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The 2023 Medicare Advantage Plans in Washington County OR.
2022 Washington County Oregon
Medicare Advantage Plans
There are 44 Medicare Advantage Plans available in Washington County OR from 11 different health insurance providers. 18 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2500 and the highest out of pocket is $7550. Washington County Oregon residents can also pick from 11 Medicare Special Needs Plans. The best Medicare Advantage plan in Washington County Oregon received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.
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Return to 2022 Medicare Advantage Plans in Oregon
Wheeler County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot (PPO) (H2228-088) | $0 | Local PPO * | $5,600 | |
| Aetna Medicare Eagle Plan (PPO) (H9431-015) | $0 | Local PPO * | $5,600 | |
| Humana Honor (PPO) (H5216-301) | $0 | Local PPO * | $5,000 | |
| Lasso Healthcare Growth (MSA) (H1924-001) | MSA * | $- | NA | |
| Lasso Healthcare Growth Plus (MSA) (H1924-004) | MSA * | $- | NA | |
| Moda Health PPO (PPO) (H3813-001) | $15.00 | Local PPO * | $3,500 | |
| Providence Medicare Focus Medical (HMO) (H9047-033) | $128.00 | Local HMO * | $3,400 | |
| Providence Medicare Select Medical (HMO-POS) (H9047-035) | $51.00 | Local HMO * | $4,500 | |
| Regence Valiance (HMO) (H6237-006) | $0 | Local HMO * | $4,900 | |
| Regence Valiance (PPO) (H3817-010) | $0 | Local PPO * | $5,000 | |
| Wellcare Patriot No Premium Open (PPO) (H5439-010) | $0 | Local PPO * | $2,500 |
2022 Medicare Special Needs Plans in Washington county Oregon
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| AgeRight Advantage Health Plan (HMO I-SNP) | $40.50 | $480.0 | No Gap Coverage | Institutional | NA |
| AgeRight Advantage Plus Health Plan (HMO I-SNP) | $42.00 | $300.0 | No Gap Coverage | Institutional | NA |
| AgeRight Advantage Premier Health Plan (HMO C-SNP) | $42.00 | $300.0 | No Gap Coverage | Chronic or Disabling Condition | NA |
| CareOregon Advantage Plus (HMO-POS D-SNP) | $40.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| PacificSource Dual Care (HMO D-SNP) | $40.50 | $480.0 | Few Generics | Dual-Eligible | |
| Providence Medicare Dual Plus (HMO D-SNP) | $40.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Assisted Living Plan 1 (PPO I-SNP) | $35.10 | $200.0 | No Gap Coverage | Institutional | |
| UnitedHealthcare Assisted Living Plan 2 (PPO I-SNP) | $35.00 | $200.0 | No Gap Coverage | Institutional | |
| UnitedHealthcare Chronic Complete Assure (PPO C-SNP) | $4.20 | $480.0 | No Gap Coverage | Chronic or Disabling Condition | |
| UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP) | $40.50 | $480.0 | No Gap Coverage | Institutional | |
| UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) | $35.00 | $480.0 | No Gap Coverage | Institutional |
Plan Type Is the type of organization offering the Medicare Plan.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescription Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.
Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
Benefit Type- (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
- (DS) Defined Standard Benefit
- (BA) Basic Alternative
- (AE) Actuarially Equivalent Standard
GAP
- Many - Many Generics and Some Brands
- Some - Some Generics and Few Brands
Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable
Source: CMS.
Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.