There are 78 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 Medicare Advantage Plan Information
Click here to jump to the Chart Legend |
Plan Name |
Monthly Premium |
Part A&B Maximum Out-Of Pocket |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
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H2406 -073 -0 | | | | | |
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2024 AARP Medicare Advantage Patriot No Rx OR-MA01 (PPO)
| $0.00 |
$6,300 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,600 |
No Rx Coverage |
H9431 -015 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,600 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
H5216 -301 -1 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Honor (PPO)
| $0.00 |
$8,300 |
No Rx Coverage |
H5216 -315 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$8,850 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 PacificSource Medicare MyCare Choice 30 (HMO-POS)
| $0.00 |
$3,950 |
No Rx Coverage |
H3864 -030 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 PacificSource Medicare MyCare Choice 30 (HMO-POS)
| $0.00 |
$3,950 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Providence Medicare Reverence (HMO-POS)
| $51.00 |
$4,500 |
No Rx Coverage |
H9047 -035 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Providence Medicare Reverence (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Regence Valiance (HMO)
| $0.00 |
$4,900 |
No Rx Coverage |
H6237 -006 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Regence Valiance (HMO)
| $0.00 |
$4,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Regence Valiance (PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
H3817 -010 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Regence Valiance (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Wellcare Patriot No Premium Open (PPO)
| $0.00 |
$2,500 |
No Rx Coverage |
H5439 -010 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Wellcare Patriot No Premium Open (PPO)
| $0.00 |
$3,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
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H2406 -070 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC OR-0002 (PPO)
| $0.00 |
$5,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H3805 -039 -1 | | | | | |
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2024 AARP Medicare Advantage from UHC OR-0004 (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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2023 Aetna Medicare Elite Plan (HMO-POS)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. |
H2056 -003 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Elite Plan (HMO-POS)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H2056 -010 -0 | | | | | |
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2024 Aetna Medicare SmartFit Elite Plan (HMO-POS)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
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2023 Aetna Medicare Value Plan (HMO-POS)
| $0.00 |
$6,100 |
$0 | Yes, some additional gap coverage. |
H2056 -004 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plan (HMO-POS)
| $0.00 |
$6,100 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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-- This plan not offered in 2023 --
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H7006 -018 -0 | | | | | |
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2024 ATRIO Choice Rx (PPO)
| $0.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,332 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
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H7006 -021 -0 | | | | | |
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2024 ATRIO Freedom (PPO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H7389 -002 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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new |
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2024 Cigna Preferred Medicare (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
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2023 Cigna True Choice Savings Medicare (PPO)
| $0.00 |
$5,600 |
$0 | Yes, some additional gap coverage. |
H7849 -055 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna True Choice Medicare (PPO)
| $0.00 |
$5,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Devoted CHOICE Oregon (PPO)
| $0.00 |
$5,900 |
$225 | Yes, some additional gap coverage. |
H7199 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,364
2023 Formulary |
|
new |
new |
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2024 Devoted CHOICE Oregon (PPO)
| $0.00 |
$5,900 |
$225 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,391 2024 Formulary |
|
2023 Devoted CORE Oregon (HMO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. |
H2923 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,364
2023 Formulary |
|
new |
new |
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2024 Devoted CORE Oregon (HMO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,391 2024 Formulary |
|
2023 Humana Gold Plus - Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$250 | Yes, some additional gap coverage. |
