Oregon Medicare

2017 Medicare Advantage Rates for Washington County

2017 Medicare Advantage Plans for Portland, Oregon


There are 26 Medicare Advantage plans available in Portland, Oregon

 

Note: Not 65 yet? Click here for our listing of 2017 Obamacare plans for Washington County .

Below, you’ll find a summary of plans and rates for each provider in your area. This chart is designed to give you a preview of your options. For detailed information or to enroll in a plan, you must do one of the following:

  • Sign up through the plan provider—use the information we provide below to visit the provider online or call the provider directly.
  • Go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) or 1-877-486-2048 (TTY).
  • Get help from a licensed insurance broker—a broker can help you compare plans and will enroll you in the plan you choose.

You’ll see that each plan on the list is one of the following types: HMO, PPO, PFFS, MSA, or SNP. For an explanation of these terms and an overview of how each kind of plan works, see our article Types of Medicare Plans.


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Provider: Humana Medical Plan, Inc. ( Contract ID: H1036)

Plan: Humana Gold Plus H1036-153 (HMO)

(www.humana-medicare.com - open in new window)

500 West Main Street, Louisville, KY 40202
Toll Free: 1-800-833-2364

Type: HMO

Region: Clackamas Multnomah and Washington counties

Network: 1001-1500 physicians and providers.

Plan ID: H1036-153

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$5,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$260.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $260.00 annual deductible only applies to drugs on certain tiers.

 

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Provider: UnitedHealthcare ( Contract ID: H2228)

Plan: AARP MedicareComplete Choice (PPO)

(www.AARPMedicarePlans.com - open in new window)

3315 Central AVE, Hot Springs, AR 71903
Toll Free: 1-800-555-5757

Type: Local Preferred Provider Organization

Region: Portland Metro Area

Network: 4001-4500 physicians and providers.

Plan ID: H2228-029

Premium:
$32.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $7.40

50% Subsidy level = $14.70

25% Subsidy level = $22.10

Maximum Out Of Pocket:
$4,900.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$200.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $200.00 annual deductible only applies to drugs on certain tiers.

 

Provider: UnitedHealthcare ( Contract ID: H3805)

Plan: AARP MedicareComplete Plan 1 (HMO)

(www.AARPMedicarePlans.com - open in new window)

3315 Central AVE, Hot Springs, AR 71913
Toll Free: 1-800-555-5757

Type: HMO

Region: Select counties in Western Oregon

Network: 1501-2000 physicians and providers.

Plan ID: H3805-001

Premium:
$67.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $6.60

50% Subsidy level = $13.20

25% Subsidy level = $19.90

Maximum Out Of Pocket:
$3,500.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$180.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $180.00 annual deductible only applies to drugs on certain tiers.

 

Plan: AARP MedicareComplete Plan 2 (HMO)

(www.AARPMedicarePlans.com - open in new window)

3315 Central AVE, Hot Springs, AR 71913
Toll Free: 1-800-555-5757

Type: HMO

Region: Select counties in Western Oregon

Network: 1501-2000 physicians and providers.

Plan ID: H3805-012

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$5,900.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$250.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $250.00 annual deductible only applies to drugs on certain tiers.

 

Provider: Moda Health Plan, Inc. ( Contract ID: H3813)

Plan: Moda Health PPO (PPO)

(www.modahealth.com/medicare - open in new window)

PO Box 40384, Portland, OR 97240
Phone Local: 1-503-265-2975 | Toll Free: 1-888-217-2375

Type: Local Preferred Provider Organization

Region: State of Oregon

Network: 4501-5000 physicians and providers.

Plan ID: H3813-001

Premium:
$16.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level =

75% Subsidy level =

50% Subsidy level =

25% Subsidy level =

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Plan: Moda Health PPORX (PPO)

(www.modahealth.com/medicare - open in new window)

PO Box 40384, Portland, OR 97240
Phone Local: 1-503-265-2975 | Toll Free: 1-888-217-2375

Type: Local Preferred Provider Organization

Region: State of Oregon

Network: 4501-5000 physicians and providers.

Plan ID: H3813-006

Premium:
$98.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $22.60

75% Subsidy level = $31.30

50% Subsidy level = $40.00

25% Subsidy level = $48.70

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$120.00

 

Provider: Regence BlueCross BlueShield of Oregon ( Contract ID: H3817)

Plan: Regence MedAdvantage Basic (PPO)

(www.regence.com/medicare - open in new window)

PO Box 1827, Medford, OR 97501
Toll Free: 1-888-369-3171

Type: Local Preferred Provider Organization

Region: Metro

Network: 8001-8500 physicians and providers.

Plan ID: H3817-007

Premium:
$28.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level =

75% Subsidy level =

50% Subsidy level =

25% Subsidy level =

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Plan: Regence MedAdvantage + Rx Classic (PPO)

(www.regence.com/medicare - open in new window)

PO Box 1827, Medford, OR 97501
Toll Free: 1-888-369-3171

Type: Local Preferred Provider Organization

Region: Metro

Network: 8001-8500 physicians and providers.

Plan ID: H3817-008

Premium:
$43.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $6.20

75% Subsidy level = $14.90

50% Subsidy level = $23.60

25% Subsidy level = $32.30

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Basic
Drug Benefit Type

Annual Drug Deductable:
$240.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $240.00 annual deductible only applies to drugs on certain tiers.

 

Plan: Regence MedAdvantage + Rx Enhanced (PPO)

(www.regence.com/medicare - open in new window)

PO Box 1827, Medford, OR 97501
Toll Free: 1-888-369-3171

Type: Local Preferred Provider Organization

Region: Metro

Network: 8001-8500 physicians and providers.

Plan ID: H3817-009

Premium:
$197.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $55.80

75% Subsidy level = $64.50

50% Subsidy level = $73.20

25% Subsidy level = $81.90

Maximum Out Of Pocket:
$5,000.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Provider: FamilyCare Health ( Contract ID: H3818)

Plan: FamilyCare Advantage Rx (HMO)

(www.familycareinc.org - open in new window)

825 NE Multnomah St Suite 1400, Portland, OR 97232
Phone Local: 1-503-345-5701 | Toll Free: 1-866-225-2273

Type: HMO

Region: Portland Metro and Clatsop Counties

Network: 3001-3500 physicians and providers.

Plan ID: H3818-003

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$200.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $200.00 annual deductible only applies to drugs on certain tiers.

 

Provider: PacificSource Medicare ( Contract ID: H3864)

Plan: PacificSource Medicare MyCare Rx 22 (HMO)

(www.Medicare.PacificSource.com - open in new window)

2965 NE Conners Avenue, Bend, OR 97701
Phone Local: 1-541-385-5315 | Toll Free: 1-888-863-3637

Type: HMO

Region: Clackamas Multnomah and Washington Counties

Network: 3001-3500 physicians and providers.

Plan ID: H3864-022

Premium:
$78.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $7.30

50% Subsidy level = $14.60

25% Subsidy level = $21.90

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$150.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $150.00 annual deductible only applies to drugs on certain tiers.

 

Provider: Health Net Life Insurance Company ( Contract ID: H5520)

Plan: Health Net Aqua (PPO)

(www.healthnet.com/medicare - open in new window)

P.O. Box 10420, Van Nuys, CA 91410
Toll Free: 1-800-949-6192

Type: Local Preferred Provider Organization

Region: Portland Salem MidVly OR and Clark WA

Network: 4501-5000 physicians and providers.

Plan ID: H5520-001

Premium:
$45.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level =

75% Subsidy level =

50% Subsidy level =

25% Subsidy level =

Maximum Out Of Pocket:
$2,500.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Plan: Health Net Violet Option 1 (PPO)

(www.healthnet.com/medicare - open in new window)

P.O. Box 10420, Van Nuys, CA 91410
Toll Free: 1-800-949-6192

Type: Local Preferred Provider Organization

Region: Portland Salem MidVly OR and Clark WA

Network: 4501-5000 physicians and providers.

Plan ID: H5520-002

Premium:
$116.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $4.90

75% Subsidy level = $13.60

50% Subsidy level = $22.30

25% Subsidy level = $31.00

Maximum Out Of Pocket:
$2,900.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$95.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $95.00 annual deductible only applies to drugs on certain tiers.

 

Plan: Health Net Violet Option 2 (PPO)

(www.healthnet.com/medicare - open in new window)

P.O. Box 10420, Van Nuys, CA 91410
Toll Free: 1-800-949-6192

Type: Local Preferred Provider Organization

Region: OR Counties: CK LA ML WA. WA Counties: CR

Network: 4501-5000 physicians and providers.

Plan ID: H5520-012

Premium:
$19.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $4.70

50% Subsidy level = $9.50

25% Subsidy level = $14.20

Maximum Out Of Pocket:
$5,550.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Basic
Drug Benefit Type

Annual Drug Deductable:
$120.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $120.00 annual deductible only applies to drugs on certain tiers.

 

Provider: CareOregon Advantage ( Contract ID: H5859)

Plan: CareOregon Advantage Star (HMO-POS)

(www.careoregonadvantage.org - open in new window)

CareOregon Advantage, Portland, OR 97204
Phone Local: 1-503-416-4279 | Toll Free: 1-888-712-3258

Type: HMO with POS Option

Region: Portland Metro Area Northwest Tillamook/Yamhill

Network: 8001-8500 physicians and providers.

Plan ID: H5859-003

Premium:
$34.80
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $8.70

50% Subsidy level = $17.40

25% Subsidy level = $26.10

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$400.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $400 annual deductible only applies to drugs on certain tiers.

 

Provider: Regence BlueCross BlueShield of Oregon ( Contract ID: H6237)

Plan: Regence BlueAdvantage HMO (HMO)

(www.regence.com/medicare - open in new window)

PO Box 1827, Medford, OR 97501
Toll Free: 1-888-369-3171

Type: HMO

Region: Metro

Network: 5001-5500 physicians and providers.

Plan ID: H6237-003

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Provider: Humana Insurance Company ( Contract ID: H6609)

Plan: HumanaChoice H6609-012 (PPO)

(www.humana-medicare.com - open in new window)

500 West Main Street, Louisville, KY 40202
Toll Free: 1-800-833-2364

Type: Local Preferred Provider Organization

Region: Select Counties in ID OR WA and UT

Network: 12001-13000 physicians and providers.

Plan ID: H6609-012

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$3,600.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Provider: Health Net Health Plan of Oregon, Inc. ( Contract ID: H6815)

Plan: Health Net Ruby (HMO)

(www.healthnet.com/medicare - open in new window)

PO BOX 10420, Van Nuys, CA 91410
Toll Free: 1-800-949-6192

Type: HMO

Region: Clackamas Lane Multnomah Washington OR

Network: 3501-4000 physicians and providers.

Plan ID: H6815-003

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$3,950.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$125.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $125.00 annual deductible only applies to drugs on certain tiers.

 

Provider: Humana Insurance Company ( Contract ID: H8145)

Plan: Humana Gold Choice H8145-093 (PFFS)

(www.humana-medicare.com - open in new window)

500 West Main Street, Louisville, KY 40202
Toll Free: 1-800-833-2364

Type: Private Fee for Service

Region: Select Counties in Oregon

Network: 1001-1500 physicians and providers.

Plan ID: H8145-093

Premium:
$87.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $4.60

75% Subsidy level = $13.30

50% Subsidy level = $22.00

25% Subsidy level = $30.70

Maximum Out Of Pocket:
$
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$320.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $320.00 annual deductible only applies to drugs on certain tiers.

 

Provider: Kaiser Permanente ( Contract ID: H9003)

Plan: Kaiser Permanente Senior Advantage (HMO)

(kp.org/medicare - open in new window)

500 NE Multnomah Suite 100, Portland, OR 97232
Toll Free: 1-877-408-3496

Type: HMO

Region: Portland-Vancouver Metro Salem OR Longview WA

Network: 6501-7000 physicians and providers.

Plan ID: H9003-001

Premium:
$127.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $31.20

75% Subsidy level = $39.90

50% Subsidy level = $48.60

25% Subsidy level = $57.30

Maximum Out Of Pocket:
$2,500.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Kaiser Permanente Senior Advantage Basic (HMO)

(kp.org/medicare - open in new window)

500 NE Multnomah Suite 100, Portland, OR 97232
Toll Free: 1-877-408-3496

Type: HMO

Region: Portland-Vancouver Metro Salem OR Longview WA

Network: 6501-7000 physicians and providers.

Plan ID: H9003-006

Premium:
$44.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $7.30

50% Subsidy level = $14.60

25% Subsidy level = $22.00

Maximum Out Of Pocket:
$4,900.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Provider: Providence Health Assurance ( Contract ID: H9047)

Plan: Providence Medicare Extra + RX (HMO)

(www.providencehealthassurance.com - open in new window)

P.O. Box 4327, Portland, OR 97208
Phone Local: 1-503-574-5551 | Toll Free: 1-800-457-6064

Type: HMO

Region: Portland Metro Willamette Valley Clark County

Network: 8001-8500 physicians and providers.

Plan ID: H9047-001

Premium:
$162.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $18.10

75% Subsidy level = $26.80

50% Subsidy level = $35.50

25% Subsidy level = $44.20

Maximum Out Of Pocket:
$3,000.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Providence Medicare Choice + RX (HMO-POS)

(www.providencehealthassurance.com - open in new window)

P.O. Box 4327, Portland, OR 97208
Phone Local: 1-503-574-5551 | Toll Free: 1-800-457-6064

Type: HMO with POS Option

Region: Portland Metro Willamette Valley Clark County

Network: 8001-8500 physicians and providers.

Plan ID: H9047-024

Premium:
$88.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $13.70

75% Subsidy level = $22.40

50% Subsidy level = $31.10

25% Subsidy level = $39.80

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$100.00

 

Plan: Providence Medicare Extra (HMO)

(www.providencehealthassurance.com - open in new window)

P.O. Box 4327, Portland, OR 97208
Phone Local: 1-503-574-5551 | Toll Free: 1-800-457-6064

Type: HMO

Region: Portland Metro Willamette Valley Clark County

Network: 8001-8500 physicians and providers.

Plan ID: H9047-033

Premium:
$109.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level =

75% Subsidy level =

50% Subsidy level =

25% Subsidy level =

Maximum Out Of Pocket:
$3,000.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Plan: Providence Medicare Choice (HMO-POS)

(www.providencehealthassurance.com - open in new window)

P.O. Box 4327, Portland, OR 97208
Phone Local: 1-503-574-5551 | Toll Free: 1-800-457-6064

Type: HMO with POS Option

Region: Portland Metro Willamette Valley Clark County

Network: 8001-8500 physicians and providers.

Plan ID: H9047-035

Premium:
$45.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level =

75% Subsidy level =

50% Subsidy level =

25% Subsidy level =

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Plan: Providence Medicare Prime + RX (HMO-POS)

(www.providencehealthassurance.com - open in new window)

P.O. Box 4327, Portland, OR 97208
Phone Local: 1-503-574-5551 | Toll Free: 1-800-457-6064

Type: HMO with POS Option

Region: Portland Metro

Network: 8001-8500 physicians and providers.

Plan ID: H9047-037

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$5,500.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$200.00