, or reverse progression of the disease itself or provide a cure.
PathologyPathology is the study of the causes and processes of diseases through microscopic study.
Pediatric CardiologyPediatric cardiology is the study and treatment of children with diseases of the heart and blood vessels. A cardiologist is a physician who specializes in treating heart conditions such as abnormal heart rhythms, heart attacks, coronary artery disease, congenital heart defects, and disease of the heart valves. A pediatric cardiologist specializes in treating infants, children and adolescents with cardiovascular problems.
Pediatric Dentala specialist in the field of dentistry - dealing particularly with the oral healthcare of children, from infancy through the teenage years.
Pediatric Infectious DiseasePediatric infectious disease medicine is the science and treatment of infectious disease in infants, children and adolescents. A pediatric infectious disease physician is a pediatrician who deals with infectious diseases of all types in children, including respiratory infections, HIV, parasitic infections, and some allergies. This specialist deals with infectious and communicable diseases caused by viruses, bacteria, or parasites.
Pediatric PulmonologyA pulmonologist specializes in the functioning, diagnosis, and treatment of the lungs. Pulmonologists treat patients with a variety of lung and breathing diseases and conditions. Pulmonologists commonly treat diseases such as pneumonia, asthma, emphysema, and bronchitis.
Pediatric RheumatologyDiagnosis and nonsurgical treatment of arthritis and some disorders of the immune system of infants, children and adolescents.
Pediatric SurgeryPediatric surgery is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults. Many pediatric surgeons practice at children's hospitals.
PediatricsPediatrics is the treatment of disorders and diseases in infants, children and adolescents. A pediatrician is primarily concerned with the influence of disease and dysfunction on a child’s development, from preventive care to treatment of diseases. This specialist has background knowledge regarding congenital defects, immunology, oncology, infectious diseases, immunizations, and disorders that are unique to children.
PerinatologyA subspecialty of obstetrics concerned with care of the mother and fetus during pregnancy, labor, and delivery, particularly when the mother or fetus is at a high risk for complications. Physician certification is available in neonatal-perinatal medicine by the American Board of Pediatrics and American Board of Obstetrics.
PeriodontistPeriodontics is the branch of dentistry concerned with the prevention, diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth. Periodontists are also expert in the placement and maintenance of dental implants.
Physical & Rehabilitation MedicinePhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. A physical medicine physician, also called a physiatrist, treats diseases and disorders including neck and back pain, and sports injuries or disorders resulting from trauma, such as spinal cord injury or head injury. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation.
Physical TherapyPhysical Therapy is providing services to people and populations to develop, maintain and restore maximum movement and functional ability throughout the lifespan. It includes the provision of services in circumstances where movement and function are threatened by the process of aging or that of injury or disease. Physical therapy is concerned with identifying and maximizing movement potential, within the spheres of promotion, prevention, treatment and rehabilitation.
Physician AssistantA physician assistant (PA) is an individual who is a graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant or by one of its predecessor agencies; and/or who is certified by the National Commission on Certification of Physician Assistants; and who is licensed, registered, or certified to practice medicine with physician supervision. Common services provided by a PA include taking medical histories and performing physical examinations; ordering and interpreting lab tests; diagnosing and treating illnesses; assisting in surgery; prescribing and/or dispensing medication; and counseling patients.
PodiatryPodiatry is a field of medicine that strives to improve the overall health and well-being of patients by focusing on preventing, diagnosing, and treating conditions associated with the foot and ankle. Doctors of Podiatric Medicine (DPMs) are physicians and surgeons who practice on the lower extremities, primarily on feet and ankles.
Preventive MedicinePreventive medicine is the science of promoting health and wellness, and preventing disease. A preventive medicine physician works to protect and maintain health, and to prevent disease, disability and premature death. This physician commonly specializes in one of three areas: public health, occupational medicine, or aerospace medicine. A physician completes a preventive medicine fellowship after an internship or residency.
Primary Care ProviderA physician chosen by or assigned to a patient, who both provides primary care and acts as a gatekeeper to control access to other medical services.
Prosthetics/OrthoticsProsthetics is the art and science of developing artificial replacements for body parts. Orthotics is an allied health care field concerned with the design, development, fitting and manufacture of orthoses. Orthoses, sometimes called braces or splints, are devices that support or correct musculoskeletal deformities and/or abnormalities of the body.
ProsthodontistA dentist with special training in making replacements for missing teeth or other structures of the oral cavity to restore the patient's appearance, comfort, and/or health
PsychiatryPsychiatry deals with prevention, assessment, diagnosis, treatment and rehabilitation of mental illness.
