Medicare Advantage Plans for Oregon

735,201 Total Medicare Advantage Enrollees

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Oregon Enrollees
Wellcare by Health Net Wellcare Giveback Open (PPO)
H5439-015-0
Local PPO No $0 Yes $1,500 No No Yes Yes No 1,900
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0
Local PPO No $0 No 1,893
ATRIO Health Plans ATRIO Prime Rx (PPO)
H6743-023-3
Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,809
PacificSource Medicare PacificSource Medicare MyCare Rx 40 (HMO)
H3864-040-0
HMO $75 per Quarter No $300 Yes No No Yes No No 1,731
Humana Humana Value Plus H5216-294 (PPO)
H5216-294-0
Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 1,722
Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO Plus (HMO)
H6237-008-3
HMO No $0 Yes No No Yes No No 1,664
ATRIO Health Plans ATRIO Prime Rx (PPO)
H7006-003-0
Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,564
Providence ElderPlace Portland Providence ElderPlace Portland (dual eligible) (PACE)
H3809-001-0
National PACE No $0 No 1,532
Humana Humana Honor (PPO)
H5216-301-4
Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,489
Samaritan Advantage Health Plans Samaritan Advantage Special Needs Plan (HMO D-SNP)
H3811-003-0
HMO $175 per Quarter No $700 Yes $750 Yes No No No No 1,489
Moda Health Plan, Inc. Moda Health NW PPORX (PPO)
H3813-011-0
Local PPO No $0 Yes No No Yes No No 1,399
PacificSource Medicare PacificSource Medicare Essentials Rx 41 (HMO)
H3864-041-0
HMO $100 per Month No $0 Yes No No Yes No No 1,346
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-004-0
Local PPO No $0 Yes $2,500 No No Yes No No 1,341
ATRIO Health Plans ATRIO Choice Rx (PPO)
H7006-007-0
Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 1,317
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0
Local PPO No $0 No 1,294
Humana HumanaChoice H5216-132 (PPO)
H5216-132-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,292
Wellcare by Health Net Wellcare Assist (HMO)
H6815-037-0
HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 1,282
Moda Health Plan, Inc. Moda Health PPO (PPO)
H3813-001-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,281
Wellcare by Health Net Wellcare No Premium Open (PPO)
H5439-017-0
Local PPO $33 per Month Yes $0 Yes $1,500 No No Yes Yes No 1,213
Kaiser Permanente Employer Group Only without Part D (HMO)
H9003-802-0
HMO No $0 No 1,190
Wellcare by Trillium Wellcare Dual Select (HMO D-SNP)
H2174-001-0
HMO $85 per Month Yes $0 Yes $2,000 No No Yes Yes No 1,168
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0
Local PPO No $0 No 1,149
PacificSource Medicare PacificSource Medicare Essentials Rx 803 (HMO)
H3864-803-0
HMO No $0 No 1,129
Moda Health Plan, Inc. Moda Health Metro PPORX (PPO)
H3813-013-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,031
Moda Health Plan, Inc. Moda Health Central PPORX (PPO)
H3813-010-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,021
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-804-0
HMO No $0 No 927
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0
Local PPO No $0 No 921
Wellcare by Health Net Wellcare Patriot No Premium Open (PPO)
H5439-010-0
Local PPO No $0 Yes $2,000 No No Yes Yes No 882
UnitedHealthcare UnitedHealthcare Assisted Living Plan 2 (PPO I-SNP)
H0710-037-0
Local PPO $265 per Quarter Yes $1,060 Yes $2,000 Yes No Yes Yes No 837
PacificSource Medicare PacificSource Medicare Essentials Rx 6 (HMO)
H3864-006-0
HMO $25 per Quarter No $100 Yes No No Yes No No 777
ATRIO Health Plans ATRIO Freedom (PPO)
H6743-024-3
Local PPO $35 per Quarter No $140 Yes No No Yes No No 753
AllCare Advantage AllCare Advantage Focus Rx (HMO)
H3810-022-0
HMO $0 per Month No $0 No 739
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-005-0
Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 707
Providence Medicare Advantage Plans Providence Medicare Reverence (HMO-POS)
H9047-035-0
HMOPOS $75 per Quarter Yes $300 Yes No No Yes No No 689
Humana Humana Medicare Employer (PPO)
H5216-805-0
Local PPO No $0 No 679
Summit Health Plan, Inc. Summit Health Value + Rx (HMO)
H2765-002-0
HMO $30 per Quarter No $120 Yes No No Yes No No 626
Kaiser Permanente Kaiser Permanente Senior Advantage Value Lane (HMO-POS)
H9003-008-0
HMOPOS No $0 No 608
Humana Humana Gold Plus H1036-219 (HMO)
H1036-219-0
HMO No $0 Yes No No Yes No No 583
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-055-0
Local PPO $85 per Quarter No $340 Yes No No Yes No No 572
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-036-0
Local PPO $350 per Quarter Yes $1,400 Yes $3,600 Yes No Yes Yes No 564
Summit Health Plan, Inc. Summit Health Standard + Rx (HMO-POS)
H2765-003-0
HMOPOS $30 per Quarter No $120 Yes No No Yes No No 549
PacificSource Medicare PacificSource Medicare Explorer Rx 4 (PPO)
H4754-004-0
Local PPO $100 per Month No $0 Yes No No Yes No No 533
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0
Local PPO No $0 No 523
Regence BlueCross BlueShield of Oregon Regence MedAdvantage (PPO)
H3817-801-0
Local PPO No $0 No 510
Moda Health Plan, Inc. Moda Health Southern PPORX (PPO)
H3813-012-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 503
AgeRight Advantage AgeRight Advantage Health Plan (HMO I-SNP)
H1372-001-0
HMO No $0 Yes $1,800 Yes No No No No 499
AllCare Advantage AllCare Advantage Gold Rx (HMO)
H3810-003-0
HMO $0 per Month No $0 No 481
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H9431-015-0
Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 480
Summit Health Plan, Inc. Summit Health Core (HMO-POS)
H2765-001-0
HMOPOS $30 per Quarter No $120 Yes No No Yes No No 469
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0
Local PPO No $0 No 393

Top 20 Medicare Advantage Insurance Companyes for Oregon

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
UnitedHealthcare 122,285 101,929 114,055
Kaiser Permanente 73,592 0 335
Regence BlueCross BlueShield of Oregon 66,493 67,395 77,452
Providence Medicare Advantage Plans 59,372 23,207 47,397
Wellcare by Health Net 34,631 27,629 32,318
PacificSource Medicare 26,158 29,956 23,796
ATRIO Health Plans 24,536 27,155 22,034
Humana 16,735 63,777 64,252
CareOregon Advantage 16,082 16,815 0
Aetna Medicare 15,317 4,651 12,248
Samaritan Advantage Health Plans 6,534 6,930 6,788
Moda Health Plan, Inc. 5,707 4,146 5,861
Summit Health Plan, Inc. 1,997 2,197 2,197
Providence ElderPlace Portland 1,532 0 0
AllCare Advantage 1,500 4,679 0
Anthem Blue Cross and Blue Shield 1,314 0 0
Wellcare by Trillium 1,168 1,720 1,720
Cigna Healthcare 914 1,915 1,915
Devoted Health 903 1,691 1,691
AgeRight Advantage 499 0 520

Counties in Oregon

County Medicare Advantage Enrolless
Baker 3,527
Benton 15,370
Clackamas 77,554
Clatsop 8,126
Columbia 10,200
Coos 15,616
Crook 5,683
Curry 6,934
Deschutes 39,231
Douglas 26,364
Gilliam 295
Grant 1,462
Harney 1,366
Hood River 3,420
Jackson 45,494
Jefferson 4,364
Josephine 19,972
Klamath 13,701
Lake 1,442
Lane 78,114
Lincoln 13,199
Linn 25,494
Malheur 4,989
Marion 56,764
Morrow 1,572
Multnomah 110,994
Polk 16,208
Sherman 303
Tillamook 6,187
Umatilla 10,733
Union 5,071
Wallowa 1,754
Wasco 4,723
Washington 79,937
Wheeler 275
Yamhill 18,763
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