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CountyOrganization NamePlan NameContract IDPlan IDPlan TypeSpecial Needs PlanSpecial Needs Plan TypeBenefit TypePart C Premium2Part D Basic Premium3Part D Premium Obligation with Full Premium AssistanceBakerModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30BakerModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00BakerModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90BentonUnitedHealthcareUnitedHealthcare Nursing Home Plan 2 (PPO SNP)H0710036Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00BentonUnitedHealthcareUnitedHealthcare Assisted Living Plan 2 (PPO SNP)H0710037Local PPOYesInstitutionalEnhanced Alternative$0.00$25.70$0.00BentonUnitedHealthcareUnitedHealthcare Assisted Living Plan 1 (PPO SNP)H2228017Local PPOYesInstitutionalEnhanced Alternative$0.00$27.80$0.00BentonSamaritan Advantage Health PlanSamaritan Advantage Special Needs Plan (HMO SNP)H3811003HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00BentonUnitedHealthcareAARP MedicareComplete Plan 1 (HMO)H3805007HMONo?Enhanced Alternative$36.10$18.90$0.00BentonUnitedHealthcareAARP MedicareComplete Plan 2 (HMO)H3805013HMONo?Enhanced Alternative$0.00$0.00$0.00BentonSamaritan Advantage Health PlanSamaritan Advantage Premier Plan (HMO)H3811002HMONo?Enhanced Alternative$49.80$50.20$16.40BentonSamaritan Advantage Health PlanSamaritan Advantage Premier Plan Plus (HMO)H3811009HMONo?Enhanced Alternative$74.50$54.50$20.70BentonModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30BentonRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20BentonRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10BentonRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00BentonHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60BentonHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439011Local PPONo?Enhanced Alternative$74.60$45.40$11.60BentonHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439014Local PPONo?Enhanced Alternative$0.00$24.00$0.00BentonHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815003HMONo?Enhanced Alternative$0.00$0.00$0.00BentonKaiser PermanenteKaiser Permanente Senior Advantage (HMO)H9003001HMONo?Enhanced Alternative$73.40$39.50$19.80BentonKaiser PermanenteKaiser Permanente Senior Advantage Basic (HMO)H9003006HMONo?Enhanced Alternative$15.40$28.60$0.00BentonProvidence Health AssuranceProvidence Medicare Enrich + RX (HMO)H9047045HMONo?Basic Alternative$94.40$52.60$18.80ClackamasUnitedHealthcareUnitedHealthcare Nursing Home Plan 2 (PPO SNP)H0710036Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00ClackamasUnitedHealthcareUnitedHealthcare Assisted Living Plan 2 (PPO SNP)H0710037Local PPOYesInstitutionalEnhanced Alternative$0.00$25.70$0.00ClackamasAgeRight Advantage Health Plan (HMO SNP)AgeRight Advantage Health Plan (HMO SNP)H1372001HMOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00ClackamasUnitedHealthcareUnitedHealthcare Nursing Home Plan 1 (PPO SNP)H2228016Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00ClackamasUnitedHealthcareUnitedHealthcare Assisted Living Plan 1 (PPO SNP)H2228017Local PPOYesInstitutionalEnhanced Alternative$0.00$27.80$0.00ClackamasCareOregon AdvantageCareOregon Advantage Plus (HMO-POS SNP)H5859001HMOPOSYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00ClackamasProvidence Health AssuranceProvidence Medicare Dual Plus (HMO SNP)H9047043HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00ClackamasHumanaHumana Gold Plus H1036-153 (HMO)H1036153HMONo?Enhanced Alternative$0.00$0.00$0.00ClackamasUnitedHealthcareAARP MedicareComplete Choice (PPO)H2228029Local PPONo?Enhanced Alternative$11.70$23.30$0.00ClackamasUnitedHealthcareAARP MedicareComplete Plan 1 (HMO)H3805001HMONo?Enhanced Alternative$52.10$21.90$0.00ClackamasUnitedHealthcareAARP MedicareComplete Plan 2 (HMO)H3805012HMONo?Enhanced Alternative$0.00$0.00$0.00ClackamasProvidence ElderPlace PortlandProvidence ElderPlace Portland (dual eligible) (PACE)H3809001National PACENo???$220.00$0.00ClackamasProvidence ElderPlace PortlandProvidence ElderPlace Portland (private pay) (PACE)H3809002National PACENo???$159.20$661.40ClackamasModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30ClackamasModa Health Plan, Inc.Moda Health PPORX Enhanced (PPO)H3813009Local PPONo?Enhanced Alternative$122.80$60.30$38.40ClackamasRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$5.00$43.00$9.20ClackamasRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$106.60$52.70$34.60ClackamasRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.10$18.90$0.00ClackamasPacificSource MedicarePacificSource Medicare MyCare Rx 39 (HMO)H3864039HMONo?Enhanced Alternative$19.40$48.60$14.80ClackamasPacificSource MedicarePacificSource Medicare MyCare Rx 40 (HMO)H3864040HMONo?Enhanced Alternative$0.00$0.00$0.00ClackamasHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60ClackamasHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439011Local PPONo?Enhanced Alternative$74.60$45.40$11.60ClackamasHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439014Local PPONo?Enhanced Alternative$0.00$19.00$0.00ClackamasRegence BlueCross BlueShield of OregonRegence BlueAdvantage HMO (HMO)H6237004HMONo?Enhanced Alternative$0.00$0.00$0.00ClackamasRegence BlueCross BlueShield