Providence ElderPlace Providence Portland (private National Washington ElderPlace Portland pay) (PACE) H3809 002 PACE No $125.50 $498.80 Moda Health Plan, Moda Health Local Enhanced Washington Inc. PPORX (PPO) H3813 006 PPO No Alternative $40.60 $57.40 $22.60 Regence BlueCross Regence BlueShield of MedAdvantage + Basic Washington Oregon Rx Classic (PPO) H3817 008 PPO No Alternative $2.00 $41.00 $6.20 Regence Regence BlueCross MedAdvantage + BlueShield of Rx Enhanced Local Enhanced Washington Oregon (PPO) H3817 009 PPO No Alternative $106.40 $66.90 $55.80 FamilyCare Advantage Rx Enhanced Washington FamilyCare Health (HMO) H3818 003 HMO No Alternative $0.00 $0.00 $0.00 PacificSource PacificSource Medicare MyCare Enhanced Washington Medicare Rx 22 (HMO) H3864 022 HMO No Alternative $48.80 $29.20 $0.00 Health Net Life Health Net Violet Local Enhanced Washington Insurance Company Option 1 (PPO) H5520 002 PPO No Alternative $76.30 $39.70 $4.90 Health Net Life Health Net Violet Local Basic Washington Insurance Company Option 2 (PPO) H5520 012 PPO No Alternative $0.00 $19.00 $0.00 CareOregon CareOregon Advantage Star Enhanced Washington Advantage (HMO-POS) H5859 003 HMOPOS No Alternative $0.00 $34.80 $0.00 Regence BlueCross Regence BlueShield of BlueAdvantage Enhanced Washington Oregon HMO (HMO) H6237 003 HMO No Alternative $0.00 $0.00 $0.00 Health Net Health Health Net Ruby Enhanced Washington Plan of Oregon, Inc. (HMO) H6815 003 HMO No Alternative $0.00 $0.00 $0.00 Humana Gold Humana Insurance Choice Enhanced Washington Company (PFFS) H8145 093 PFFS No Alternative $47.60 $34.90 $4.60
Washington Providence ElderPlace Portland Providence ElderPlace Portland (private pay) (PACE) H3809 002 National PACE No $125.50 $498.80 Washington Moda Health Plan, Inc. Moda Health PPORX (PPO) H3813 006 Local PPO No Enhanced Alternative $40.60 $57.40 $22.60 Washington Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Classic (PPO) H3817 008 PPO No Basic Alternative $2.00 $41.00 $6.20 Washington Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO) H3817 009 Local PPO No Enhanced Alternative $106.40 $66.90 $55.80 Washington FamilyCare Health FamilyCare Advantage Rx (HMO) H3818 003 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Washington PacificSource Medicare PacificSource Medicare MyCare Rx 22 (HMO) H3864 022 HMO No Enhanced Alternative $48.80 $29.20 $0.00 Washington Health Net Life Insurance Company Health Net Violet Option 1 (PPO) H5520 002 Local PPO No Enhanced Alternative $76.30 $39.70 $4.90 Washington Health Net Life Insurance Company Health Net Violet Option 2 (PPO) H5520 012 Local PPO No Basic Alternative $0.00 $19.00 $0.00 Washington CareOregon Advantage CareOregon Advantage Star (HMO-POS) H5859 003 HMOPOS No Enhanced Alternative $0.00 $34.80 $0.00 Washington Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO (HMO) H6237 003 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Washington Health Net Health Plan of Oregon, Inc. Health Net Ruby (HMO) H6815 003 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Washington Humana Insurance Company Humana Gold Choice (PFFS) H8145 093 PFFS No Enhanced Alternative $47.60 $34.90 $4.60