Medicare Advantage Plans for Oregon
735,201 Total Medicare Advantage Enrollees
OTC Supplemental Benefits | Prescription Hearing Aid Coverage | ||||||||||||
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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 |