Regence BlueCross Regence BlueShield of BlueAdvantage Enhanced Multnomah Oregon HMO (HMO) H6237 003 HMO No Alternative $0.00 $0.00 $0.00 Health Net Health Health Net Ruby Enhanced Multnomah Plan of Oregon, Inc. (HMO) H6815 003 HMO No Alternative $0.00 $0.00 $0.00 Humana Gold Humana Insurance Choice H8145-093 Enhanced Multnomah Company (PFFS) H8145 093 PFFS No Alternative $47.60 $34.90 $4.60 Kaiser Permanente Senior Advantage Enhanced Multnomah Kaiser Permanente (HMO) H9003 001 HMO No Alternative $61.00 $41.50 $31.20 Kaiser Permanente Senior Advantage Enhanced Multnomah Kaiser Permanente Basic (HMO) H9003 006 HMO No Alternative $14.70 $29.30 $0.00 Providence Providence Health Medicare Extra + Enhanced Multnomah Assurance RX (HMO) H9047 001 HMO No Alternative $109.10 $52.50 $18.10 Providence Medicare Extra Providence Health Part B Only + RX Enhanced Multnomah Assurance (HMO) H9047 013 HMO No Alternative $375.60 $42.10 $7.30 Providence Providence Health Medicare Choice + Enhanced Multnomah Assurance RX (HMO-POS) H9047 024 HMOPOS No Alternative $39.50 $48.50 $13.70 Providence Providence Health Medicare + Enhanced Multnomah Assurance RX (HMO-POS) 037 HMOPOS No Alternative $0.00 $0.00 $0.00 AgeRight AgeRight Advantage Health Defined Advantage Health Plan (HMO SNP) Standard Multnomah Plan (HMO SNP) (HMO SNP) 001 HMO Yes Institutional Benefit $0.00 $30.40 $0.00 UnitedHealthcare Defined Nursing Home Plan Standard Multnomah UnitedHealthcare (PPO SNP) H2228 016 PPO Yes Institutional Benefit $0.00 $28.70 $0.00
Multnomah Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO (HMO) H6237 003 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Multnomah Health Net Health Plan of Oregon, Inc. Health Net Ruby (HMO) H6815 003 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Multnomah Humana Insurance Company Humana Gold Choice H8145-093 (PFFS) H8145 093 PFFS No Enhanced Alternative $47.60 $34.90 $4.60 Multnomah Kaiser Permanente Kaiser Permanente Senior Advantage (HMO) H9003 001 HMO No Enhanced Alternative $61.00 $41.50 $31.20 Multnomah Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO) H9003 006 HMO No Enhanced Alternative $14.70 $29.30 $0.00 Multnomah Providence Health Assurance Providence Medicare Extra + RX (HMO) H9047 001 HMO No Enhanced Alternative $109.10 $52.50 $18.10 Multnomah Providence Health Assurance Providence Medicare Extra Part B Only + RX (HMO) H9047 013 HMO No Enhanced Alternative $375.60 $42.10 $7.30 Multnomah Providence Health Assurance Providence Medicare Choice + RX (HMO-POS) H9047 024 HMOPOS No Enhanced Alternative $39.50 $48.50 $13.70 Multnomah Providence Health Assurance Providence Medicare + RX (HMO-POS) 037 HMOPOS No Enhanced Alternative $0.00 $0.00 $0.00 Multnomah AgeRight Advantage Health Plan (HMO SNP) AgeRight Advantage Health Plan (HMO SNP) (HMO SNP) 001 HMO Yes Institutional Defined Standard Benefit $0.00 $30.40 $0.00 Multnomah UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO SNP) H2228 016 PPO Yes Institutional Defined Standard Benefit $0.00 $28.70 $0.00
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx