Oregon Medical Insurance > Medicare Advantage Plan Information >
Medicare Advantage Plans (PPO & HMO)
What are Medicare Advantage Health Plans?
Medicare Advantage Health Plans affect the cost, benefits, doctor choice, convenience, and quality of your medical care. These plans offer advantages and disadvantages compared to a regular Medicare Supplement (Medigap) Policy.
If you decide to join a Medicare Advantage Plan, then you will use the health care card that you get from your Medicare Advantage Plan (provider) for your health care. These plans often give you more choices and, sometimes, extra benefits, like extra days in the hospital.
To join a Medicare Advantage Plan, you must have Medicare Part A and Part B. You will have to pay the monthly Medicare Part B premium of $115.40 in 2011 to Medicare.
In addition, you might have to pay a monthly premium to your Medicare Advantage Plan for the extra benefits that they offer. Premiums vary for these plans based upon where you are located and the plan
you select.
There are 47 Medicare Advantage Plans are available (in many counties) in Oregon. Most plans are County Specific. If
you purchase one of these Medicare Advantage plans, you will not need a Medigap policy.
There are different ways you can enroll in Part Medicare Advantage or Medicare Advantage Prescription Drug plans.
- Initial Enrollment: This is when you turn 65, or qualify due to Disability if you are younger than 65. You are then "locked in" until the next Annual Enrollment period.
- Annual Enrollment: This occurs annually from October 15th through December 7th for a January 1st effective date. This is where, if you currently have a plan, you can switch to another plan.
- Special Enrollment: There are a number of reasons for Special Enrollments. Loss of a job that provides benefits, death of a spouse who's plan provided benefits, moving to an area where your old plan is not available, etc…
Medicare Advantage Plans (PPO and HMO) are now available in many parts of Oregon. These are the (Medicare HMO and PPO) Plans which have co-payments for Doctors office visits
and Hospitals. Unless you are in End Stage Renal Failure, these plans are "Guaranteed Issue". There
are 47 Medicare Advantage Plans sold in various counties in Oregon. We carry plans from PacificSource Medicare, HealthNet, Advantra, Regence
BC BS of Oregon, ODS Health Plans, Providence, Today’s Options, Trillium and Others. Bellow are prices for some of these plans.
For information on this type of plan, or to see what might be available in your
area, please call 800.884.2343 / 541.434.9613, send us an email for information, or complete
this contact form.
This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov
Plans & Rates are available for January 1, 2011 effective dates...
| Plan Name |
Company Information |
Monthly Premium |
HealthNet Options Aqua (PPO MA)
(Benton, Clackamas, Columbia, Hood River, Lane, Linn, Marion, Multnomah, Polk, Washington,
or Yamhill Counties & Clark County Washington) |
|
$39.00 |
HealthNet Options Aqua (PPO MA)
(Douglas, Jackson and Josephine Counties) |
|
$39.00 |
HealthNet Options Ruby (PPO MAPD)
(Clackamas, Multnomah and Washington Counties) |
|
$67.00 |
HealthNet Options Violet 1 (PPO Premier MAPD)
(Benton, Clackamas, Columbia, Hood River, Lane, Linn, Multnomah, Polk, Washington,
or Yamhill Counties & Clark County Washington) |
|
$99.00 |
HealthNet Options Violet 1 (PPO with RX MAPD)
(Douglas, Jackson and Josephine Counties) |
|
$85.00 |
HealthNet Options Violet 2 (PPO with RX MAPD)
(Benton, Clackamas, Columbia, Hood River, Lane, Linn, Marion, Multnomah, Polk, Washington,
or Yamhill Counties & Clark County Washington) |
|
$0.00 |
HealthNet Options Violet 2 (PPO MAPD)
(Douglas, Jackson and Josephine Counties) |
|
$0.00 |
HealthNet Options Healthy Heart (PPO MAPD)
(Benton, Clackamas, Columbia, Hood River, Lane, Linn, Marion, Multnomah, Polk, Washington, or Yamhill Counties & Clark County Washington) |
|
$139.00 |
HealthNet Options Healthy Heart (PPO MAPD)
(Jackson and Josephine Counties) |
|
$123.00 |
ODS PPO Advantage (MA)
(all counties in Oregon)
|
|
$64.10 |
ODS PPO Advantage Rx Select (MAPD)
(all counties in Oregon)
|
|
$127.30 |
PacificSource Premier Traditional + RX (HMO-POS MAPD)
(Deschutes, Grant, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath: 97731, 97733, 97737, 97425 and Lake 97735, 97638, 97641 counties) |
|
$167.00 |
PacificSource Explorer + RX (PPO MAPD)
(Crook and Deschutes Counties) |
|
$142.00 |
PacificSource Practical Value + RX (HMO MAPD)
(Crook, Deschutes, Grant, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath: 97731, 97733, 97737, 97425 and Lake 97735, 97638, 97641 counties) |
|
$132.00 |
PacificSource Essentials + RX (HMO MAPD)
(Crook, Deschutes, Grant, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath: 97731, 97733, 97737, 97425 and Lake 97735, 97638, 97641 counties) |
|
$68.00 |
PacificSource Premier Traditional (HMO-POS MA)
(Crook, Deschutes, Grant, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath: 97731, 97733, 97737, 97425 and Lake 97735, 97638, 97641 counties) |
|
$114.00 |
PacificSource Practical Value (HMO MA)
(Crook, Deschutes, Grant, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath: 97731, 97733, 97737, 97425 and Lake 97735, 97638, 97641 counties) |
|
$99.00 |
Providence Medicare Open + RX (PPO MAPD)
(Clackamas, Multnomah and Washington counties, as
well as in Clark County, Washington.)
|
|
$147.00 |
Providence Medicare Open (PPO MA)
(Clackamas, Multnomah and Washington counties, as well as in Clark County, Washington.) |
|
$90.00 |
Providence Medicare Choice + RX (HMO-POS MAPD)
(Benton, Clackamas, Clatsop, Columbia, Lane, Linn, Marion,
Multnomah, Polk, Washington and Yamhill counties, as
well as in Clark County, Washington.) |
|
$71.00 |
Providence Medicare Choice (HMO-POS MA)
(Benton, Clackamas, Clatsop, Columbia, Lane, Linn, Marion,
Multnomah, Polk, Washington and Yamhill counties, as
well as in Clark County, Washington.) |
|
$40.00 |
Providence Medicare Extra + RX (HMO MAPD)
(Benton, Clackamas, Clatsop, Columbia, Lane, Linn, Marion, Multnomah, Polk, Washington and Yamhill counties, as well as in Clark County, Washington.) |
|
$128.00 |
Providence Medicare Extra (HMO MA)
(Benton, Clackamas, Clatsop, Columbia, Lane, Linn, Marion, Multnomah, Polk, Washington and Yamhill counties, as well as in Clark County, Washington.) |
|
$87.00 |
Regence MedAdvantage + Rx Classic (PPO MAPD)
(Benton, Clackamas, Clatsop, Columbia, Coos, Curry,
Douglas, Hood River, Jackson, Josephine, Lane, Lincoln, Linn, Marion,
Multnomah, Polk, Tillamook, Wasco, Washington and Yamhill counties, as
well as in Clark County, Washington.) |
|
$80.00 |
Regence MedAdvantage (PPO MA)
(Benton, Clackamas, Clatsop, Columbia, Coos, Curry,
Douglas, Hood River, Jackson, Josephine, Lane, Lincoln, Linn, Marion,
Multnomah, Polk, Tillamook, Wasco, Washington and Yamhill counties, as
well as in Clark County, Washington.) |
|
$45.00 |
Regence MedAdvantage + Rx Enhanced (PPO MAPD)
(Benton, Clackamas, Clatsop, Columbia, Coos, Curry, Douglas, Hood River, Jackson, Josephine, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Tillamook, Wasco, Washington and Yamhill
counties, as well as in Clark County, Washington.) |
|
$127.00 |
Trillium Advantage (MAPD)
(Lane County) |
|
$135.00 |
Trillium Advantage (MA)
(Lane County) |
|
$67.00 |
UnitedHealthcare (MAPD)
(Benton, Clackamas, Lane, Linn, Marion, Multnomah, Polk, Washington & Yamhill counties) |
Please Call |
800.884.2343 |
This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov
Plans & Rates are available for January 1, 2011 effective dates...
|