Moda Health

National Summary

Moda Health Coverage

Explore Moda Health health plans:

Health Plan Overview

Insurance CompanyModa Health
Websitemodahealth.com
Number of Hospitals in Network112
Number of Plans Offered11

Network Hospital Locations

Hospitals in Network (112)
Providence Alaska Medical CenterProvidence Valdez Medical CenterProvidence Seward Medical CenterWrangell Medical CenterProvidence Kodiak Island Medical CenterPeaceHealth Ketchikan Medical CenterSouth Peninsula HospitalSoutheast Alaska Regional Health ConsortiumProvidence St. Joseph Hospital EurekaProvidence Queen of the Valley Medical CenterProvidence Saint Joseph Hospital OrangeProvidence Little Company of Mary Medical Center San PedroPetaluma Valley HospitalProvidence St. Jude Medical CenterProvidence Santa Rosa Memorial HospitalProvidence Saint Joseph Medical CenterProvidence Holy Cross Medical CenterProvidence Saint John's Health CenterProvidence St. Mary Medical CenterProvidence Little Company of Mary Medical Center TorranceProvidence Mission Hospital Mission ViejoProvidence Cedars-Sinai Tarzana Medical CenterProvidence Redwood Memorial HospitalHealdsburg HospitalSaint Francis Hospital and Medical CenterJohnson Memorial HospitalSaint Mary's HospitalSt. Francis Hospital WilmingtonHoly Cross HospitalSt. Mary's Hospital, Inc.Saint Alphonsus Regional Medical CenterMountainView HospitalPower County Hospital DistrictCaribou Medical CenterLost Rivers Medical CenterMidwestern Region Medical CenterHoly Cross HealthSaint Joseph Health SystemMercyOne Newton Medical CenterMercyOne Waterloo Medical CenterMercyOne Dubuque Medical CenterMercyOne Clinton Medical CenterMercyOne Primghar Medical CenterMercyOne New Hampton Medical CenterMercyOne Oelwein Medical CenterMercyOne Centerville Medical CenterHoly Cross HealthMercy Medical CenterTrinity Health St. Mary Mercy LivoniaTrinity Health Oakland HospitalTrinity Health Saint Mary's, Grand RapidsTrinity Health Muskegon HospitalTrinity Health LivingstonTrinity Health Ann ArborTrinity Health Grand Haven HospitalChelsea HospitalTrinity Health ShelbyProvidence Saint Patrick HospitalProvidence Saint Joseph Medical CenterSt. Joseph's Health HospitalTrinity Health Kenmare HospitalMount Carmel St. Ann'sCarrus Lakeside HospitalProvidence St. Vincent Medical CenterOHSU HealthMcKenzie-Willamette Medical CenterOHSU Health Hillsboro Medical CenterPeaceHealth Sacred Heart Medical Center University DistrictProvidence Newberg Medical CenterProvidence Willamette Falls Medical CenterSky Lakes Medical CenterSalem HospitalSaint Alphonsus Medical Center - OntarioProvidence Portland Medical CenterProvidence Medford Medical CenterProvidence Milwaukie HospitalBay Area HospitalPeaceHealth Sacred Heart Medical Center at RiverBendPeaceHealth Cottage Grove Community Medical CenterProvidence Seaside HospitalBlue Mountain HospitalHarney District HospitalWest Valley HospitalLake District HospitalPeaceHealth Peace Harbor Medical CenterProvidence Hood River Memorial HospitalGrande Ronde Hospital and ClinicsGood Shepherd Medical Center - HermistonMercy Fitzgerald HospitalNazareth HospitalSt. Mary Medical CenterCarrus Behavioral HospitalBlue Mountain HospitalProvidence St. Mary Medical CenterProvidence Regional Medical Center EverettProvidence Centralia HospitalProvidence St. Peter HospitalSwedish Cherry Hill CampusSwedish Edmonds CampusSwedish Medical CenterPeaceHealth St. Joseph Medical CenterPeaceHealth St. John Medical CenterPeaceHealth Southwest Medical CenterProvidence Sacred Heart Medical Center & Children's HospitalKadlec Regional Medical CenterProvidence Holy Family HospitalSwedish Issaquah CampusProvidence St. Joseph HospitalProvidence Mount Carmel HospitalWhitman Hospital & Medical ClinicsPeaceHealth United General Medical CenterPeaceHealth Peace Island Medical Center

Available Plans

CATASTROPHIC

1 plan

EPO

1 plan

HMO

1 plan

MEDICAID

1 plan

MEDICARE ADVANTAGE

1 plan

MEDICARE SUPPLEMENT

1 plan

OTHER

1 plan

PBM

1 plan

POS

1 plan

PPO

1 plan

SELF FUNDED

1 plan

Plan Details
Plan NamePlan Type
Moda Health PPOPPO
Moda Health HMOHMO
Moda Health EPOEPO
Moda Health POSPOS
Moda Health Self FundedSELF FUNDED
Moda Health PBMPBM
Moda Health CatastrophicCATASTROPHIC
Moda Health Medicare AdvantageMEDICARE ADVANTAGE
Moda Health Medicare SupplementMEDICARE SUPPLEMENT
Moda Health MedicaidMEDICAID
Moda Health OtherOTHER

Recent News

No recent news available for Moda Health in National.

State Leadership

Robert Gootee

CEO / President / Chief Executive Officer

NA

Andrew Franklin

SVP & COO

NA

Mehdi Tabrizi

Chief Marketing Officer; Managing Director - Innovation & Customer Experience / Board Member

NA

William TenPas

Senior Vice President

NA

Scott Loftin

Senior Vice President

Started at Moda Health in Nov of 2016.

Kraig Anderson

Senior Vice President and Chief Actuary

Started at Moda Health in Nov.

Julia Ceballos

Vice President, Provider Strategy and Services

Started at Moda Health.

Fred Bruderlin

Managing Director

NA

Mike Paul

Vice President, Financial Services

Started at Moda Health in April of 2010.

Bob Roose

Chief Pharmacy Strategy Officer

NA

Katie Stalsberg

Vice President & Corporate Controller

NA

Sean Jessup

Vice President Medicaid Programs / CEO of Eastern Oregon CCO and vice president of Medicare & Medicaid Programs / President of Summit Health Plan, Inc.

Innovator in healthcare in Oregon for over two decades. Held leadership positions in claims, customer service, provider contracting, and benefits programming at Moda. Oversees operational and financial performance of the Eastern Oregon Coordinated Care Organization (EOCCO) and is responsible for oversight of Moda's role within the Oregon Health and Science University Integrated Delivery System (OHSU IDS). Assumed responsibility for operational and financial performance of Moda's Medicare programs throughout Oregon in July 2020. Led and oversaw the launch of Summit Health Plan, Inc. in 2021 where he serves as President of the company. Prior to joining Moda Health, he worked for Quest Diagnostics Medical laboratory and for a medical billing company in Oregon. Alumnus of the Strategic Marketing Management Executive Program at Stanford University's Graduate School of Business.

James Francesconi

vp public policy

NA

Teri Barichello

VP, Chief Dental Officer

NA

Jason Gootee

Vice President / Senior Vice President, Sales & Strategic Market Development

Started at Moda Health in Nov of 2018.

Dave Nesseler-Cass

Chief Compliance Officer and Director, Regulatory Affairs / Board Member

NA

Chandra Wahrgren

SVP, Corporate Pharmacy Enterprise & Client Strategies / Senior Vice President

Started at Moda Health.

Marty Stewart

Vice President Sales and Marketing

NA

Greg Hansen

Managing Director, Dental Subsidiaries

Started at Moda Health in Apr.

William Johnson

President

NA

Steve Wynne

Executive Vice President

NA

Thomas Bikales

Senior Vice President

NA

Dave Evans

Senior Vice President

NA

Robin Richardson

Senior Vice President

NA

Jonathan Nicholas

Vice President, Strategic Communications

NA

Stacy Carmichael

Director, Sales & Account Services / Board Member

NA

James Light

Director, Expansion Sales & Development / Board Member

NA

Mary Lou True

Chief Human Resources Officer

NA

Katie Paullin

Chief Marketing Officer

NA

David Luther

Chief Information Officer

NA

Scott White

Director Of Regulatory Affairs

NA

Nicole Blizzard

Financial Accounting Director

NA