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Oregon Medical Insurance > Medicare Advantage Plans > ODS Health Plans

ODS Health Plan MedAdvantage Plans Call CDA Insurance - 541.434.9613 (Eugene) / 800.884.2343 (Toll-Free)
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ODS Advantage PPO Plan Information
ODS Advantage PPO Plan Information

2013 ODS Medicare Advantage Plans

View 2014 Plan Information

ODS Advantage PPO (PPO MA)
ODS Advantage PPO Rx
(PPO MAPD)
ODS Advantage PPO Rx Select
(PPO MAPD)

ODS Plan List
Plan Name Plan Type Plan Details Application Premium
Advantage PPO PPO MA Benefit Summary Download app $57
Available in: all counties in Oregon
Advantage PPO Rx PPO MAPD Benefit Summary Download app $68
Available in: all counties in Oregon
Advantage PPO Rx Select PPO MAPD Benefit Summary Download app $139
Available in: all counties in Oregon

Important details and dates

  • You must be enrolled in both Medicare Part A and Medicare Part B and live in the plan's service area to be eligible for these plans.
  • You are first eligible during the 7–month Initial Coverage Enrollment Period (ICEP), the 3 months before your 65th birthday, the month of, and 3 months after. CAUTION: You only have one choice so take your time, ask for help and choose wisely.
  • You are also eligible during the Annual Election Period (AEP) which is from Oct.15 to Dec.7. You can change as many times as you want. The last change received by CMS prevails.
  • You have an opportunity to disenroll from your plan and return to Original Medicare and purchase a Part D Prescription Drug Plan during the new Annual Disenrollment Period from Jan 1 to Feb 14.
  • You must continue to pay your Medicare Part B premium in addition to any plan premium shown above.
  • You may be eligible for a Special Enrollment Period (SEP) if you reside in a nursing home, join a Special Needs Plan (SNP), move outside the plan's service area, the plan leaves your area, or other special situations.

Coverage Area
The service area for these plans includes Baker, Benton,Clackamas, Clatsop,Columbia, Coos, Crook, Curry, Deschutes, Douglas, Gilliam, Grant, Harney, HoodRiver, Jackson, Jefferson, Josephine, Klamath, Lake, Lane, Lincoln, Linn, Malheur, Marion, Morrow, Multnomah, Polk, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco, Washington, Wheeler and Yamhill Counties in Oregon. You must live in one of these areas to join a plan.

ODS Health Plan, Inc. offers three medical plan options: ODS Advantage PPORx, ODS Advantage PPORx Select and ODS Advantage PPO. Under all of these plans, your medical coverage is through ODS Health Plan, Inc.

ODS Advantage PPO plans provide medical services through Medicare–certified healthcare facilities and other healthcare professionals who are in compliance with Medicare credentialing standards. ODS Advantage PPO plans are not Medicare supplement policies, sometimes known as “Medigap” insurance policies. Once you have enrolled in an ODS Advantage PPO plan, you are getting your Medicare medical benefits through ODS Health Plan, Inc. The Medicare program pays us to manage health services for people with Medicare who are members of an ODS Advantage PPO plan.

As a member of an ODS Advantage PPO plan, you may get your health services from doctors, hospitals and other healthcare providers in the ODS Advantage network or from any Medicare provider.

  • These ODS Advantage plans offer exceptional benefits and flexibility:
  • Access to more than 6,000 statewide ODS Advantage contracted providers or any Medicare provider
  • Continue to seek care with your existing Medicare providers
  • Access to Medicare providers without a referral or prior authorization
  • No medical deductible
  • Fixed co–payments or co-insurance for most services
  • Annual out–of–pocket maximum protection
  • Travel throughout the United States for up to 12 months – and keep your coverage
  • ODS Advantage PPO plans are available to residents throughout the state of Oregon.
Helpful Information

Plan Rating

Provider Directory

Pharmacy Directory

Formulary

Rx Step Therapy & Pre-authorization info

Advantage Extra Care

Silver & Fit

Plan Highlights

Low Income Subsidy

Appeals & Grievances

Multi-language Support

Medicare Advantage Disenrollment Period

ODS Customer Service (existing customers)
503-265-4762
Toll-free - 877-299-9062
TTY - 800-433-6313
7 a.m. to 8 p.m., seven days a week.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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