Moda Select Alaska Gold 1500

Moda Health Plan, Inc. · 2026 plan year

Gold

Ind. deductible: $1,500
Family deductible: $3,000
Ind. OOP max: $6,000
Family OOP max: $12,000

Compare with other Gold plans in AK

Side by side: deductibles, out-of-pocket limits and copays.

Premera Blue Cross Preferred Gold 1500Premera Blue Cross Blue Shield of Alaska · Deductible $1,500 · Out-of-pocket max $6,300
Premera Blue Cross Alaska One GoldPremera Blue Cross Blue Shield of Alaska · Deductible $1,500 · Out-of-pocket max $6,300
Premera Blue Cross Standard GoldPremera Blue Cross Blue Shield of Alaska · Deductible $2,000 · Out-of-pocket max $8,200

Compare 4 plans Browse all Gold plans in AK

Other cost-sharing reduction variants for this plan:

Limited Cost Sharing Plan Variation Standard Gold Off Exchange Plan Zero Cost Sharing Plan Variation

More Moda Health Plan, Inc. plans in AK

Moda Select Alaska Silver 4500 Moda Select Alaska Standard Gold Moda Select Alaska Bronze HDHP 5500 Moda Select Alaska Standard Silver Moda Select Alaska Standard Bronze

Monthly premiums by age

Rating Area 1 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.

Age	Individual	Individual + tobacco
Under 15	$549	$549
21	$718	$825
30	$815	$937
40	$918	$1,055
50	$1,283	$1,475
60	$1,949	$2,241
64 and over	$2,154	$2,477

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	$25.00

Specialist

Benefit	In-network
Specialist Visit	$50.00

Hospital

Benefit	In-network
Emergency Room Services	30.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	30.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	30.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$50.00

Pharmacy

Benefit	In-network
Generic Drugs	$10.00
Non-Preferred Brand Drugs	50.00% Coinsurance after deductible
Preferred Brand Drugs	$45.00
Specialty Drugs	40.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$25.00

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	30.00% Coinsurance after deductible
Accidental Dental	30.00% Coinsurance after deductible
Acupuncture	$25.00
Allergy Testing	30.00% Coinsurance after deductible
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	No Charge after deductible
Chemotherapy	30.00% Coinsurance after deductible
Chiropractic Care	$25.00
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	30.00% Coinsurance after deductible
Dental Check-Up for Children	No charge
Diabetes Education	30.00% Coinsurance after deductible
Dialysis	30.00% Coinsurance after deductible
Durable Medical Equipment	30.00% Coinsurance after deductible
Emergency Transportation/Ambulance	30.00% Coinsurance after deductible
Eye Glasses for Adults	$25.00
Eye Glasses for Children	No charge
Habilitation Services	$50.00
Hearing Aids	20.00%
Home Health Care Services	30.00% Coinsurance after deductible
Hospice Services	30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	30.00% Coinsurance after deductible
Infertility Treatment	Not covered
Infusion Therapy	30.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	30.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	40.00% Coinsurance after deductible
Massage Therapy	$25.00
Nutritional Counseling	30.00% Coinsurance after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	$25.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	30.00% Coinsurance after deductible
Outpatient Rehabilitation Services	$50.00
Prenatal and Postnatal Care	30.00% Coinsurance after deductible
Private-Duty Nursing	Not covered
Prosthetic Devices	30.00% Coinsurance after deductible
Radiation	30.00% Coinsurance after deductible
Reconstructive Surgery	30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$50.00
Rehabilitative Speech Therapy	$50.00
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	$10.00
Routine Eye Exam for Children	No charge
Routine Foot Care	30.00% Coinsurance after deductible
Skilled Nursing Facility	30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$25.00
Transplant	30.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	30.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	30.00% Coinsurance after deductible