Psychiatry - Child & AdolescentA Psychiatrist with additional training in the diagnosis and treatment of developmental, behavioral, emotional and mental disorders of childhood and adolescence.
PsychologyPsychology is the study of the mind and behavior. The discipline of psychology embraces all aspects of the human experience — from the functions of the brain to the environments in which humans and other animals develop; from child development to aging. Psychologists study two critical relationships: one between brain function and behavior, and one between the environment and behavior.
Pulmonary DiseasePulmonary diseases are those diseases of the lungs, airways, and all other respiratory organs. A pulmonary physician is called a pulmonologist. The pulmonologist diagnoses and treats pneumonia, asthma, bronchitis, emphysema and other respiratory problems, and uses a variety of invasive and non-invasive diagnostic techniques to help patients.
RadiologyRadiology is the branch of medicine that uses radioactive substances, electromagnetic radiation and sound waves to create images of the body, its organs and structures to prevent, diagnose and treat disease. Images can also show how effective the body and its internal organs and structures are functioning.
RehabilitationTo restore to useful life, as through therapy and education or to restore to good condition, operation, or capacity.
RheumatologyRheumatology is the study of rheumatic illnesses, especially arthritis. A rheumatologist is a physician who diagnoses and treats arthritis and other conditions associated with joints, muscle, bones and tendons. This physician specializes in non-surgical treatment of diseases, and works with patients who have unexplained conditions such as weakness, fever, fatigue and weight loss.
Skilled Nursing FacilityA skilled nursing facility is a facility (which meets specific regulatory certification requirements) that primarily provides inpatient skilled nursing care and related services to patients who require medical, nursing, or rehabilitative services, but does not provide the level of care or treatment available in a hospital.
Sight ImpairedHaving impaired vision; partially sighted.
Sleep DisordersSleep disorders arise from many causes, including dysfunctional sleep mechanisms, abnormalities in physiological functions during sleep, abnormalities of the biological clock, and sleep disturbances that contribute to difficulty achieving restful, restorative sleep.
Speech PathologyTreatment of speech impairment.
Speech TherapySpeech and hearing therapy (also known as speech-language pathology and audiology) are health-related specialties concerned with normal development of human communication and treatment of its disorders. Speech therapy focuses on voice and speech-language skills, while hearing therapy deals with hearing and hearing impairment.
Sports MedicineSports medicine focuses on physical fitness and the diagnosis and treatment of injuries sustained in sports activities. Sports medicine physicians are usually trained in Physical Medicine & Rehabilitation or Orthopedic Surgery.
Surgery NeurologicalNeurological surgery encompasses the surgical, nonsurgical and stereotactic radio surgical treatment of adult and pediatric patients with disorders of the nervous system: disorders of the brain, meninges, skull base, and their blood supply; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column; and disorders of the cranial and spinal nerves throughout their distribution. Neurological surgery is performed by physicians trained as neurosurgeons.
Surgery OncologyDiagnosis and treatment of tumors and malignancy.
Surgery ThoracicThoracic surgery is the repair of organs located in the thorax, or chest. The thoracic cavity lies between the neck and the diaphragm, and contains the heart and lungs, the esophagus, trachea, pleura, mediastinum, chest wall, and diaphragm. General thoracic surgery deals specifically with disorders of the lungs and esophagus. Cardiothoracic surgery also encompasses disorders of the heart and pericardium.
Surgery VascularVascular surgery is surgery to treat disorders and diseases of the vascular system (the blood vessels of the body). A vascular surgeon performs surgery on patients with diseases, disorders, or inflammation of the veins and arteries. These diseases of the blood vessels can include vasculitis, aneurysms, ischemia, thrombosis, varicose veins, and immune system abnormalities.
ToxicologyToxicology is the study of the adverse effects of chemicals on living organisms. It is the study of symptoms, mechanisms, treatments and detection of poisoning.
Urgent CareUrgent care is defined as the delivery of ambulatory medical care outside of a hospital emergency department on a walk-in basis without a scheduled appointment. Urgent care centers treat conditions that are not life-threatening but need quick attention.
UrologyUrology is the surgical specialty that deals with disorders or diseases of the male genito-urinary tract and female urinary tract, although only some people presenting with urological problems need surgery. Problems commonly treated by urologists include benign prostatic hyperplasia, prostate cancer, bladder cancer, voiding dysfunction, kidney stones, kidney cancer, erectile dysfunction, and scrotal swellings.
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Each Moda Health medical plan and Delta Dental Plan of Oregon plan comes with a provider network. Each medical network is a group of licensed health professionals, clinics, pharmacies, labs and hospitals located in a certain area. These providers offer quality care and services to Moda Health members at an agreed-upon cost. Each dental network includes network dentists who accept the Delta Dental contracted fee so there will be no additional balance billing.

