FamilyCare Community (HMO Enhanced Clackamas FamilyCare Health SNP) H3818 002 HMO Yes Alternative $0.00 $31.40 $0.00 CareOregon Defined CareOregon Advantage Plus Standard Clackamas Advantage (HMO-POS SNP) 001 HMOPOS Yes Benefit $0.00 $34.80 $0.00 Chronic or Health Net Health Health Net Jade Disabling Enhanced Clackamas Plan of Oregon, Inc. (HMO SNP) H6815 004 HMO Yes Condition Alternative $0.00 $0.00 $0.00 Providence Defined Providence Health Medicare Dual Plus Standard Clackamas Assurance (HMO SNP) 043 HMO Yes Benefit $0.00 $34.80 $0.00 Providence ElderPlace Providence Portland (dual National Clatsop ElderPlace Portland eligible) (PACE) H3809 001 PACE No $161.70 $0.00 Providence ElderPlace Providence Portland (private National Clatsop ElderPlace Portland pay) (PACE) H3809 002 PACE No $125.50 $498.80 Moda Health Plan, Moda Health Local Enhanced Clatsop Inc. PPORX (PPO) H3813 006 PPO No Alternative $40.60 $57.40 $22.60 FamilyCare Advantage Rx Enhanced Clatsop FamilyCare Health (HMO) H3818 003 HMO No Alternative $0.00 $0.00 $0.00 CareOregon CareOregon Advantage Star Enhanced Clatsop Advantage (HMO-POS) 003 HMOPOS No Alternative $0.00 $34.80 $0.00 FamilyCare Community (HMO Enhanced Clatsop FamilyCare Health SNP) H3818 002 HMO Yes Alternative $0.00 $31.40 $0.00 CareOregon Defined CareOregon Advantage Plus Standard Clatsop Advantage (HMO-POS SNP) H5859 001 HMOPOS Yes Benefit $0.00 $34.80 $0.00 Moda Health Plan, Moda Health Local Enhanced Columbia Inc. PPORX (PPO) H3813 006 PPO No Alternative $40.60 $57.40 $22.60
Clackamas FamilyCare Health FamilyCare Community (HMO SNP) H3818 002 HMO Yes Enhanced Alternative $0.00 $31.40 $0.00 Clackamas CareOregon Advantage CareOregon Advantage Plus (HMO-POS SNP) 001 HMOPOS Yes Defined Standard Benefit $0.00 $34.80 $0.00 Clackamas 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 Providence Health Assurance Providence Medicare Dual Plus (HMO SNP) 043 HMO Yes Defined Standard Benefit $0.00 $34.80 $0.00 Clatsop Providence ElderPlace Portland Providence ElderPlace Portland (dual eligible) (PACE) H3809 001 National PACE No $161.70 $0.00 Clatsop Providence ElderPlace Portland Providence ElderPlace Portland (private pay) (PACE) H3809 002 National PACE No $125.50 $498.80 Clatsop Moda Health Plan, Inc. Moda Health PPORX (PPO) H3813 006 Local PPO No Enhanced Alternative $40.60 $57.40 $22.60 Clatsop FamilyCare Health FamilyCare Advantage Rx (HMO) H3818 003 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Clatsop CareOregon Advantage CareOregon Advantage Star (HMO-POS) 003 HMOPOS No Enhanced Alternative $0.00 $34.80 $0.00 Clatsop FamilyCare Health FamilyCare Community (HMO SNP) H3818 002 HMO Yes Enhanced Alternative $0.00 $31.40 $0.00 Clatsop CareOregon Advantage CareOregon Advantage Plus (HMO-POS SNP) H5859 001 HMOPOS Yes Defined Standard Benefit $0.00 $34.80 $0.00 Columbia Moda Health Plan, Inc. Moda Health PPORX (PPO) H3813 006 Local PPO No Enhanced Alternative $40.60 $57.40 $22.60
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx