QHP Index

Moda Health Oregon Standard Bronze Affinity

Expanded Bronze · EPO · Moda Health Plan, Inc. · Oregon

At age 40 it costs between $444 and $550 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 ID39424OR1670003
InsurerModa Health Plan, Inc.
Metal levelExpanded Bronze
Plan typeEPO
Standardised designDesign 3 — a plan CMS defined the benefits of, so it can be compared like for like
Deductible (individual)$9,200
Deductible (family)$18,400
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$9,200
Family maximum$18,400
Primary care visit$50
Specialist visit$150
Emergency roomNo Charge after Deductible
Inpatient stayNo Charge after Deductible
Generic drugs$25
Preferred brand drugsNo Charge after Deductible
Specialty drugsNo Charge after Deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits99.86%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-888-393-2940 · 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.

CountyAt 21At 30At 40At 50At 60
Clackamas County $347$394 $444$620 $943
Multnomah County $347$394 $444$620 $943
Washington County $347$394 $444$620 $943
Yamhill County $347$394 $444$620 $943
Benton County $374$424 $478$668 $1,014
Lane County $374$424 $478$668 $1,014
Linn County $374$424 $478$668 $1,014
Marion County $395$448 $504$705 $1,071
Polk County $395$448 $504$705 $1,071
Douglas County $402$456 $513$717 $1,090
Jackson County $402$456 $513$717 $1,090
Josephine County $402$456 $513$717 $1,090
Clatsop County $414$470 $529$739 $1,123
Columbia County $414$470 $529$739 $1,123
Coos County $414$470 $529$739 $1,123
Curry County $414$470 $529$739 $1,123
Deschutes County $414$470 $529$739 $1,123
Klamath County $414$470 $529$739 $1,123
Lake County $414$470 $529$739 $1,123
Lincoln County $414$470 $529$739 $1,123
Tillamook County $414$470 $529$739 $1,123
Baker County $431$489 $550$769 $1,169
Crook County $431$489 $550$769 $1,169
Gilliam County $431$489 $550$769 $1,169
Grant County $431$489 $550$769 $1,169
Harney County $431$489 $550$769 $1,169
Hood River County $431$489 $550$769 $1,169
Jefferson County $431$489 $550$769 $1,169
Malheur County $431$489 $550$769 $1,169
Morrow County $431$489 $550$769 $1,169
Sherman County $431$489 $550$769 $1,169
Umatilla County $431$489 $550$769 $1,169
Union County $431$489 $550$769 $1,169
Wallowa County $431$489 $550$769 $1,169
Wasco County $431$489 $550$769 $1,169
Wheeler County $431$489 $550$769 $1,169

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.

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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.