MedicarePartD.guide

A non-government resource built from CMS public data

PacificSource Medicare Explorer Rx 4 (PPO)

Available to residents of Lane County, OR for 2026. Contract H4754, plan 004, segment 0.

Plan details

Monthly premium$88.70
Drug deductible$499.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH4754-004-0
Offered byPacificSource Medicare
Parent organizationPacificSource
Formulary drugs3,742

CMS star ratings

Overall
3 out of 5 stars for Overall
Health plan (Part C)
3.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
3 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$6.00
Tier 320%
Tier 425%
Tier 527%