Moda Health Affinity Gold 1000
Gold · EPO · Moda Health Plan, Inc. · Oregon
At age 40 it costs between $657 and $815 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 | 39424OR1700001 |
|---|---|
| Insurer | Moda Health Plan, Inc. |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $1,000 |
| Deductible (family) | $2,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,850 |
| Family maximum | $17,700 |
| Primary care visit | $15 |
| Specialist visit | $30 |
| Emergency room | 15% Coinsurance after deductible |
| Inpatient stay | 15% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | 40% |
| Specialty drugs | 40% |
| Adult dental included | No |
| Child dental included | Yes |
| 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 | $514 | $584 | $657 | $918 | $1,395 |
| Multnomah County | $514 | $584 | $657 | $918 | $1,395 |
| Washington County | $514 | $584 | $657 | $918 | $1,395 |
| Yamhill County | $514 | $584 | $657 | $918 | $1,395 |
| Benton County | $553 | $628 | $707 | $988 | $1,502 |
| Lane County | $553 | $628 | $707 | $988 | $1,502 |
| Linn County | $553 | $628 | $707 | $988 | $1,502 |
| Marion County | $584 | $663 | $746 | $1,043 | $1,585 |
| Polk County | $584 | $663 | $746 | $1,043 | $1,585 |
| Douglas County | $594 | $675 | $760 | $1,062 | $1,613 |
| Jackson County | $594 | $675 | $760 | $1,062 | $1,613 |
| Josephine County | $594 | $675 | $760 | $1,062 | $1,613 |
| Clatsop County | $612 | $695 | $783 | $1,094 | $1,662 |
| Columbia County | $612 | $695 | $783 | $1,094 | $1,662 |
| Coos County | $612 | $695 | $783 | $1,094 | $1,662 |
| Curry County | $612 | $695 | $783 | $1,094 | $1,662 |
| Deschutes County | $612 | $695 | $783 | $1,094 | $1,662 |
| Klamath County | $612 | $695 | $783 | $1,094 | $1,662 |
| Lake County | $612 | $695 | $783 | $1,094 | $1,662 |
| Lincoln County | $612 | $695 | $783 | $1,094 | $1,662 |
| Tillamook County | $612 | $695 | $783 | $1,094 | $1,662 |
| Baker County | $638 | $724 | $815 | $1,139 | $1,730 |
| Crook County | $638 | $724 | $815 | $1,139 | $1,730 |
| Gilliam County | $638 | $724 | $815 | $1,139 | $1,730 |
| Grant County | $638 | $724 | $815 | $1,139 | $1,730 |
| Harney County | $638 | $724 | $815 | $1,139 | $1,730 |
| Hood River County | $638 | $724 | $815 | $1,139 | $1,730 |
| Jefferson County | $638 | $724 | $815 | $1,139 | $1,730 |
| Malheur County | $638 | $724 | $815 | $1,139 | $1,730 |
| Morrow County | $638 | $724 | $815 | $1,139 | $1,730 |
| Sherman County | $638 | $724 | $815 | $1,139 | $1,730 |
| Umatilla County | $638 | $724 | $815 | $1,139 | $1,730 |
| Union County | $638 | $724 | $815 | $1,139 | $1,730 |
| Wallowa County | $638 | $724 | $815 | $1,139 | $1,730 |
| Wasco County | $638 | $724 | $815 | $1,139 | $1,730 |
| Wheeler County | $638 | $724 | $815 | $1,139 | $1,730 |
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.