View our networks:

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In-network care offers better value

Members get a better benefit and can save money by seeing in-network providers. These providers offer quality care and services to our members at an agreed-upon cost.

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Care from out-of-network providers may also be subject to 'balance billing' ‐ the difference between what the plan allows or reimburses and the providers' billed charges. In-network providers don't do this.

Is a provider in-network?

Members can find out by visiting modahealth.com and using Find Care. They choose a network and look for a doctor, dentist or facility nearby.

Questions?

We're here to help. Contact our Sales and Account Services team for friendly support.

Here are the medical provider networks for our Oregon small and large group members. Members save money by seeing in-network providers. Check medical plan summaries to see which medical network each small group plan includes.

Moda

Connexus Network

When clients want our broadest selection of providers across Oregon, Connexus Network has them covered. Clients located anywhere in Oregon can choose a plan with this network. Members can see in-network providers in all counties in Oregon and some areas in Washington and Idaho.

Coordinated Care Model (CCM) plans

Our CCM plans, powered by the Synergy network, offer patient-centered care with a team-based approach. The plans connect a primary care provider with the rest of a member's care team (other providers, specialists, etc.) to bring members the best treatments. By choosing a CCM plan, members will enjoy a team-based approach to healthcare, coordinated care across the healthcare system for better health outcomes, and a dedicated Primary Care Provider (PCP) that coordinates care. The CCM plan is the best option for members looking for partners to help them on their healthcare journey. This is also the ideal option for members who are managing an existing condition because of its laser focus on wellness, prevention and improving their quality of life.

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Synergy Network

Groups located in Oregon can choose a plan with the Synergy network. The Synergy Network covers every county in Oregon. Members living or working in these areas can access care through the PCP they select.

Hospitals and health systems affiliated with the Synergy Network include:

  • Adventist Health (OHSU partner)
  • Asante
  • Bay Area Hospital
  • Blue Mountain Hospital District
  • CHI St.Anthony Hospital
  • Columbia Memorial Hospital
  • Curry Health District
  • Good Shepherd
  • Grand Ronde Hospital
  • Harney District Hospital
  • Kadlec Regional Medical Center
  • Lake Health District
  • Legacy Health
  • Lower Umpqua Hospital
  • Mercy Medical Center
  • Mid Columbia Medical Center
  • Morrow County Health District
  • Oregon Health & Science University (OHSU)
  • PeaceHealth
  • Salem Clinic
  • Salem Health
  • Samaritan Health Services
  • Santiam Memorial Hospital
  • Sky Lakes Medical Center
  • Southern Coos Hospital and Health Center
  • St.Alphonsus Medical Center
  • St.Anthony Hospital
  • St.Charles Health System
  • St.Luke's Hospital
  • Tuality Healthcare (OHSU partner)
  • Wallowa Memorial Hospital
  • Willamette Valley Medical Center

Networks outside of Oregon

Members living in states outside of Oregon can receive in-network care through the following networks.

First Choice Health Network

Members living in most counties in Washington can receive in-network care through First Choice Health Network. It includes thousands of doctors, hospitals and other medical providers across many specialties.

Private HealthCare Systems (PHCS) Network

Members living outside of Oregon or Washington in the U.S. can see providers in the PHCS Network for in-network care. It is the largest PPO medical network nationwide, with thousands of doctors and clinics, and hundreds of hospitals, to choose from. PHCS Network gives members plenty of choice.

First Health® Network

Network

In 2021, we will be adding First Healthâ to our national network options for large group employers. With over 550,000 in-network providers and one million service locations nationwide, the First Health Network gives members access to quality care to manage their care and healthcare costs whether they are at home or on the road. To learn more, please work with your Moda Health Sales Rep when quoting new business to help your clients choose the right national network wrap for their employee population.

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Travel network - First Health Network

When members hit the road, care is never far away. While traveling outside the network service areas, members can receive emergency or urgent care through the First Health Network which is paid at the in-network amount. Traveling for the purpose of seeking care does not qualify for the travel network benefit. Outside the U.S., members may access any provider for emergency care at the in-network cost-sharing amount. This care is subject to balance billing. Other care received outside the U.S. is not covered.

Questions?

We're here to help. Contact our Sales and Account Services team for friendly support.

Each Delta Dental of Oregon plan comes with a Delta Dental network. It includes thousands of dentists across the state, and the country.

To learn more about our dental networks go to DeltaDentalOR.com.

Questions?

We're here to help. Contact our Sales and Account Services team for friendly support.