of OregonRegence BlueAdvantage HMO Plus (HMO)H6237005HMONo?Enhanced Alternative$6.90$28.10$0.00ClackamasHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815003HMONo?Enhanced Alternative$0.00$0.00$0.00ClackamasKaiser PermanenteKaiser Permanente Senior Advantage (HMO)H9003001HMONo?Enhanced Alternative$73.40$39.50$19.80ClackamasKaiser PermanenteKaiser Permanente Senior Advantage Basic (HMO)H9003006HMONo?Enhanced Alternative$15.40$28.60$0.00ClackamasProvidence Health AssuranceProvidence Medicare Extra + RX (HMO)H9047001HMONo?Enhanced Alternative$123.40$49.60$15.80ClackamasProvidence Health AssuranceProvidence Medicare Choice + RX (HMO-POS)H9047024HMOPOSNo?Enhanced Alternative$41.60$46.40$12.60ClackamasProvidence Health AssuranceProvidence Medicare Prime + RX (HMO)H9047037HMONo?Enhanced Alternative$0.00$0.00$0.00ClackamasAetna MedicareAetna Medicare Choice Plan (PPO)H9431005Local PPONo?Enhanced Alternative$3.80$13.20$0.00ClackamasAetna MedicareAetna Medicare Select Plan (PPO)H9431008Local PPONo?Enhanced Alternative$33.10$13.90$0.00ClatsopProvidence ElderPlace PortlandProvidence ElderPlace Portland (dual eligible) (PACE)H3809001National PACENo???$220.00$0.00ClatsopProvidence ElderPlace PortlandProvidence ElderPlace Portland (private pay) (PACE)H3809002National PACENo???$159.20$661.40ClatsopModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30ClatsopModa Health Plan, Inc.Moda Health PPORX Enhanced (PPO)H3813008Local PPONo?Enhanced Alternative$131.80$52.20$29.40ColumbiaCareOregon AdvantageCareOregon Advantage Plus (HMO-POS SNP)H5859001HMOPOSYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00ColumbiaModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30ColumbiaRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20ColumbiaRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10ColumbiaRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00ColumbiaHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60ColumbiaKaiser PermanenteKaiser Permanente Senior Advantage (HMO)H9003001HMONo?Enhanced Alternative$73.40$39.50$19.80ColumbiaKaiser PermanenteKaiser Permanente Senior Advantage Basic (HMO)H9003006HMONo?Enhanced Alternative$15.40$28.60$0.00ColumbiaProvidence Health AssuranceProvidence Medicare Extra + RX (HMO)H9047001HMONo?Enhanced Alternative$123.40$49.60$15.80ColumbiaProvidence Health AssuranceProvidence Medicare Choice + RX (HMO-POS)H9047024HMOPOSNo?Enhanced Alternative$41.60$46.40$12.60CoosModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30CoosRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20CoosRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10CoosRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00CoosPacificSource MedicarePacificSource Medicare Essentials Rx 26 (HMO)H3864026HMONo?Enhanced Alternative$13.30$49.70$15.90CoosPacificSource MedicarePacificSource Medicare Explorer Rx 7 (PPO)H4754007Local PPONo?Enhanced Alternative$59.00$46.20$36.20CoosHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815006HMONo?Enhanced Alternative$55.10$28.90$0.00CrookModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30CrookPacificSource MedicarePacificSource Medicare Essentials Rx 6 (HMO)H3864006HMONo?Enhanced Alternative$138.30$56.20$44.90CrookPacificSource MedicarePacificSource Medicare Essentials Choice Rx 14 (HMO-POS)H3864014HMOPOSNo?Enhanced Alternative$67.60$48.40$14.60CrookPacificSource MedicarePacificSource Medicare Essentials Rx 27 (HMO)H3864027HMONo?Enhanced Alternative$0.10$66.90$33.10CrookHumanaHumanaChoice H5216-044 (PPO)H5216044Local PPONo?Enhanced Alternative$24.70$24.30$0.00CrookHumanaHumanaChoice H5216-047 (PPO)H5216047Local PPONo?Enhanced Alternative$54.90$39.40$13.30CrookHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60CrookHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815006HMONo?Enhanced Alternative$55.10$28.90$0.00CrookProvidence Health AssuranceProvidence Medicare Latitude + RX (HMO-POS)H9047038HMOPOSNo?Enhanced Alternative$143.50$51.50$17.70CrookProvidence Health AssuranceProvidence Medicare Compass + RX (HMO-POS)H9047039HMOPOSNo?Enhanced Alternative$64.00$35.00$1.20CurryModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30CurryRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20CurryRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10CurryRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00CurryPacificSource MedicarePacificSource Medicare Essentials Rx 26 (HMO)H3864026HMONo?Enhanced Alternative$13.30$49.70$15.90CurryPacificSource MedicarePacificSource Medicare Explorer Rx 7 (PPO)H4754007Local PPONo?Enhanced Alternative$59.00$46.20$36.20DeschutesHumanaHumana Gold Plus H1036-219 (HMO)H1036219HMONo?Enhanced Alternative$69.00$0.00$0.00DeschutesModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30DeschutesPacificSource MedicarePacificSource Medicare Essentials Rx 6 (HMO)H3864006HMONo?Enhanced Alternative$138.30$56.20$44.90DeschutesPacificSource MedicarePacificSource Medicare Essentials Choice Rx 14 (HMO-POS)H3864014HMOPOSNo?Enhanced Alternative$67.60$48.40$14.60DeschutesPacificSource MedicarePacificSource Medicare Essentials Rx 27 (HMO)H3864027HMONo?Enhanced Alternative$0.10$66.90$33.10DeschutesHumanaHumanaChoice H5216-044 (PPO)H5216044Local PPONo?Enhanced Alternative$24.70$24.30$0.00DeschutesHumanaHumanaChoice H5216-047 (PPO)H5216047Local PPONo?Enhanced Alternative$54.90$39.40$13.30DeschutesHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60DeschutesHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815006HMONo?Enhanced Alternative$55.10$28.90$0.00DeschutesProvidence Health AssuranceProvidence Medicare Latitude + RX (HMO-POS)H9047038HMOPOSNo?Enhanced Alternative$143.50$51.50$17.70DeschutesProvidence Health AssuranceProvidence Medicare Compass + RX (HMO-POS)H9047039HMOPOSNo?Enhanced Alternative$64.00$35.00$1.20DouglasATRIO Health PlansATRIO Special Needs Plan (HMO SNP)H3814007HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00DouglasAllCare AdvantageAllCare Advantage Gold Plus Rx (HMO)H3810003HMONo?Enhanced Alternative$64.60$56.80$40.60DouglasAllCare AdvantageAllCare Advantage Preferred Rx (HMO)H3810020HMONo?Defined Standard Benefit$0.00$33.80$0.00DouglasModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30DouglasRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20DouglasRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10DouglasRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00DouglasHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439013Local PPONo?Enhanced Alternative$72.80$32.20$0.00DouglasHealth Net Life Insurance CompanyHealth Net Violet 3 (PPO)H5439015Local PPONo?Enhanced Alternative$0.00$0.00$0.00DouglasHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439016Local PPONo?Enhanced Alternative$0.00$25.00$0.00DouglasATRIO Health PlansATRIO Silver Rx (PPO)H6743003Local PPONo?Enhanced Alternative$79.50$44.00$18.70DouglasATRIO Health PlansATRIO Gold Rx (PPO)H6743004Local PPONo?Enhanced Alternative$123.20$45.30$42.00DouglasATRIO Health PlansATRIO Bronze Rx (Umpqua) (PPO)H6743007Local PPONo?Enhanced Alternative$0.00$0.00$0.00DouglasHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815005HMONo?Enhanced Alternative$0.00$29.00$0.00GilliamModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30GilliamModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00GilliamModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90GrantModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30GrantPacificSource MedicarePacificSource Medicare Essentials Rx 6 (HMO)H3864006HMONo?Enhanced Alternative$138.30$56.20$44.90GrantPacificSource MedicarePacificSource Medicare Essentials Choice Rx 14 (HMO-POS)H3864014HMOPOSNo?Enhanced Alternative$67.60$48.40$14.60GrantPacificSource MedicarePacificSource Medicare Essentials Rx 27 (HMO)H3864027HMONo?Enhanced Alternative$0.10$66.90$33.10GrantModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00GrantModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90HarneyModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30HarneyModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00HarneyModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90Hood RiverModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30Hood RiverPacificSource MedicarePacificSource Medicare Essentials Rx 6 (HMO)H3864006HMONo?Enhanced Alternative$138.30$56.20$44.90Hood RiverPacificSource MedicarePacificSource Medicare Essentials Choice Rx 14 (HMO-POS)H3864014HMOPOSNo?Enhanced Alternative$67.60$48.40$14.60Hood RiverPacificSource MedicarePacificSource Medicare Essentials Rx 27 (HMO)H3864027HMONo?Enhanced Alternative$0.10$66.90$33.10Hood RiverHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60Hood RiverProvidence Health AssuranceProvidence Medicare Latitude + RX (HMO-POS)H9047038HMOPOSNo?Enhanced Alternative$143.50$51.50$17.70Hood RiverProvidence Health AssuranceProvidence Medicare Compass + RX (HMO-POS)H9047039HMOPOSNo?Enhanced Alternative$64.00$35.00$1.20JacksonCareOregon AdvantageCareOregon Advantage Plus (HMO-POS SNP)H5859001HMOPOSYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00JacksonAllCare AdvantageAllCare Advantage Gold Plus Rx (HMO)H3810003HMONo?Enhanced Alternative$64.60$56.80$40.60JacksonAllCare AdvantageAllCare Advantage Preferred Rx (HMO)H3810020HMONo?Defined Standard Benefit$0.00$33.80$0.00JacksonModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30JacksonModa Health Plan, Inc.Moda Health PPORX Enhanced (PPO)H3813007Local PPONo?Enhanced Alternative$112.40$70.80$48.80JacksonRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20JacksonRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10JacksonRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00JacksonHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439013Local PPONo?Enhanced Alternative$72.80$32.20$0.00JacksonHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439016Local PPONo?Enhanced Alternative$0.00$25.00$0.00JacksonATRIO Health PlansATRIO Silver Rx (Rogue) (PPO)H6743016Local PPONo?Enhanced Alternative$72.90$45.70$22.30JacksonATRIO Health PlansATRIO Bronze Rx (Rogue) (PPO)H6743018Local PPONo?Enhanced Alternative$0.00$15.00$0.00JacksonHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815005HMONo?Enhanced Alternative$0.00$29.00$0.00JacksonAetna MedicareAetna Medicare Choice Plan (PPO)H9431004Local PPONo?Enhanced Alternative$23.50$13.50$0.00JacksonAetna MedicareAetna Medicare Select Plan (PPO)H9431007Local PPONo?Enhanced Alternative$54.00$13.00$0.00JeffersonHumanaHumana Gold Plus H1036-219 (HMO)H1036219HMONo?Enhanced