2013 ODS Medicare Advantage Plans

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

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.

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