H1036 -306 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus - Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Gold Plus H1036-153 (HMO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. |
H1036 -153 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H1036-153 (HMO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-247 (PPO)
| $0.00 |
$6,500 |
$175 | Yes, some additional gap coverage. |
H5216 -247 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-247 (PPO)
| $0.00 |
$6,500 |
$125 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Kaiser Permanente Senior Advantage Value (HMO-POS)
| $0.00 |
$5,300 |
$0 | Yes, some additional gap coverage. |
H9003 -009 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,388
2023 Formulary |
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2024 Kaiser Permanente Senior Advantage Value (HMO-POS)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,403 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H3813 -019 -0 | | | | | |
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2024 Moda Health Elements PPORX (PPO)
| $0.00 |
$5,465 |
$225 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $40.00 | $40.00 | 3,647 2024 Formulary |
|
2023 Moda Health PPO (PPO)
| $0.00 |
$4,500 |
No Rx Coverage |
H3813 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Moda Health PPO (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2023 --
|
H4754 -011 -0 | | | | | |
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2024 PacificSource Medicare Explorer Rx 11 (PPO)
| $0.00 |
$6,000 |
$150 | Yes, some additional gap coverage. | $0.00 | $4.00 | $42.00 | $42.00 | 3,888 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)
| $0.00 |
$5,700 |
$0 | Yes, some additional gap coverage. |
H3864 -034 -0 | $0.00 | $9.00 | $39.00 | $39.00 | 3,790
2023 Formulary |
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2024 PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)
| $0.00 |
$5,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,888 2024 Formulary |
|
2023 PacificSource Medicare MyCare Rx 40 (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H3864 -040 -0 | $0.00 | $9.00 | $39.00 | $39.00 | 3,790
2023 Formulary |
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2024 PacificSource Medicare MyCare Rx 40 (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $42.00 | $42.00 | 3,888 2024 Formulary |
|
2023 Providence Medicare Prime + Rx (HMO)
| $0.00 |
$4,500 |
$150 | Yes, some additional gap coverage. |
H9047 -037 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,626
2023 Formulary |
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2024 Providence Medicare Prime + Rx (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $37.00 | $37.00 | 3,650 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Regence BlueAdvantage HMO (HMO)
| $0.00 |
$5,500 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H6237 -007 -1 | $0.00 | $12.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
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2024 Regence BlueAdvantage HMO (HMO)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
2023 Regence MedAdvantage + Rx Primary (PPO)
| $0.00 |
$6,200 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H3817 -011 -1 | $0.00 | $13.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
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2024 Regence MedAdvantage + Rx Primary (PPO)
| $0.00 |
$6,000 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $13.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
2023 Wellcare Giveback Open (PPO)
| $0.00 |
$7,550 |
$200 | Yes, some additional gap coverage. |
H5439 -015 -0 | $5.00 | $15.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare Giveback Open (PPO)
| $0.00 |
$8,850 |
$545 | Yes, some additional gap coverage. | $5.00 | $15.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare No Premium (HMO)
| $0.00 |
$4,500 |
$125 | Yes, some additional gap coverage. |
H6815 -038 -0 | $0.00 | $8.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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|
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2024 Wellcare No Premium (HMO)
| $0.00 |
$5,900 |
$425 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6815 -039 -0 | | | | | |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$5,600 |
$250 | Yes, some additional gap coverage. | $0.00 | $8.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5439 -017 -0 | | | | | |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$3,450 |
$300 | Yes, some additional gap coverage. | $0.00 | $8.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Devoted CHOICE PLUS Oregon (PPO)
| $36.20 |
$5,400 |
$150 | Yes, some additional gap coverage. |
H7199 -002 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,364
2023 Formulary |
|
new |
new |
|
2024 Devoted CHOICE PLUS Oregon (PPO)
| $12.00 |
$5,400 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,391 2024 Formulary |
|
2023 Wellcare Assist (HMO)
| $14.90 |
$5,600 |
$400 | No additional gap coverage, only the Donut Hole Discount |
H6815 -037 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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|
|
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2024 Wellcare Assist (HMO)
| $16.60 |
$5,600 |
$380 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 Aetna Medicare Choice Plan (PPO)