Alternative$69.00$0.00$0.00JeffersonModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30JeffersonPacificSource MedicarePacificSource Medicare Essentials Rx 6 (HMO)H3864006HMONo?Enhanced Alternative$138.30$56.20$44.90JeffersonPacificSource MedicarePacificSource Medicare Essentials Choice Rx 14 (HMO-POS)H3864014HMOPOSNo?Enhanced Alternative$67.60$48.40$14.60JeffersonPacificSource MedicarePacificSource Medicare Essentials Rx 27 (HMO)H3864027HMONo?Enhanced Alternative$0.10$66.90$33.10JeffersonHumanaHumanaChoice H5216-044 (PPO)H5216044Local PPONo?Enhanced Alternative$24.70$24.30$0.00JeffersonHumanaHumanaChoice H5216-047 (PPO)H5216047Local PPONo?Enhanced Alternative$54.90$39.40$13.30JeffersonHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60JeffersonHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815006HMONo?Enhanced Alternative$55.10$28.90$0.00JeffersonProvidence Health AssuranceProvidence Medicare Latitude + RX (HMO-POS)H9047038HMOPOSNo?Enhanced Alternative$143.50$51.50$17.70JeffersonProvidence Health AssuranceProvidence Medicare Compass + RX (HMO-POS)H9047039HMOPOSNo?Enhanced Alternative$64.00$35.00$1.20JosephineAllCare AdvantageAllCare Advantage Gold Plus Rx (HMO)H3810003HMONo?Enhanced Alternative$64.60$56.80$40.60JosephineAllCare AdvantageAllCare Advantage Preferred Rx (HMO)H3810020HMONo?Defined Standard Benefit$0.00$33.80$0.00JosephineModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30JosephineModa Health Plan, Inc.Moda Health PPORX Enhanced (PPO)H3813007Local PPONo?Enhanced Alternative$112.40$70.80$48.80JosephineRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20JosephineRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10JosephineRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00JosephineHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439013Local PPONo?Enhanced Alternative$72.80$32.20$0.00JosephineHealth Net Life Insurance CompanyHealth Net Violet 3 (PPO)H5439015Local PPONo?Enhanced Alternative$0.00$0.00$0.00JosephineHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439016Local PPONo?Enhanced Alternative$0.00$25.00$0.00JosephineATRIO Health PlansATRIO Silver Rx (Rogue) (PPO)H6743016Local PPONo?Enhanced Alternative$72.90$45.70$22.30JosephineATRIO Health PlansATRIO Bronze Rx (Rogue) (PPO)H6743018Local PPONo?Enhanced Alternative$0.00$13.00$0.00JosephineHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815005HMONo?Enhanced Alternative$0.00$29.00$0.00JosephineAetna MedicareAetna Medicare Choice Plan (PPO)H9431004Local PPONo?Enhanced Alternative$23.50$13.50$0.00JosephineAetna MedicareAetna Medicare Select Plan (PPO)H9431007Local PPONo?Enhanced Alternative$54.00$13.00$0.00KlamathAgeRight Advantage Health Plan (HMO SNP)AgeRight Advantage Health Plan (HMO SNP)H1372001HMOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00KlamathATRIO Health PlansATRIO Special Needs Plan (HMO SNP)H3814007HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00KlamathModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30KlamathATRIO Health PlansATRIO Bronze Rx (Basin) (PPO)H6743001Local PPONo?Enhanced Alternative$0.00$31.00$0.00KlamathATRIO Health PlansATRIO Silver Rx (PPO)H6743003Local PPONo?Enhanced Alternative$79.50$44.00$18.70KlamathATRIO Health PlansATRIO Gold Rx (PPO)H6743004Local PPONo?Enhanced Alternative$123.20$45.30$42.00LakeModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30LakeModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00LakeModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90LaneUnitedHealthcareUnitedHealthcare Nursing Home Plan 2 (PPO SNP)H0710036Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00LaneAgeRight Advantage Health Plan (HMO SNP)AgeRight Advantage Health Plan (HMO SNP)H1372001HMOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00LaneTrillium Medicare AdvantageTrillium Advantage Dual (HMO SNP)H2174001HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00LaneUnitedHealthcareUnitedHealthcare Nursing Home Plan 1 (PPO SNP)H2228016Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00LaneUnitedHealthcareUnitedHealthcare Assisted Living Plan (HMO SNP)H3113008HMOYesInstitutionalEnhanced Alternative$0.00$12.80$0.00LaneUnitedHealthcareAARP MedicareComplete Choice (PPO)H2228029Local PPONo?Enhanced Alternative$11.70$23.30$0.00LaneUnitedHealthcareAARP MedicareComplete Plan 1 (HMO)H3805007HMONo?Enhanced Alternative$36.10$18.90$0.00LaneUnitedHealthcareAARP MedicareComplete Plan 2 (HMO)H3805013HMONo?Enhanced Alternative$0.00$0.00$0.00LaneModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30LaneRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$5.00$43.00$9.20LaneRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$106.60$52.70$34.60LaneRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.10$18.90$0.00LanePacificSource MedicarePacificSource Medicare Essentials Rx 26 (HMO)H3864026HMONo?Enhanced Alternative$19.30$49.70$15.90LanePacificSource MedicarePacificSource Medicare Essentials Rx 36 (HMO)H3864036HMONo?Enhanced Alternative$0.00$39.00$5.20LanePacificSource MedicarePacificSource Medicare Explorer Rx 4 (PPO)H4754004Local PPONo?Enhanced Alternative$48.00$61.00$27.20LaneHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439011Local PPONo?Enhanced Alternative$74.60$45.40$11.60LaneHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439014Local PPONo?Enhanced Alternative$0.00$19.00$0.00LaneHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815003HMONo?Enhanced Alternative$0.00$0.00$0.00LaneProvidence Health AssuranceProvidence Medicare Extra + RX (HMO)H9047001HMONo?Enhanced Alternative$123.40$49.60$15.80LaneProvidence Health AssuranceProvidence Medicare Choice + RX (HMO-POS)H9047024HMOPOSNo?Enhanced Alternative$41.60$46.40$12.60LaneProvidence Health AssuranceProvidence Medicare Timber + RX (HMO)H9047054HMONo?Enhanced Alternative$0.00$0.00$0.00LincolnSamaritan Advantage Health PlanSamaritan Advantage Special Needs Plan (HMO SNP)H3811003HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00LincolnSamaritan Advantage Health PlanSamaritan Advantage Premier Plan (HMO)H3811002HMONo?Enhanced Alternative$49.80$50.20$16.40LincolnSamaritan Advantage Health PlanSamaritan Advantage Premier Plan Plus (HMO)H3811009HMONo?Enhanced Alternative$74.50$54.50$20.70LincolnModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30LincolnModa Health Plan, Inc.Moda Health PPORX Enhanced (PPO)H3813008Local PPONo?Enhanced Alternative$131.80$52.20$29.40LincolnHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60LinnUnitedHealthcareUnitedHealthcare Nursing Home Plan 2 (PPO SNP)H0710036Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00LinnUnitedHealthcareUnitedHealthcare Assisted Living Plan 2 (PPO SNP)H0710037Local PPOYesInstitutionalEnhanced Alternative$0.00$25.70$0.00LinnUnitedHealthcareUnitedHealthcare Nursing Home Plan 1 (PPO SNP)H2228016Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00LinnUnitedHealthcareUnitedHealthcare Assisted Living Plan 1 (PPO SNP)H2228017Local PPOYesInstitutionalEnhanced Alternative$0.00$27.80$0.00LinnSamaritan Advantage Health PlanSamaritan Advantage Special Needs Plan (HMO SNP)H3811003HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00LinnUnitedHealthcareAARP MedicareComplete Plan 1 (HMO)H3805007HMONo?Enhanced Alternative$36.10$18.90$0.00LinnUnitedHealthcareAARP MedicareComplete Plan 2 (HMO)H3805013HMONo?Enhanced Alternative$0.00$0.00$0.00LinnSamaritan Advantage Health PlanSamaritan Advantage Premier Plan (HMO)H3811002HMONo?Enhanced Alternative$49.80$50.20$16.40LinnSamaritan Advantage Health PlanSamaritan Advantage Premier Plan Plus (HMO)H3811009HMONo?Enhanced Alternative$74.50$54.50$20.70LinnModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30LinnRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20LinnRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10LinnRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00LinnHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60LinnHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439011Local PPONo?Enhanced Alternative$74.60$45.40$11.60LinnHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439014Local PPONo?Enhanced Alternative$0.00$24.00$0.00LinnHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815003HMONo?Enhanced Alternative$0.00$0.00$0.00LinnKaiser PermanenteKaiser Permanente Senior Advantage (HMO)H9003001HMONo?Enhanced Alternative$73.40$39.50$19.80LinnKaiser PermanenteKaiser Permanente Senior Advantage Basic (HMO)H9003006HMONo?Enhanced Alternative$15.40$28.60$0.00LinnProvidence Health AssuranceProvidence Medicare Enrich + RX (HMO)H9047045HMONo?Basic Alternative$94.40$52.60$18.80MalheurModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30MalheurHumanaHumanaChoice H5216-044 (PPO)H5216044Local PPONo?Enhanced Alternative$24.70$24.30$0.00MalheurHumanaHumanaChoice H5216-132 (PPO)H5216132Local PPONo?Enhanced Alternative$19.00$0.00$0.00MalheurModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00MalheurModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90MarionUnitedHealthcareUnitedHealthcare Nursing Home Plan 2 (PPO SNP)H0710036Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00MarionUnitedHealthcareUnitedHealthcare Assisted Living Plan 2 (PPO SNP)H0710037Local PPOYesInstitutionalEnhanced Alternative$0.00$25.70$0.00MarionUnitedHealthcareUnitedHealthcare Assisted Living Plan 1 (PPO SNP)H2228017Local PPOYesInstitutionalEnhanced Alternative$0.00$27.80$0.00MarionATRIO Health PlansATRIO Special Needs Plan (Willamette) (HMO SNP)H5995001HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00MarionUnitedHealthcareAARP MedicareComplete Choice (PPO)H2228029Local PPONo?Enhanced Alternative$11.70$23.30$0.00MarionUnitedHealthcareAARP MedicareComplete Plan 1 (HMO)H3805001HMONo?Enhanced Alternative$52.10$21.90$0.00MarionUnitedHealthcareAARP MedicareComplete Plan 2 (HMO)H3805012HMONo?Enhanced Alternative$0.00$0.00$0.00MarionModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30MarionRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20MarionRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10MarionRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00MarionHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439011Local PPONo?Enhanced Alternative$74.60$45.40$11.60MarionHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439014Local PPONo?Enhanced Alternative$0.00$32.00$0.00MarionHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815003HMONo?Enhanced Alternative$0.00$0.00$0.00MarionATRIO Health PlansATRIO Gold Rx (Willamette) (PPO)H7006001Local PPONo?Enhanced Alternative$132.60$51.50$52.60MarionATRIO Health PlansATRIO