2026
Benefits Info

Benefit Contacts

Benefit Administrator/vendor Phone/web Group number/other
Medical Moda Health
855-425-4543
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 Optum Financial 855-687-2021
cobra.optumfinancial.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 โ€“ 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
Accident and Critical Illness Chubb

833-542-2013 or
CWBclaimsteam@chubb.com

www.chubb.com/workplacebenefitsclaims
Hospital Indemnity Chubb in partnership with Administrative Concepts

Customer Service: 888-293-9229

Claims: aciclaims@acitpa.com

Claim forms are listed under โ€œChubbโ€ atย  https://www.acitpa.com/memberresources-2-0

Pet Insurance Healthy Paws

Enrollment:
844-260-7911 or info@healthypaws.com

Customer Service and claims:
855-898-8991 or help@healthypaws.com

Individual Policies Enroll at: Healthy Paws

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
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.
NetBenefitsยฎ
  • 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.ย 

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

Moda Health Choice Plan - MHP
Moda Health Prime Plan - HDP
Salem Health_Plan Document and SDP_2025
FSA and HSA Optum Summary Plan Description (SPD) with SMMs
Delta Dental Handbook
VSP Vision:
Evidence of Coverage
VSP Benefit Summary 2026
VSP Benefit Summary 2026 Tagalog
VSP Benefit Summary 2026 Spanish
VSP Benefit Summary 2026 Russian
Short Term Disability Certificate Class 2
Long Term Disability
Certificate Class 2
Life Insurance
Certificate Class 3
2026 Plan Year Legal Notice Packet Salem Health Hospitals & Clinics
Summary Annual Report (SAR)
Salem Health SAR 2024