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Moda Select Alaska Standard Gold

Moda Health Plan, Inc.
by Moda Health Plan, Inc.
2026 health insurance plan
Monthly Premium

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GoldPPOSubsidy
Deductible · ind / family $2,000 / $4,000
Max out-of-pocket · ind / family $8,200 / $16,400
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Estimated yearly cost

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Coverage details

Deductible · individual $2,000 /yr
Deductible · family $4,000 /yr
Max out-of-pocket · individual $8,200 /yr
Max out-of-pocket · family $16,400 /yr
Includes child dental Yes
Includes adult dental No

Benefit details and out-of-pocket costs

Doctor visits

Preventive care & screenings No charge
Primary care visit $30 Copay
Specialist visit $60 Copay

Hospital & emergency

Emergency room 25% Coinsurance after deductible
Inpatient facility 25% Coinsurance after deductible
Inpatient physician 25% Coinsurance after deductible

Prescription drugs

Tier 1 · Generic $15 Copay
Tier 2 · Preferred brand $30 Copay
Tier 3 · Non-preferred brand $60 Copay
Tier 4 · Specialty $250 Copay
Drug deductible · ind / family Included in Medical
Drug max out-of-pocket · ind / family Included in Medical

Plan documents & tools

* Figures shown are only for in-network medical costs.

** Please check with the insurance company if copay and coinsurance rates are before or after the deductible.

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