Humana Insurance HumanaChoice Local Benton Company H6609-073 (PPO) H6609 073 PPO No Alternative $168.90 $32.10 $0.00 Health Net Health Health Net Ruby Enhanced Benton Plan of Oregon, Inc. (HMO) H6815 003 HMO No Alternative $0.00 $0.00 $0.00 Kaiser Permanente Senior Advantage Enhanced Benton Kaiser Permanente (HMO) H9003 001 HMO No Alternative $61.00 $41.50 $31.20 Kaiser Permanente Senior Advantage Enhanced Benton Kaiser Permanente Basic (HMO) H9003 006 HMO No Alternative $14.70 $29.30 $0.00 UnitedHealthcare Defined Nursing Home Plan Standard Benton UnitedHealthcare (PPO SNP) 016 PPO Yes Institutional Benefit $0.00 $28.70 $0.00 UnitedHealthcare Assisted Living Local Basic Benton UnitedHealthcare Plan (PPO SNP) 017 PPO Yes Institutional Alternative $0.00 $24.90 $0.00 Samaritan Samaritan Advantage Special Defined Advantage Health Needs Plan (HMO Standard Benton Plan SNP) H3811 003 HMO Yes Benefit $0.00 $34.80 $0.00 Chronic or Health Net Health Health Net Jade Disabling Enhanced Benton Plan of Oregon, Inc. (HMO SNP) H6815 004 HMO Yes Condition Alternative $0.00 $0.00 $0.00 Humana Medical Humana Gold Plus Enhanced Clackamas Plan, Inc. (HMO) 153 HMO No Alternative $0.00 $0.00 $0.00 AARP MedicareComplete Local Enhanced Clackamas UnitedHealthcare Choice (PPO) H2228 029 PPO No Alternative $2.50 $29.50 $0.00 AARP MedicareComplete Enhanced Clackamas UnitedHealthcare Plan 1 (HMO) H3805 001 HMO No Alternative $40.50 $26.50 $0.00 AARP MedicareComplete Enhanced Clackamas UnitedHealthcare Plan 2 (HMO) H3805 012 HMO No Alternative $0.00 $0.00 $0.00
Benton Humana Insurance Company HumanaChoice H6609-073 (PPO) H6609 073 Local PPO No Alternative $168.90 $32.10 $0.00 Benton Health Net Health Plan of Oregon, Inc. Health Net Ruby (HMO) H6815 003 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Benton Kaiser Permanente Kaiser Permanente Senior Advantage (HMO) H9003 001 HMO No Enhanced Alternative $61.00 $41.50 $31.20 Benton Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO) H9003 006 HMO No Enhanced Alternative $14.70 $29.30 $0.00 Benton UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO SNP) 016 PPO Yes Institutional Defined Standard Benefit $0.00 $28.70 $0.00 Benton UnitedHealthcare UnitedHealthcare Assisted Living Plan (PPO SNP) 017 Local PPO Yes Institutional Basic Alternative $0.00 $24.90 $0.00 Benton Samaritan Advantage Health Plan Samaritan Advantage Special Needs Plan (HMO SNP) H3811 003 HMO Yes Defined Standard Benefit $0.00 $34.80 $0.00 Benton Health Net Health Plan of Oregon, Inc. Health Net Jade (HMO SNP) H6815 004 HMO Yes Chronic or Disabling Condition Enhanced Alternative $0.00 $0.00 $0.00 Clackamas Humana Medical Plan, Inc. Humana Gold Plus (HMO) 153 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Clackamas UnitedHealthcare AARP MedicareComplete Choice (PPO) H2228 029 Local PPO No Enhanced Alternative $2.50 $29.50 $0.00 Clackamas UnitedHealthcare AARP MedicareComplete Plan 1 (HMO) H3805 001 HMO No Enhanced Alternative $40.50 $26.50 $0.00 Clackamas UnitedHealthcare AARP MedicareComplete Plan 2 (HMO) H3805 012 HMO No Enhanced Alternative $0.00 $0.00 $0.00
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx