2025
Benefits Info

Contacts & Resources

Benefit Contacts

Benefit Administrator/vendor Phone/web Group number/other
Benefit Resource Center USI 866-468-7272
brcwest@usi.com 		Salem Health
Medical Moda Health 855-425-4543
modahealth.com 		10001832
Salem Health Hospitals & Clinics
Connexus Network
Prescriptions Moda Health


PPS Mail Order Pharmacy

Costco mail order pharmacy		 800-913-4284
modahealth.com

800-552-6694
ppsrx.com

800-607-6861
pharmacy.costco.com 		10001832

PCN: NVT

BIN: 610602
Rx Group: SALH
Dental Moda Health/
Delta Dental of Oregon 		888-217-2365
deltadentalor.com/member 		10001832
Delta Dental Passive PPO
Vision VSP 800-877-7195
vsp.com 		30028473
Choice Network
Flexible Spending Accounts
Health Savings Account		 OptumBank 800-243-5543
optumbank.com 		S23471
COBRA OptumHealth 866-301-6681
optumhealthfinancial.com 		Salem Health
Refer to COBRA
Employee Assistance Program Modern Health 833-322-1931
my.joinmodernhealth.com/
 		Company code: Salem Health
Life, AD&D, and Disability The Standard
855-207-6109
www.standard.com

 		Policy #: Basic Life/AD&D/Voluntary Life – 762042
Absence Management The Standard Phone: 855-207-6109
FAX: 866-751-5174
Email: absence@standard.com

www.standard.com/file-claims-and-absences
401(k) Retirement Plan Fidelity Investments 800-343-0860
netbenefits.com/SalemHealth 		93370

Maximize your benefits - there's an App for that

Manage your benefits while you are on-the-go. Take advantage of these apps, which can be downloaded through the Apple App Store or Google Play:

App
USleb - USI Employee Benefits
  • Stay Organized - Access all your plan information and cards in one place.
  • Stay Up To Date - Receive the most updated plan information automatically.
  • Get In Touch - Convenient contact information.
  • App: MyBenefits2go
  • Code: Y44182
Modern Health
  • Take an assessment to see what EAP services are helpful to you.
  • Contact Modern Health through SMS text, phone, or email.
  • Instant Chat with an EAP counselor.
  • Access articles and resources related to well-being.
NetBenefits®
  • Check your 401(k) balance.
  • Change your contributions.
  • Manage your account.
Moda Health ecard
  • Access your medical ID card, wherever you are.
Optum Bank Mobile App
  • Manage your HSA and FSA.
  • Search for qualified medical expenses.
  • Track account balance, transactions, contribution limits, payments and reimbursements.
  • Make HSA contributions through mobile check deposit or bank transfers.
VSP Vision Care
  • View enrollment
  • Find a doctor
  • Member ID card
  • Benefit history

This guide highlights some of the provisions of Salem Health’s benefits. 

While every effort has been made to ensure accuracy of this guide, the plan documents and contracts will prevail in case of discrepancy between this Website and the plan documents and contracts. Salem Health reserves the right to amend or terminate any benefits at any time.

Resources

Plan Documents

Salem Health_Plan Document and SDP_2025
FSA and HSA Optum Summary Plan Description (SPD) with SMMs
Delta Dental Handbook
VSP Benefit Summary 2025
VSP Vision:
Evidence of Coverage
VSP Benefit Summary 2025 Tagalog
VSP Benefit Summary 2025 Spanish
VSP Benefit Summary 2025 Russian
Short Term Disability
Certificate Class 2
Long Term Disability
Certificate Class 2
Life Insurance
Certificate Class 3
Salem Health_Legal Notices_2025
Summary Annual Report
Retirement Plan
Summary Annual Report
Group Insurance Plan
PrevBenefit Resource Center (BRC)
NextBenefit Videos