AARP MedicareComplete Enhanced Multnomah UnitedHealthcare Plan 2 (HMO) H3805 012 HMO No Alternative $0.00 $0.00 $0.00 Providence ElderPlace Providence Portland (dual National Multnomah ElderPlace Portland eligible) (PACE) H3809 001 PACE No $161.70 $0.00 Providence ElderPlace Providence Portland (private National Multnomah ElderPlace Portland pay) (PACE) H3809 002 PACE No $125.50 $498.80 Moda Health Plan, Moda Health Local Enhanced Multnomah Inc. PPORX (PPO) H3813 006 PPO No Alternative $40.60 $57.40 $22.60 Regence BlueCross Regence BlueShield of MedAdvantage + Local Basic Multnomah 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 Multnomah Oregon (PPO) 009 PPO No Alternative $106.40 $66.90 $55.80 FamilyCare Advantage Rx Enhanced Multnomah FamilyCare Health (HMO) H3818 003 HMO No Alternative $0.00 $0.00 $0.00 PacificSource PacificSource Medicare MyCare Enhanced Multnomah Medicare Rx 22 (HMO) H3864 022 HMO No Alternative $48.80 $29.20 $0.00 Health Net Life Health Net Violet Local Enhanced Multnomah Insurance Company Option 1 (PPO) H5520 002 PPO No Alternative $76.30 $39.70 $4.90 Health Net Life Health Net Violet Local Basic Multnomah Insurance Company Option 2 (PPO) H5520 012 PPO No Alternative $0.00 $19.00 $0.00 CareOregon CareOregon Advantage Star Enhanced Multnomah Advantage (HMO-POS) H5859 003 HMOPOS No Alternative $0.00 $34.80 $0.00
Multnomah UnitedHealthcare AARP MedicareComplete Plan 2 (HMO) H3805 012 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Multnomah Providence ElderPlace Portland Providence ElderPlace Portland (dual eligible) (PACE) H3809 001 National PACE No $161.70 $0.00 Multnomah Providence ElderPlace Portland Providence ElderPlace Portland (private pay) (PACE) H3809 002 National PACE No $125.50 $498.80 Multnomah Moda Health Plan, Inc. Moda Health PPORX (PPO) H3813 006 Local PPO No Enhanced Alternative $40.60 $57.40 $22.60 Multnomah Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Classic (PPO) H3817 008 Local PPO No Basic Alternative $2.00 $41.00 $6.20 Multnomah Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO) 009 Local PPO No Enhanced Alternative $106.40 $66.90 $55.80 Multnomah FamilyCare Health FamilyCare Advantage Rx (HMO) H3818 003 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Multnomah PacificSource Medicare PacificSource Medicare MyCare Rx 22 (HMO) H3864 022 HMO No Enhanced Alternative $48.80 $29.20 $0.00 Multnomah Health Net Life Insurance Company Health Net Violet Option 1 (PPO) H5520 002 Local PPO No Enhanced Alternative $76.30 $39.70 $4.90 Multnomah Health Net Life Insurance Company Health Net Violet Option 2 (PPO) H5520 012 Local PPO No Basic Alternative $0.00 $19.00 $0.00 Multnomah CareOregon Advantage CareOregon Advantage Star (HMO-POS) H5859 003 HMOPOS No Enhanced Alternative $0.00 $34.80 $0.00
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx