Moda Health Affinity Gold 250
Starting at
$669
/month before subsidy
Moda Health Affinity Gold 250 is a 2026 Gold EPO health insurance plan from Moda Health Plan, Inc., sold on the ACA Marketplace in Oregon under plan ID 39424OR1690001. The monthly premium starts at $669 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $250 ($500 for a family), and the individual out-of-pocket maximum is $8,500 ($17,000 for a family). After the deductible, coinsurance is 25% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 39424OR1690001
- Plan year
- 2026
- State
- Oregon
- Metal level
- Gold
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$250
Family: $500
Out-of-Pocket Max
$8,500
Family: $17,000
Coinsurance
25%
You pay after deductible
Network Type
EPO
ORN002
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$3,410
your estimated cost
- Deductible
- $250
- Copays
- $10
- Coinsurance
- $3,100
Managing type 2 diabetes
A year of routine care
$2,170
your estimated cost
- Deductible
- $250
- Copays
- $200
- Coinsurance
- $1,700
A simple fracture
ER visit + follow-up
$850
your estimated cost
- Deductible
- $250
- Copays
- $100
- Coinsurance
- $500
Enter your ZIP code first to search nearby doctors.
This Gold EPO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.
Consider this plan if you:
- Have ongoing health conditions requiring regular care
- Take multiple prescription medications
- Prefer lower costs at the time of service
- Want peace of mind with comprehensive coverage
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,377/month
Annual Premium
$8,028
OOP Maximum
$8,500
💡 What this means:
With a $250 deductible, you pay 100% of costs until you've spent that much. After that, you pay 25% (coinsurance) until you hit $8,500 total. Then insurance covers everything else for the year.
More plans from Moda Health Plan, Inc. in Oregon
- Moda Health Affinity Bronze 8000from $443/mo
- Moda Health Affinity Bronze 9000from $443/mo
- Moda Health Affinity Bronze HDHP 7500from $435/mo
- Moda Health Oregon Standard Bronze Affinityfrom $444/mo
- Moda Health Affinity Silver 3000from $570/mo
- Moda Health Affinity Silver 3400from $554/mo
- Moda Health Affinity Silver 4500from $538/mo
- Moda Health Affinity Silver 6000from $523/mo
Frequently asked questions about Moda Health Affinity Gold 250
How much does Moda Health Affinity Gold 250 cost per month?
Moda Health Affinity Gold 250 from Moda Health Plan, Inc. starts at $669 per month before any subsidy in Oregon. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for Moda Health Affinity Gold 250?
The individual medical deductible is $250, and the family deductible is $500. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for Moda Health Affinity Gold 250?
The most you would pay in a year for covered in-network care is $8,500 for an individual and $17,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Moda Health Affinity Gold 250 HSA-eligible?
No. Moda Health Affinity Gold 250 is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does Moda Health Affinity Gold 250 use?
Moda Health Affinity Gold 250 is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.