PacificSource Medicare PacificSource Essentials Choice Enhanced Lake Medicare Rx 14 (HMO-POS) 014 HMOPOS No Alternative $73.80 $34.00 $19.20 PacificSource Medicare PacificSource Essentials Rx 27 Basic Lake Medicare (HMO) H3864 027 HMO No Alternative $67.70 $54.30 $19.50 Moda Health Plan, Moda Health HMO Enhanced Lake Inc. (HMO-POS) H8506 001 HMOPOS No Alternative $0.00 $63.00 $28.20 AARP MedicareComplete Local Enhanced Lane UnitedHealthcare Choice (PPO) H2228 029 PPO No Alternative $2.50 $29.50 $0.00 AARP MedicareComplete Enhanced Lane UnitedHealthcare Plan 1 (HMO) 007 HMO No Alternative $24.80 $21.20 $0.00 AARP MedicareComplete Enhanced Lane UnitedHealthcare Plan 2 (HMO) H3805 013 HMO No Alternative $0.00 $0.00 $0.00 Moda Health Plan, Moda Health Enhanced Lane Inc. (PPO) H3813 006 PPO No Alternative $40.60 $57.40 $22.60 Regence BlueCross Regence BlueShield of MedAdvantage + Local Basic Lane 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 Lane Oregon (PPO) H3817 009 PPO No Alternative $106.40 $66.90 $55.80 PacificSource Medicare PacificSource Essentials Rx 26 Enhanced Lane Medicare (HMO) 026 HMO No Alternative $38.00 $31.00 $0.00 PacificSource PacificSource Medicare Explorer Local Enhanced Lane Medicare Rx 4 (PPO) H4754 004 PPO No Alternative $95.50 $46.50 $31.70
Lake PacificSource Medicare PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) 014 HMOPOS No Enhanced Alternative $73.80 $34.00 $19.20 Lake PacificSource Medicare PacificSource Medicare Essentials Rx 27 (HMO) H3864 027 HMO No Basic Alternative $67.70 $54.30 $19.50 Lake Moda Health Plan, Inc. Moda Health HMO (HMO-POS) H8506 001 HMOPOS No Enhanced Alternative $0.00 $63.00 $28.20 Lane UnitedHealthcare AARP MedicareComplete Choice (PPO) H2228 029 Local PPO No Enhanced Alternative $2.50 $29.50 $0.00 Lane UnitedHealthcare AARP MedicareComplete Plan 1 (HMO) 007 HMO No Enhanced Alternative $24.80 $21.20 $0.00 Lane UnitedHealthcare AARP MedicareComplete Plan 2 (HMO) H3805 013 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Lane Moda Health Plan, Inc. Moda Health (PPO) H3813 006 PPO No Enhanced Alternative $40.60 $57.40 $22.60 Lane Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Classic (PPO) H3817 008 Local PPO No Basic Alternative $2.00 $41.00 $6.20 Lane Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO) H3817 009 Local PPO No Enhanced Alternative $106.40 $66.90 $55.80 Lane PacificSource Medicare PacificSource Medicare Essentials Rx 26 (HMO) 026 HMO No Enhanced Alternative $38.00 $31.00 $0.00 Lane PacificSource Medicare PacificSource Medicare Explorer Rx 4 (PPO) H4754 004 Local PPO No Enhanced Alternative $95.50 $46.50 $31.70
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx