Mental Health Benefits with Modern Health
Modern Health is a mental and behavioral health care platform that you and your dependents (age 6 and above) have access to. Modern Health believes that quick access to personalized mental health support can profoundly impact on your day — whether at home, at work, or in your relationships.
You and each of your dependents (age 6 and above) have access to:
- 8 one-on-one video sessions with licensed clinical therapists
- 8 one-on-one video sessions with certified mental health, professional, or financial well-being coaches
- Unlimited Circles — live and on-demand group support sessions led by Modern Health therapists and coaches that are designed to be safe spaces for sharing and learning with others
- Guided meditations and other programs covering topics like managing stress, parenting, coping with stressful world events, and more
- Ongoing well-being assessments to check-in on your well-being over time
- Access to Care Navigation to guide you through Modern Health benefits
- Provide additional EAP services such as pet resources, childcare support, legal and financial support, leader resources, a rapid response hotline and more
Complete an initial assessment to share your needs and preferences, and Modern Health will guide you to one-on-one, self-guided, and community-based resources that can support you in your area of focus. View this resource guide for examples and more information:
How to Get Started with Modern Health
Changing your Modern Health Care Team
Additional resources can be found on the Employee Assistance Program (EAP) page.
Mental Health Benefits with Moda Health
Employees and family members covered under a Salem Health medical plan have access to many behavioral health benefits and support services through Moda Health. These benefits include, but are not limited to, enhanced benefit coverage for outpatient mental health and substance use disorder office visits.
- Prime Plan – High Deductible Plan (HDP): Cost share is waived for outpatient mental health and substance use disorder office visits after your deductible has been met.
- Choice Plan – Medical Home Plan (MHP): Cost share, including deductible, is waived for outpatient mental health and substance use disorder office visits.
Prime Plan - HDP
| Prime Plan - HDP See tier definitions below³ |
Tier I Salem Health & West Valley Hospital (in-network) |
Tier II Connexus Network (in-network)2 |
Tier III Connexus Network (in-network)2 |
Tier IV Out-of-Network1 |
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|---|---|---|---|---|---|---|---|---|
| Deductible | $1,650 individual$3,300 family | $1,800 individual$3,600 family | $3,050 individual$6,100 family | $3,050 individual$6,100 family | ||||
| Maximum out-of-pocket | $3,200 individual $6,000 family | $4,000 individual $8,000 family | $6,000 individual $12,000 family | $6,000 individual $12,000 family | ||||
| Mental Health and Substance Use Disorder | ||||||||
| Outpatient mental health & substance use disorder office visits | 0% | 0% | 0% | 0% | ||||
| * Deductible waived 1Out-of-network provider may balance bill 2 Employees who live outside of Oregon / SW Washington may have access to alternative networks. 3 Tier I: Providers of Salem Health Hospitals & Clinics and facilities. Tier II: Moda's Connexus Network. This network includes providers & clinics that generally provide services that are not available at Salem Health Hospitals & Clinics. Tier III: Moda's Connexus Network. This includes specific hospital systems, ambulatory surgery centers and provider clinics that provide the same services as Salem Health Hospitals and Clinics. Tier IV: Providers that are not contracted by the Moda Health Connexus network and are considered non-participating (out-of-network). |
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Choice Plan - MHP
| Choice Plan - MHP See tier definitions below³ |
Tier I Salem Health & West Valley Hospital (in-network) |
Tier II Connexus Network (in-network)2 |
Tier III Connexus Network (in-network)2 |
Tier IV Out-of-Network1 |
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|---|---|---|---|---|---|---|---|---|
| Deductible | $0 individual $0 family | $250 individual $500 family | $500 individual $1,000 family | $750 individual $1,500 family | ||||
| Maximum out-of-pocket | $2,500 individual $5,000 family | $2,750 individual $5,500 family | $3,250 individual $6,500 family | $4,000 individual $8,000 family | ||||
| Mental Health and Substance Use Disorder | ||||||||
| Outpatient mental health & substance use disorder office visits | 0% | $0* | $0* | $0* | ||||
| * Deductible waived 1Out-of-network provider may balance bill 2 Employees who live outside of Oregon / SW Washington may have access to alternative networks. 3 Tier I: Providers of Salem Health Hospitals & Clinics and facilities. Tier II: Moda's Connexus Network. This network includes providers & clinics that generally provide services that are not available at Salem Health Hospitals & Clinics. Tier III: Moda's Connexus Network. This includes specific hospital systems, ambulatory surgery centers and provider clinics that provide the same services as Salem Health Hospitals and Clinics. Tier IV: Providers that are not contracted by the Moda Health Connexus network and are considered non-participating (out-of-network). |
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Other services and benefits include:
- Behavioral Health: specialty services for managing mental health and substance use disorder benefits. Includes assistance finding in-network providers and understand the mental health and substance use disorder benefits. Includes a dedicated Behavioral Health phone line, 800‐799‐9391
- Comprehensive Mental Health & Substance Use Disorder coverage for members enrolled in the MHP or HDP. Services include:
- Office visits, including psychotherapy
- Intensive outpatient programs
- Coordinated specialty programs
- Transcranial magnetic stimulation and electroconvulsive therapy
- Residential treatment programs
- Substance Use Detoxification
- Health Coaching: A free resource available to all Salem Health employees enrolled in a Moda medical plan. Your coach can provide resources and feedback to help you sleep better, eat healthier and feel your best. Health coaching can also provide you support around stress management and ways to prioritize self-care into your daily routine.
Additional health coaching programs include, but are not limited to:
- Cardiac Care, Depression Care, Diabetes Care, Respiratory care and Maternity care
- Case Management: For complex or catastrophic health events and need assistance from a case management registered nurse or behavioral health specialist.
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Moda Health 360: A personalized program that puts you at the center of all your healthcare needs. Moda 360 combines:
- Live chat with your 360 Health Navigators
- Specialized programs matched just for you
- Timely personalized care reminders
- And more… search Find Care, access your Member ID card, select a PCP 360, estimate costs, view your remaining in-network deductible, view claim summaries, estimate prescription costs and so much more.
- Meru Health: A 12-week app-based treatment program for depression, burnout and anxiety available to employees and family members enrolled in a Salem Health medical plan. The program combines technology, evidence-based therapy and daily text support from licensed clinicians.
- Monthly on-demand workshops
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Overcoming Anxiety at Work Through Mindfulness (3-Part Series)
- Each session is a combination of coaching and mediation practice, followed by everyday mindfulness, to incorporate into daily life and bring about lasting change.
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Overcoming Anxiety at Work Through Mindfulness (3-Part Series)
Session #1 – Understand Anxiety and the Autonomic Nervous System
Length: 16 minutes
Session #2 – Learn how to Decrease Stress and its Effects on the Body
Length: 16 minutes
Session #3 – Identifying Your Personal Anxiety Triggers
Length: 16 minutes
To learn more about the above Moda Health benefits contact customer service at 1-855-425-4543 or log in to your Member Dashboard to get started at www.modahealth.com.
Mental Health Benefits with Meru
Meru Health is a 12 week online mental health support program with a personalized treatment plan with regular communication with a license therapist all accessed from your smartphone with internet access. Over the course of 12 weeks, participants learn and practice skills needed to create long lasting healthy lifestyle habits all with daily support of their dedicated therapist. As lessons are introduced, participants receive messages from their therapist to help them apply the new concepts and build skills.
This evidence-based program includes Motivational Interviewing, Cognitive Behavioral Therapy, Behavioral Activation Therapy, Acceptance and Commitment Therapy, Nutrition Psychiatry, Sleep Hygiene, and more. Ongoing follow up support is provided for weeks 13-52.
Participant details:
- Available to employees and covered family members enrolled in a Salem Health Moda medical plan who are over the age of 18 and live in OR or WA.
- Cost for MHP members: $0
- Cost for HDP members: $0 AFTER met deductible (maximum cost for entire program is $220)
Here is an informative slideshow of the program and how it works (that is included below).
To learn more about Meru visit www.meruhealth.com/modahealth
Meru Health Presentation
Patient Testimonial:
“The program not only taught me strategies to manage anxiety and depression but it also gave me structure and accountability to practice them so that by the end of the program I felt like a completely different person–actually let me rephrase that–I feel like myself again, something that has been missing for a long time.”
Patient Testimonial:
“Meru Health had a huge positive impact on my life. I have struggled with anxiety on and off for many years, and prior to starting the program, I was feeling stressed, burnt out, anxious, and a little depressed. The Meru Health program supported me as I recovered and taught me skills to help cope with stress and anxiety when they inevitably happen…now, I am much less anxious and burnt out, and when I do have a stressful day or get upset, I know that I can rely on the mindfulness and self-compassion I learned from Meru Health to help me get through it.”
Patient Testimonial: