Moda Health Oregon Standard Gold Affinity
Gold · EPO · Moda Health Plan, Inc. · Oregon
At age 40 it costs between $644 and $799 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 39424OR1670001 |
|---|---|
| Insurer | Moda Health Plan, Inc. |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 3 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $1,800 |
| Deductible (family) | $3,600 |
| Drug deductible | $0 |
| Most you could pay in a year | $8,150 |
| Family maximum | $16,300 |
| Primary care visit | $20 |
| Specialist visit | $40 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $30 |
| Specialty drugs | 50% |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.86% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-888-393-2940 · TTY 1-888-393-2940 |
Where it is sold, and what it costs there
36 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Clackamas County | $504 | $572 | $644 | $900 | $1,368 |
| Multnomah County | $504 | $572 | $644 | $900 | $1,368 |
| Washington County | $504 | $572 | $644 | $900 | $1,368 |
| Yamhill County | $504 | $572 | $644 | $900 | $1,368 |
| Benton County | $542 | $616 | $693 | $969 | $1,472 |
| Lane County | $542 | $616 | $693 | $969 | $1,472 |
| Linn County | $542 | $616 | $693 | $969 | $1,472 |
| Marion County | $573 | $650 | $732 | $1,023 | $1,554 |
| Polk County | $573 | $650 | $732 | $1,023 | $1,554 |
| Douglas County | $583 | $661 | $745 | $1,041 | $1,582 |
| Jackson County | $583 | $661 | $745 | $1,041 | $1,582 |
| Josephine County | $583 | $661 | $745 | $1,041 | $1,582 |
| Clatsop County | $600 | $681 | $767 | $1,072 | $1,630 |
| Columbia County | $600 | $681 | $767 | $1,072 | $1,630 |
| Coos County | $600 | $681 | $767 | $1,072 | $1,630 |
| Curry County | $600 | $681 | $767 | $1,072 | $1,630 |
| Deschutes County | $600 | $681 | $767 | $1,072 | $1,629 |
| Klamath County | $600 | $681 | $767 | $1,072 | $1,629 |
| Lake County | $600 | $681 | $767 | $1,072 | $1,629 |
| Lincoln County | $600 | $681 | $767 | $1,072 | $1,630 |
| Tillamook County | $600 | $681 | $767 | $1,072 | $1,630 |
| Baker County | $625 | $709 | $799 | $1,116 | $1,696 |
| Crook County | $625 | $709 | $799 | $1,116 | $1,696 |
| Gilliam County | $625 | $709 | $799 | $1,116 | $1,696 |
| Grant County | $625 | $709 | $799 | $1,116 | $1,696 |
| Harney County | $625 | $709 | $799 | $1,116 | $1,696 |
| Hood River County | $625 | $709 | $799 | $1,116 | $1,696 |
| Jefferson County | $625 | $709 | $799 | $1,116 | $1,696 |
| Malheur County | $625 | $709 | $799 | $1,116 | $1,696 |
| Morrow County | $625 | $709 | $799 | $1,116 | $1,696 |
| Sherman County | $625 | $709 | $799 | $1,116 | $1,696 |
| Umatilla County | $625 | $709 | $799 | $1,116 | $1,696 |
| Union County | $625 | $709 | $799 | $1,116 | $1,696 |
| Wallowa County | $625 | $709 | $799 | $1,116 | $1,696 |
| Wasco County | $625 | $709 | $799 | $1,116 | $1,696 |
| Wheeler County | $625 | $709 | $799 | $1,116 | $1,696 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.