Silver Rx (Willamette) (PPO)H7006003Local PPONo?Enhanced Alternative$52.90$45.10$11.30MarionKaiser PermanenteKaiser Permanente Senior Advantage (HMO)H9003001HMONo?Enhanced Alternative$73.40$39.50$19.80MarionKaiser PermanenteKaiser Permanente Senior Advantage Basic (HMO)H9003006HMONo?Enhanced Alternative$15.40$28.60$0.00MarionProvidence Health AssuranceProvidence Medicare Extra + RX (HMO)H9047001HMONo?Enhanced Alternative$123.40$49.60$15.80MarionProvidence Health AssuranceProvidence Medicare Choice + RX (HMO-POS)H9047024HMOPOSNo?Enhanced Alternative$41.60$46.40$12.60MorrowModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30MorrowModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00MorrowModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90MultnomahUnitedHealthcareUnitedHealthcare Nursing Home Plan 2 (PPO SNP)H0710036Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00MultnomahUnitedHealthcareUnitedHealthcare Assisted Living Plan 2 (PPO SNP)H0710037Local PPOYesInstitutionalEnhanced Alternative$0.00$25.70$0.00MultnomahAgeRight Advantage Health Plan (HMO SNP)AgeRight Advantage Health Plan (HMO SNP)H1372001HMOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00MultnomahUnitedHealthcareUnitedHealthcare Nursing Home Plan 1 (PPO SNP)H2228016Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00MultnomahUnitedHealthcareUnitedHealthcare Assisted Living Plan 1 (PPO SNP)H2228017Local PPOYesInstitutionalEnhanced Alternative$0.00$27.80$0.00MultnomahCareOregon AdvantageCareOregon Advantage Plus (HMO-POS SNP)H5859001HMOPOSYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00MultnomahProvidence Health AssuranceProvidence Medicare Dual Plus (HMO SNP)H9047043HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00MultnomahHumanaHumana Gold Plus H1036-153 (HMO)H1036153HMONo?Enhanced Alternative$0.00$0.00$0.00MultnomahUnitedHealthcareAARP MedicareComplete Choice (PPO)H2228029Local PPONo?Enhanced Alternative$11.70$23.30$0.00MultnomahUnitedHealthcareAARP MedicareComplete Plan 1 (HMO)H3805001HMONo?Enhanced Alternative$52.10$21.90$0.00MultnomahUnitedHealthcareAARP MedicareComplete Plan 2 (HMO)H3805012HMONo?Enhanced Alternative$0.00$0.00$0.00MultnomahProvidence ElderPlace PortlandProvidence ElderPlace Portland (dual eligible) (PACE)H3809001National PACENo???$220.00$0.00MultnomahProvidence ElderPlace PortlandProvidence ElderPlace Portland (private pay) (PACE)H3809002National PACENo???$159.20$661.40MultnomahModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30MultnomahModa Health Plan, Inc.Moda Health PPORX Enhanced (PPO)H3813009Local PPONo?Enhanced Alternative$122.80$60.30$38.40MultnomahRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$5.00$43.00$9.20MultnomahRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$106.60$52.70$34.60MultnomahRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.10$18.90$0.00MultnomahPacificSource MedicarePacificSource Medicare MyCare Rx 39 (HMO)H3864039HMONo?Enhanced Alternative$19.40$48.60$14.80MultnomahPacificSource MedicarePacificSource Medicare MyCare Rx 40 (HMO)H3864040HMONo?Enhanced Alternative$0.00$0.00$0.00MultnomahHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60MultnomahHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439011Local PPONo?Enhanced Alternative$74.60$45.40$11.60MultnomahHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439014Local PPONo?Enhanced Alternative$0.00$19.00$0.00MultnomahRegence BlueCross BlueShield of OregonRegence BlueAdvantage HMO (HMO)H6237004HMONo?Enhanced Alternative$0.00$0.00$0.00MultnomahRegence BlueCross BlueShield of OregonRegence BlueAdvantage HMO Plus (HMO)H6237005HMONo?Enhanced Alternative$6.90$28.10$0.00MultnomahHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815003HMONo?Enhanced Alternative$0.00$0.00$0.00MultnomahKaiser PermanenteKaiser Permanente Senior Advantage (HMO)H9003001HMONo?Enhanced Alternative$73.40$39.50$19.80MultnomahKaiser PermanenteKaiser Permanente Senior Advantage Basic (HMO)H9003006HMONo?Enhanced Alternative$15.40$28.60$0.00MultnomahProvidence Health AssuranceProvidence Medicare Extra + RX (HMO)H9047001HMONo?Enhanced Alternative$123.40$49.60$15.80MultnomahProvidence Health AssuranceProvidence Medicare Choice + RX (HMO-POS)H9047024HMOPOSNo?Enhanced Alternative$41.60$46.40$12.60MultnomahProvidence Health AssuranceProvidence Medicare Prime + RX (HMO)H9047037HMONo?Enhanced Alternative$0.00$0.00$0.00MultnomahAetna MedicareAetna Medicare Choice Plan (PPO)H9431005Local PPONo?Enhanced Alternative$3.80$13.20$0.00MultnomahAetna MedicareAetna Medicare Select Plan (PPO)H9431008Local PPONo?Enhanced Alternative$33.10$13.90$0.00PolkATRIO Health PlansATRIO Special Needs Plan (Willamette) (HMO SNP)H5995001HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00PolkUnitedHealthcareAARP MedicareComplete Plan 1 (HMO)H3805001HMONo?Enhanced Alternative$52.10$21.90$0.00PolkUnitedHealthcareAARP MedicareComplete Plan 2 (HMO)H3805012HMONo?Enhanced Alternative$0.00$0.00$0.00PolkModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30PolkRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20PolkRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10PolkRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00PolkHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439011Local PPONo?Enhanced Alternative$74.60$45.40$11.60PolkHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439014Local PPONo?Enhanced Alternative$0.00$32.00$0.00PolkHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815003HMONo?Enhanced Alternative$0.00$0.00$0.00PolkATRIO Health PlansATRIO Gold Rx (Willamette) (PPO)H7006001Local PPONo?Enhanced Alternative$132.60$51.50$52.60PolkATRIO Health PlansATRIO Silver Rx (Willamette) (PPO)H7006003Local PPONo?Enhanced Alternative$52.90$45.10$11.30PolkKaiser PermanenteKaiser Permanente Senior Advantage (HMO)H9003001HMONo?Enhanced Alternative$73.40$39.50$19.80PolkKaiser PermanenteKaiser Permanente Senior Advantage Basic (HMO)H9003006HMONo?Enhanced Alternative$15.40$28.60$0.00PolkProvidence Health AssuranceProvidence Medicare Extra + RX (HMO)H9047001HMONo?Enhanced Alternative$123.40$49.60$15.80PolkProvidence Health AssuranceProvidence Medicare Choice + RX (HMO-POS)H9047024HMOPOSNo?Enhanced Alternative$41.60$46.40$12.60ShermanModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30ShermanPacificSource MedicarePacificSource Medicare Essentials Rx 6 (HMO)H3864006HMONo?Enhanced Alternative$138.30$56.20$44.90ShermanPacificSource MedicarePacificSource Medicare Essentials Choice Rx 14 (HMO-POS)H3864014HMOPOSNo?Enhanced Alternative$67.60$48.40$14.60ShermanPacificSource MedicarePacificSource Medicare Essentials Rx 27 (HMO)H3864027HMONo?Enhanced Alternative$0.10$66.90$33.10ShermanModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00ShermanModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90TillamookCareOregon AdvantageCareOregon Advantage Plus (HMO-POS SNP)H5859001HMOPOSYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00TillamookProvidence ElderPlace PortlandProvidence ElderPlace Portland (dual eligible) (PACE)H3809001National PACENo???$220.00$0.00TillamookProvidence ElderPlace PortlandProvidence ElderPlace Portland (private pay) (PACE)H3809002National PACENo???$159.20$661.40TillamookModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30TillamookModa Health Plan, Inc.Moda Health PPORX Enhanced (PPO)H3813008Local PPONo?Enhanced Alternative$131.80$52.20$29.40UmatillaModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30UmatillaModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00UmatillaModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90UnionModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30UnionModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00UnionModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90WallowaModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30WallowaModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00WallowaModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90WascoModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30WascoPacificSource MedicarePacificSource Medicare Essentials Rx 6 (HMO)H3864006HMONo?Enhanced Alternative$138.30$56.20$44.90WascoPacificSource MedicarePacificSource Medicare Essentials Choice Rx 14 (HMO-POS)H3864014HMOPOSNo?Enhanced Alternative$67.60$48.40$14.60WascoPacificSource MedicarePacificSource Medicare Essentials Rx 27 (HMO)H3864027HMONo?Enhanced Alternative$0.10$66.90$33.10WashingtonUnitedHealthcareUnitedHealthcare Nursing Home Plan 2 (PPO SNP)H0710036Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00WashingtonUnitedHealthcareUnitedHealthcare Assisted Living Plan 2 (PPO SNP)H0710037Local PPOYesInstitutionalEnhanced Alternative$0.00$25.70$0.00WashingtonAgeRight Advantage Health Plan (HMO SNP)AgeRight Advantage Health Plan (HMO SNP)H1372001HMOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00WashingtonUnitedHealthcareUnitedHealthcare Nursing Home Plan 1 (PPO SNP)H2228016Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00WashingtonUnitedHealthcareUnitedHealthcare Assisted Living Plan 1 (PPO SNP)H2228017Local PPOYesInstitutionalEnhanced Alternative$0.00$27.80$0.00WashingtonCareOregon AdvantageCareOregon Advantage Plus (HMO-POS SNP)H5859001HMOPOSYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00WashingtonProvidence Health AssuranceProvidence Medicare Dual Plus (HMO SNP)H9047043HMOYesDual-EligibleDefined Standard Benefit$0.00$33.80$0.00WashingtonHumanaHumana Gold Plus H1036-153 (HMO)H1036153HMONo?Enhanced Alternative$0.00$0.00$0.00WashingtonUnitedHealthcareAARP MedicareComplete Choice (PPO)H2228029Local PPONo?Enhanced Alternative$11.70$23.30$0.00WashingtonUnitedHealthcareAARP MedicareComplete Plan 1 (HMO)H3805001HMONo?Enhanced Alternative$52.10$21.90$0.00WashingtonUnitedHealthcareAARP MedicareComplete Plan 2 (HMO)H3805012HMONo?Enhanced Alternative$0.00$0.00$0.00WashingtonProvidence ElderPlace PortlandProvidence ElderPlace Portland (dual eligible) (PACE)H3809001National PACENo???$220.00$0.00WashingtonProvidence ElderPlace PortlandProvidence ElderPlace Portland (private pay) (PACE)H3809002National PACENo???$159.20$661.40WashingtonModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30WashingtonModa Health Plan, Inc.Moda Health PPORX Enhanced (PPO)H3813009Local PPONo?Enhanced Alternative$122.80$60.30$38.40WashingtonRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$5.00$43.00$9.20WashingtonRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$106.60$52.70$34.60WashingtonRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.10$18.90$0.00WashingtonPacificSource MedicarePacificSource Medicare MyCare Rx 39 (HMO)H3864039HMONo?Enhanced Alternative$19.40$48.60$14.80WashingtonPacificSource MedicarePacificSource Medicare MyCare Rx 40 (HMO)H3864040HMONo?Enhanced Alternative$0.00$0.00$0.00WashingtonHumanaHumanaChoice H5216-048 (PPO)H5216048Local PPONo?Basic Alternative$166.40$34.60$0.60WashingtonHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439011Local PPONo?Enhanced Alternative$74.60$45.40$11.60WashingtonHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439014Local PPONo?Enhanced Alternative$0.00$19.00$0.00WashingtonRegence BlueCross BlueShield of OregonRegence BlueAdvantage HMO (HMO)H6237004HMONo?Enhanced Alternative$0.00$0.00$0.00WashingtonRegence BlueCross BlueShield of OregonRegence BlueAdvantage HMO Plus (HMO)H6237005HMONo?Enhanced Alternative$6.90$28.10$0.00WashingtonHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815003HMONo?Enhanced Alternative$0.00$0.00$0.00WashingtonKaiser PermanenteKaiser Permanente Senior Advantage (HMO)H9003001HMONo?Enhanced Alternative$73.40$39.50$19.80WashingtonKaiser PermanenteKaiser Permanente Senior Advantage Basic (HMO)H9003006HMONo?Enhanced Alternative$15.40$28.60$0.00WashingtonProvidence Health AssuranceProvidence Medicare Extra + RX (HMO)H9047001HMONo?Enhanced Alternative$123.40$49.60$15.80WashingtonProvidence Health AssuranceProvidence Medicare Choice + RX (HMO-POS)H9047024HMOPOSNo?Enhanced Alternative$41.60$46.40$12.60WashingtonProvidence Health AssuranceProvidence Medicare Prime + RX (HMO)H9047037HMONo?Enhanced Alternative$0.00$0.00$0.00WashingtonAetna MedicareAetna Medicare Choice Plan (PPO)H9431005Local PPONo?Enhanced Alternative$3.80$13.20$0.00WashingtonAetna MedicareAetna Medicare Select Plan (PPO)H9431008Local PPONo?Enhanced Alternative$33.10$13.90$0.00WheelerModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30WheelerPacificSource MedicarePacificSource Medicare Essentials Rx 6 (HMO)H3864006HMONo?Enhanced Alternative$138.30$56.20$44.90WheelerPacificSource MedicarePacificSource Medicare Essentials Choice Rx 14 (HMO-POS)H3864014HMOPOSNo?Enhanced Alternative$67.60$48.40$14.60WheelerPacificSource MedicarePacificSource Medicare Essentials Rx 27 (HMO)H3864027HMONo?Enhanced Alternative$0.10$66.90$33.10WheelerModa Health Plan, Inc.Moda Health HMO (HMO)H8506001HMONo?Enhanced Alternative$91.30$17.70$0.00WheelerModa Health Plan, Inc.Moda Health HMO Enhanced + RX (HMO)H8506003HMONo?Enhanced Alternative$120.30$68.20$48.90WheelerProvidence Health AssuranceProvidence Medicare Latitude + RX (HMO-POS)H9047038HMOPOSNo?Enhanced Alternative$143.50$51.50$17.70WheelerProvidence Health AssuranceProvidence Medicare Compass + RX (HMO-POS)H9047039HMOPOSNo?Enhanced Alternative$64.00$35.00$1.20YamhillUnitedHealthcareUnitedHealthcare Nursing Home Plan 2 (PPO SNP)H0710036Local PPOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00YamhillUnitedHealthcareUnitedHealthcare Assisted Living Plan 2 (PPO SNP)H0710037Local PPOYesInstitutionalEnhanced Alternative$0.00$25.70$0.00YamhillAgeRight Advantage Health Plan (HMO SNP)AgeRight Advantage Health Plan (HMO SNP)H1372001HMOYesInstitutionalDefined Standard Benefit$0.00$33.80$0.00YamhillUnitedHealthcareUnitedHealthcare Assisted Living Plan 1 (PPO SNP)H2228017Local PPOYesInstitutionalEnhanced Alternative$0.00$27.80$0.00YamhillUnitedHealthcareAARP MedicareComplete Choice (PPO)H2228029Local PPONo?Enhanced Alternative$11.70$23.30$0.00YamhillUnitedHealthcareAARP MedicareComplete Plan 1 (HMO)H3805001HMONo?Enhanced Alternative$52.10$21.90$0.00YamhillUnitedHealthcareAARP MedicareComplete Plan 2 (HMO)H3805012HMONo?Enhanced Alternative$0.00$0.00$0.00YamhillModa Health Plan, Inc.Moda Health PPORX (PPO)H3813006Local PPONo?Enhanced Alternative$79.90$52.10$18.30YamhillRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Classic (PPO)H3817008Local PPONo?Enhanced Alternative$33.00$43.00$9.20YamhillRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Enhanced (PPO)H3817009Local PPONo?Enhanced Alternative$117.10$58.10$44.10YamhillRegence BlueCross BlueShield of OregonRegence MedAdvantage + Rx Primary (PPO)H3817011Local PPONo?Enhanced Alternative$0.00$19.00$0.00YamhillHealth Net Life Insurance CompanyHealth Net Violet 1 (PPO)H5439011Local PPONo?Enhanced Alternative$74.60$45.40$11.60YamhillHealth Net Life Insurance CompanyHealth Net Violet 2 (PPO)H5439014Local PPONo?Enhanced Alternative$0.00$24.00$0.00YamhillHealth Net Health Plan of Oregon, Inc.Health Net Ruby (HMO)H6815003HMONo?Enhanced Alternative$0.00$0.00$0.00YamhillKaiser PermanenteKaiser Permanente Senior Advantage (HMO)H9003001HMONo?Enhanced Alternative$73.40$39.50$19.80YamhillKaiser PermanenteKaiser Permanente Senior Advantage Basic (HMO)H9003006HMONo?Enhanced Alternative$15.40$28.60$0.00YamhillProvidence Health AssuranceProvidence Medicare Extra + RX (HMO)H9047001HMONo?Enhanced Alternative$123.40$49.60$15.80YamhillProvidence Health AssuranceProvidence Medicare Choice + RX (HMO-POS)H9047024HMOPOSNo?Enhanced Alternative$41.60$46.40$12.60YamhillAetna MedicareAetna Medicare Choice Plan (PPO)H9431005Local PPONo?Enhanced Alternative$3.80$13.20$0.00YamhillAetna MedicareAetna Medicare Select Plan (PPO)H9431008Local PPONo?Enhanced Alternative$33.10$13.90$0.00 ................
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