PacificSource Medicare PacificSource Essentials Choice Enhanced Hood River Medicare Rx 14 (HMO-POS) H3864 014 HMOPOS No Alternative $73.80 $34.00 $19.20 PacificSource Medicare PacificSource Essentials Rx 27 Hood River Medicare (HMO) H3864 027 HMO No Alternative $67.70 $54.30 $19.50 Humana Insurance HumanaChoice Local Basic Hood River Company (PPO) H6609 073 PPO No Alternative $168.90 $32.10 $0.00 Providence Providence Health Medicare Latitude Enhanced Hood River Assurance + RX (HMO-POS) 038 HMOPOS No Alternative $111.60 $46.40 $22.60 Providence Providence Health Medicare Compass Enhanced Hood River Assurance + RX (HMO-POS) H9047 039 HMOPOS No Alternative $59.70 $39.30 $4.50 AllCare Advantage Gold Plus Rx Enhanced Jackson AllCare Advantage (HMO) H3810 003 HMO No Alternative $90.60 $50.90 $16.10 Moda Health Plan, Moda Health Local Enhanced Jackson Inc. (PPO) H3813 006 PPO No Alternative $40.60 $57.40 $22.60 Regence BlueCross Regence BlueShield of MedAdvantage + Local Basic Jackson Oregon Rx Classic (PPO) H3817 008 PPO No Alternative $51.50 $49.50 $14.70 Regence Regence BlueCross MedAdvantage + BlueShield of Rx Enhanced Local Enhanced Jackson Oregon (PPO) H3817 009 PPO No Alternative $147.40 $66.90 $55.80 Health Net Life Health Net Violet Local Enhanced Jackson Insurance Company Option 1 (PPO) H5520 004 PPO No Alternative $71.10 $33.90 $0.00 Health Net Life Health Net Violet Local Basic Jackson Insurance Company Option 2 (PPO) 015 PPO No Alternative $0.00 $25.00 $0.00 ATRIO Health ATRIO Bronze Rx Local Enhanced Jackson Plans (Rogue) (PPO) H6743 014 PPO No Alternative $0.00 $0.00 $0.00
Hood River PacificSource Medicare PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) H3864 014 HMOPOS No Enhanced Alternative $73.80 $34.00 $19.20 Hood River PacificSource Medicare PacificSource Medicare Essentials Rx 27 (HMO) H3864 027 HMO No Alternative $67.70 $54.30 $19.50 Hood River Humana Insurance Company HumanaChoice (PPO) H6609 073 Local PPO No Basic Alternative $168.90 $32.10 $0.00 Hood River Providence Health Assurance Providence Medicare Latitude + RX (HMO-POS) 038 HMOPOS No Enhanced Alternative $111.60 $46.40 $22.60 Hood River Providence Health Assurance Providence Medicare Compass + RX (HMO-POS) H9047 039 HMOPOS No Enhanced Alternative $59.70 $39.30 $4.50 Jackson AllCare Advantage AllCare Advantage Gold Plus Rx (HMO) H3810 003 HMO No Enhanced Alternative $90.60 $50.90 $16.10 Jackson Moda Health Plan, Inc. Moda Health (PPO) H3813 006 Local PPO No Enhanced Alternative $40.60 $57.40 $22.60 Jackson Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Classic (PPO) H3817 008 Local PPO No Basic Alternative $51.50 $49.50 $14.70 Jackson Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO) H3817 009 Local PPO No Enhanced Alternative $147.40 $66.90 $55.80 Jackson Health Net Life Insurance Company Health Net Violet Option 1 (PPO) H5520 004 Local PPO No Enhanced Alternative $71.10 $33.90 $0.00 Jackson Health Net Life Insurance Company Health Net Violet Option 2 (PPO) 015 Local PPO No Basic Alternative $0.00 $25.00 $0.00 Jackson ATRIO Health Plans ATRIO Bronze Rx (Rogue) (PPO) H6743 014 Local PPO No Enhanced Alternative $0.00 $0.00 $0.00
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx