Moda Health Affinity Silver 4500
Silver · EPO · Moda Health Plan, Inc. · Oregon
At age 40 it costs between $538 and $667 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $4,500 | $8,000 | $35 | $20 |
| up to 150% of the federal poverty level | $100 | $975 | $10 | $5 |
| 150% to 200% | $1,500 | $2,500 | $20 | $10 |
| 200% to 250% | $3,000 | $7,000 | $35 | $20 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 39424OR1680004 |
|---|---|
| Insurer | Moda Health Plan, Inc. |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $4,500 |
| Deductible (family) | $9,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,000 |
| Family maximum | $16,000 |
| Primary care visit | $35 |
| Specialist visit | $70 |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | 40% |
| Specialty drugs | 40% |
| 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 | $421 | $478 | $538 | $751 | $1,142 |
| Multnomah County | $421 | $478 | $538 | $751 | $1,142 |
| Washington County | $421 | $478 | $538 | $751 | $1,142 |
| Yamhill County | $421 | $478 | $538 | $751 | $1,142 |
| Benton County | $453 | $514 | $579 | $809 | $1,229 |
| Lane County | $453 | $514 | $579 | $809 | $1,229 |
| Linn County | $453 | $514 | $579 | $809 | $1,229 |
| Marion County | $478 | $542 | $611 | $854 | $1,297 |
| Polk County | $478 | $542 | $611 | $854 | $1,297 |
| Douglas County | $486 | $552 | $622 | $869 | $1,320 |
| Jackson County | $486 | $552 | $622 | $869 | $1,320 |
| Josephine County | $486 | $552 | $622 | $869 | $1,320 |
| Clatsop County | $501 | $569 | $640 | $895 | $1,360 |
| Columbia County | $501 | $569 | $640 | $895 | $1,360 |
| Coos County | $501 | $569 | $640 | $895 | $1,360 |
| Curry County | $501 | $569 | $640 | $895 | $1,360 |
| Deschutes County | $501 | $569 | $640 | $895 | $1,360 |
| Klamath County | $501 | $569 | $640 | $895 | $1,360 |
| Lake County | $501 | $569 | $640 | $895 | $1,360 |
| Lincoln County | $501 | $569 | $640 | $895 | $1,360 |
| Tillamook County | $501 | $569 | $640 | $895 | $1,360 |
| Baker County | $522 | $592 | $667 | $932 | $1,416 |
| Crook County | $522 | $592 | $667 | $932 | $1,416 |
| Gilliam County | $522 | $592 | $667 | $932 | $1,416 |
| Grant County | $522 | $592 | $667 | $932 | $1,416 |
| Harney County | $522 | $592 | $667 | $932 | $1,416 |
| Hood River County | $522 | $592 | $667 | $932 | $1,416 |
| Jefferson County | $522 | $592 | $667 | $932 | $1,416 |
| Malheur County | $522 | $592 | $667 | $932 | $1,416 |
| Morrow County | $522 | $592 | $667 | $932 | $1,416 |
| Sherman County | $522 | $592 | $667 | $932 | $1,416 |
| Umatilla County | $522 | $592 | $667 | $932 | $1,416 |
| Union County | $522 | $592 | $667 | $932 | $1,416 |
| Wallowa County | $522 | $592 | $667 | $932 | $1,416 |
| Wasco County | $522 | $592 | $667 | $932 | $1,416 |
| Wheeler County | $522 | $592 | $667 | $932 | $1,416 |
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.