| $24.00 |
$5,600 |
$0 | Yes, some additional gap coverage. |
H9431 -005 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Choice Plan (PPO)
| $20.00 |
$5,600 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H2056 -011 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Value Plus Plan (HMO-POS)
| $20.70 |
$6,100 |
$400 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
2023 UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
| $13.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0271 -036 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Complete Care OR-001A (PPO C-SNP)
| $21.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5439 -019 -0 | | | | | |
|
|
|
|
2024 Wellcare Low Premium Open (PPO)
| $24.00 |
$5,900 |
$350 | Yes, some additional gap coverage. | $0.00 | $15.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H2406 -033 -0 | | | | | |
|
|
|
|
2024 UHC Nursing Home Plan OR-F002 (PPO I-SNP)
| $28.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Providence Medicare Bridge + Rx (HMO-POS)
| $35.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H9047 -059 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,626
2023 Formulary |
|
|
|
|
2024 Providence Medicare Bridge + Rx (HMO-POS)
| $29.00 |
$4,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $37.00 | $37.00 | 3,650 2024 Formulary |
|
2023 UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
| $41.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -036 -0 | | | | | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Nursing Home Plan OR-F001 (PPO I-SNP)
| $30.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H2406 -049 -0 | | | | | |
|
|
|
|
2024 UHC Care Advantage RI-E002 (PPO I-SNP)
| $33.00 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Humana Value Plus H5216-294 (PPO)
| $38.00 |
$8,300 |
$425 | No additional gap coverage, only the Donut Hole Discount |
H5216 -294 -0 | $4.00 | $15.00 | 25% | 25% | 3,409
2023 Formulary |
|
|
|
|
2024 Humana Value Plus H5216-294 (PPO)
| $36.00 |
$8,850 |
$545 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $20.00 | 21% | 21% | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H2406 -042 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC OR-0001 (PPO)
| $39.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Moda Health + Fred Meyer PPORX (PPO)
| $39.00 |
$6,920 |
$285 | No additional gap coverage, only the Donut Hole Discount |
H3813 -016 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,751
2023 Formulary |
|
|
|
|
2024 Moda Health + Fred Meyer PPORX (PPO)
| $39.00 |
$6,750 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $40.00 | $40.00 | 3,647 2024 Formulary |
|
2023 AgeRight Advantage Health Plan (HMO I-SNP)
| $41.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1372 -001 -0 | | | | | 3,683
2023 Formulary |
|
-- |
|
|
2024 AgeRight Advantage Health Plan (HMO I-SNP)
| $40.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,665 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H7006 -019 -0 | | | | | |
|
|
|
|
2024 ATRIO Select Rx (PPO)
| $40.60 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,332 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 CareOregon Advantage Plus (HMO-POS D-SNP)
| $41.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5859 -001 -0 | | | | | 3,699
2023 Formulary |
|
|
|
|
2024 CareOregon Advantage Plus (HMO-POS D-SNP)
| $40.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,744 2024 Formulary |
|
2023 PacificSource Dual Care (HMO D-SNP)
| $41.00 |
n/a |
$505 | Yes, some additional gap coverage. |
H3864 -043 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,790
2023 Formulary |
|
|
|
|
2024 PacificSource Dual Care (HMO D-SNP)
| $40.60 |
n/a |
$545 | Yes, some additional gap coverage. | $0.00 | $20.00 | $47.00 | $47.00 | 3,888 2024 Formulary |
|
2023 Providence Medicare Dual Plus (HMO D-SNP)
| $41.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9047 -043 -0 | | | | | 3,626
2023 Formulary |
|
|
|
|
2024 Providence Medicare Dual Plus (HMO D-SNP)
| $40.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,650 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 UnitedHealthcare Assisted Living Plan 2 (PPO I-SNP)
| $41.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0710 -037 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Care Advantage OR-E001 (PPO I-SNP)
| $40.60 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Regence BlueAdvantage HMO Plus (HMO)
| $45.00 |
$4,900 |
$100 | No additional gap coverage, only the Donut Hole Discount |
H6237 -008 -1 | $0.00 | $8.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
|
|
|
|
2024 Regence BlueAdvantage HMO Plus (HMO)
| $41.00 |
$4,700 |
$100 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
2023 Regence MedAdvantage + Rx Classic (PPO)
| $47.00 |
$5,700 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H3817 -008 -1 | $0.00 | $13.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
|
|
|
|
2024 Regence MedAdvantage + Rx Classic (PPO)
| $44.00 |
$5,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $13.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Kaiser Permanente Senior Advantage Standard (HMO-POS)
| $42.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H9003 -006 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,388
2023 Formulary |
|
|
|
|
2024 Kaiser Permanente Senior Advantage Standard (HMO-POS)
| $46.00 |
$4,650 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,403 2024 Formulary |
|
2023 AgeRight Advantage Plus Health Plan (HMO I-SNP)
| $42.00 |
n/a |
$300 | No additional gap coverage, only the Donut Hole Discount |
H1372 -002 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,833
2023 Formulary |
|
-- |
|
|
2024 AgeRight Advantage Plus Health Plan (HMO I-SNP)
| $55.00 |
n/a |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $45.00 | $45.00 | 3,702 2024 Formulary |
|
2023 AgeRight Advantage Premier Health Plan (HMO C-SNP)
| $42.00 |
n/a |
$300 | No additional gap coverage, only the Donut Hole Discount |
H1372 -003 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,833
2023 Formulary |
|
-- |
|
|
2024 AgeRight Advantage Premier Health Plan (HMO C-SNP)
| $55.00 |
n/a |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $45.00 | $45.00 | 3,702 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Plan 1 (HMO-POS)
| $61.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H3805 -001 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC OR-0003 (HMO-POS)
| $58.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Providence Medicare Choice + Rx (HMO-POS)
| $89.00 |
$4,500 |
$240 | Yes, some additional gap coverage. |
H9047 -065 -0 | $4.00 | $13.00 | $47.00 | $47.00 | 3,626
2023 Formulary |
|
|
|
|
2024 Providence Medicare Choice + Rx (HMO-POS)
| $71.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $37.00 | $37.00 | 3,650 2024 Formulary |
|
2023 Moda Health Metro PPORX (PPO)
| $88.00 |
$5,090 |
$225 | No additional gap coverage, only the Donut Hole Discount |
H3813 -013 -0 | $4.00 | $10.00 | $45.00 | $45.00 | 3,751
2023 Formulary |
|
|
|
|
2024 Moda Health Metro PPORX (PPO)
| $86.00 |
$5,090 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $40.00 | $40.00 | 3,647 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H7006 -020 -0 | | | | | |
|
|
|
|
2024 ATRIO Prime Rx (PPO)
| $125.00 |
$2,950 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,332 2024 Formulary |
|
2023 Providence Medicare Focus Medical (HMO)
| $128.00 |
$3,400 |
No Rx Coverage |
H9047 -033 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Providence Medicare Focus Medical (HMO)
| $128.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
| $127.00 |
$3,000 |
$0 | Yes, some additional gap coverage. |
H9003 -001 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,388
2023 Formulary |
|
|
|
|
2024 Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
| $131.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,403 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Premium Ultra Open (PPO)
| $119.00 |
$4,000 |
$95 | Yes, some additional gap coverage. |
H5439 -011 -0 | $5.00 | $10.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Premium Ultra Open (PPO)
| $139.00 |
$4,000 |
$150 | Yes, some additional gap coverage. | $5.00 | $10.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Providence Medicare Extra + Rx (HMO)
| $173.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H9047 -064 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,626
2023 Formulary |
|
|
|
|
2024 Providence Medicare Extra + Rx (HMO)
| $155.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $37.00 | $37.00 | 3,650 2024 Formulary |
|
2023 Regence MedAdvantage + Rx Enhanced (PPO)
| $172.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3817 -009 -1 | $0.00 | $8.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
|
|
|
|
2024 Regence MedAdvantage + Rx Enhanced (PPO)
| $166.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Choice (PPO)
| $32.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H2228 -029 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC OR-0001 (PPO) H2406-042 --
| | | | | |
|
2023 AARP Medicare Advantage Walgreens (PPO)
| $0.00 |
$5,600 |
$0 | Yes, some additional gap coverage. |
H2228 -084 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC OR-0002 (PPO) H2406-070 --
| | | | | |
|
2023 AARP Medicare Advantage Plan 2 (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H3805 -036 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC OR-0004 (HMO-POS) H3805-039 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Patriot (PPO)
| $0.00 |
$5,600 |
No Rx Coverage |
H2228 -088 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage Patriot No Rx OR-MA01 (PPO) H2406-073 --
| | | | | |
|
2023 UnitedHealthcare Assisted Living Plan 1 (PPO I-SNP)
| $33.50 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount |
H2228 -017 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to UHC Care Advantage RI-E002 (PPO I-SNP) H2406-049 --
| | | | | |
|
2023 UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
| $33.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2228 -016 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to UHC Nursing Home Plan OR-F002 (PPO I-SNP) H2406-033 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Low Premium Open (PPO)
| $30.00 |
$6,900 |
$150 | Yes, some additional gap coverage. |
H5439 -018 -0 | $0.00 | $15.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare Low Premium Open (PPO) H5439-019 --
| | | | | |
|
2023 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|