UnitedHealthcare Assisted Living Local Basic Multnomah UnitedHealthcare Plan (PPO SNP) H2228 017 PPO Yes Institutional Alternative $0.00 $24.90 $0.00 FamilyCare Community (HMO Enhanced Multnomah FamilyCare Health SNP) 002 HMO Yes Alternative $0.00 $31.40 $0.00 CareOregon Defined CareOregon Advantage Plus Standard Multnomah Advantage (HMO-POS SNP) H5859 001 HMOPOS Yes Benefit $0.00 $34.80 $0.00 Chronic or Health Net Health Health Net Jade Disabling Enhanced Multnomah 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 Multnomah Assurance (HMO SNP) H9047 043 HMO Yes Benefit $0.00 $34.80 $0.00 AARP MedicareComplete Enhanced Polk UnitedHealthcare Plan 1 (HMO) H3805 001 HMO No Alternative $40.50 $26.50 $0.00 AARP MedicareComplete Enhanced Polk UnitedHealthcare Plan 2 (HMO) H3805 012 HMO No Alternative $0.00 $0.00 $0.00 Moda Health Plan, Moda Health Local Enhanced Polk Inc. PPORX (PPO) H3813 006 PPO No Alternative $40.60 $57.40 $22.60 Regence BlueCross Regence BlueShield of MedAdvantage + Local Polk 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 Polk Oregon (PPO) H3817 009 PPO No Alternative $147.40 $66.90 $55.80 Health Net Life Health Net Violet Local Enhanced Polk Insurance Company Option 1 (PPO) H5520 002 PPO No Alternative $76.30 $39.70 $4.90 Health Net Life Health Net Violet Local Basic Polk Insurance Company Option 2 (PPO) H5520 012 PPO No Alternative $0.00 $32.00 $0.00
Multnomah UnitedHealthcare UnitedHealthcare Assisted Living Plan (PPO SNP) H2228 017 Local PPO Yes Institutional Basic Alternative $0.00 $24.90 $0.00 Multnomah FamilyCare Health FamilyCare Community (HMO SNP) 002 HMO Yes Enhanced Alternative $0.00 $31.40 $0.00 Multnomah CareOregon Advantage CareOregon Advantage Plus (HMO-POS SNP) H5859 001 HMOPOS Yes Defined Standard Benefit $0.00 $34.80 $0.00 Multnomah 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 Multnomah Providence Health Assurance Providence Medicare Dual Plus (HMO SNP) H9047 043 HMO Yes Defined Standard Benefit $0.00 $34.80 $0.00 Polk UnitedHealthcare AARP MedicareComplete Plan 1 (HMO) H3805 001 HMO No Enhanced Alternative $40.50 $26.50 $0.00 Polk UnitedHealthcare AARP MedicareComplete Plan 2 (HMO) H3805 012 HMO No Enhanced Alternative $0.00 $0.00 $0.00 Polk Moda Health Plan, Inc. Moda Health PPORX (PPO) H3813 006 Local PPO No Enhanced Alternative $40.60 $57.40 $22.60 Polk Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Classic (PPO) H3817 008 Local PPO No Alternative $51.50 $49.50 $14.70 Polk Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO) H3817 009 Local PPO No Enhanced Alternative $147.40 $66.90 $55.80 Polk Health Net Life Insurance Company Health Net Violet Option 1 (PPO) H5520 002 Local PPO No Enhanced Alternative $76.30 $39.70 $4.90 Polk Health Net Life Insurance Company Health Net Violet Option 2 (PPO) H5520 012 Local PPO No Basic Alternative $0.00 $32.00 $0.00
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx