Chronic or Health Net Health Health Net Jade Disabling Enhanced Washington 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 Washington Assurance (HMO SNP) H9047 043 HMO Yes Benefit $0.00 $34.80 $0.00 Moda Health Plan, Moda Health Local Enhanced Wheeler Inc. PPORX (PPO) 006 PPO No Alternative $40.60 $57.40 $22.60 PacificSource Medicare PacificSource Essentials Rx 6 Enhanced Wheeler Medicare (HMO) H3864 006 HMO No Alternative $134.80 $50.30 $35.40 PacificSource Medicare PacificSource Essentials Choice Enhanced Wheeler Medicare Rx 14 (HMO-POS) H3864 014 HMOPOS No Alternative $73.80 $34.00 $19.20 PacificSource Medicare PacificSource Essentials Rx 27 Wheeler Medicare (HMO) H3864 027 HMO No Alternative $67.70 $54.30 $19.50 Moda Health Plan, Moda Health HMO Enhanced Wheeler Inc. (HMO-POS) H8506 001 HMOPOS No Alternative $0.00 $63.00 $28.20 Providence Providence Health Medicare Latitude Enhanced Wheeler Assurance + RX (HMO-POS) H9047 038 HMOPOS No Alternative $111.60 $46.40 $22.60 Providence Providence Health Medicare Compass Enhanced Wheeler Assurance + RX (HMO-POS) H9047 039 HMOPOS No Alternative $59.70 $39.30 $4.50 AARP MedicareComplete Enhanced Yamhill UnitedHealthcare Choice (PPO) H2228 029 PPO No Alternative $2.50 $29.50 $0.00 AARP MedicareComplete Enhanced Yamhill UnitedHealthcare Plan 1 (HMO) H3805 001 HMO No Alternative $40.50 $26.50 $0.00
Washington 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 Washington Providence Health Assurance Providence Medicare Dual Plus (HMO SNP) H9047 043 HMO Yes Defined Standard Benefit $0.00 $34.80 $0.00 Wheeler Moda Health Plan, Inc. Moda Health PPORX (PPO) 006 Local PPO No Enhanced Alternative $40.60 $57.40 $22.60 Wheeler PacificSource Medicare PacificSource Medicare Essentials Rx 6 (HMO) H3864 006 HMO No Enhanced Alternative $134.80 $50.30 $35.40 Wheeler PacificSource Medicare PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) H3864 014 HMOPOS No Enhanced Alternative $73.80 $34.00 $19.20 Wheeler PacificSource Medicare PacificSource Medicare Essentials Rx 27 (HMO) H3864 027 HMO No Alternative $67.70 $54.30 $19.50 Wheeler Moda Health Plan, Inc. Moda Health HMO (HMO-POS) H8506 001 HMOPOS No Enhanced Alternative $0.00 $63.00 $28.20 Wheeler Providence Health Assurance Providence Medicare Latitude + RX (HMO-POS) H9047 038 HMOPOS No Enhanced Alternative $111.60 $46.40 $22.60 Wheeler Providence Health Assurance Providence Medicare Compass + RX (HMO-POS) H9047 039 HMOPOS No Enhanced Alternative $59.70 $39.30 $4.50 Yamhill UnitedHealthcare AARP MedicareComplete Choice (PPO) H2228 029 PPO No Enhanced Alternative $2.50 $29.50 $0.00 Yamhill UnitedHealthcare AARP MedicareComplete Plan 1 (HMO) H3805 001 HMO No Enhanced Alternative $40.50 $26.50 $0.00
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx