Kaiser Permanente Senior Advantage Enhanced Washington Kaiser Permanente (HMO) H9003 001 HMO No Alternative $61.00 $41.50 $31.20 Kaiser Permanente Senior Advantage Enhanced Washington Kaiser Permanente Basic (HMO) 006 HMO No Alternative $14.70 $29.30 $0.00 Providence Providence Health Medicare Extra + Enhanced Washington Assurance RX (HMO) H9047 001 HMO No Alternative $109.10 $52.50 $18.10 Providence Medicare Extra Providence Health Part B Only + RX Enhanced Washington Assurance (HMO) H9047 013 HMO No Alternative $375.60 $42.10 $7.30 Providence Providence Health Medicare Choice + Enhanced Washington Assurance RX (HMO-POS) H9047 024 HMOPOS No Alternative $39.50 $48.50 $13.70 Providence Providence Health Medicare Prime + Enhanced Washington Assurance RX (HMO-POS) H9047 037 HMOPOS No Alternative $0.00 $0.00 $0.00 AgeRight AgeRight Advantage Health Defined Advantage Health Plan (HMO SNP) Standard Washington Plan (HMO SNP) (HMO SNP) H1372 001 HMO Yes Institutional Benefit $0.00 $30.40 $0.00 UnitedHealthcare Defined Nursing Home Plan Local Standard Washington UnitedHealthcare (PPO SNP) H2228 016 PPO Yes Institutional Benefit $0.00 $28.70 $0.00 UnitedHealthcare Assisted Living Local Washington UnitedHealthcare Plan (PPO SNP) H2228 017 PPO Yes Institutional Alternative $0.00 $24.90 $0.00 FamilyCare Community (HMO Enhanced Washington FamilyCare Health SNP) H3818 002 HMO Yes Alternative $0.00 $31.40 $0.00 CareOregon Defined CareOregon Advantage Plus Standard Washington Advantage (HMO-POS SNP) 001 HMOPOS Yes Benefit $0.00 $34.80 $0.00
Washington Kaiser Permanente Kaiser Permanente Senior Advantage (HMO) H9003 001 HMO No Enhanced Alternative $61.00 $41.50 $31.20 Washington Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO) 006 HMO No Enhanced Alternative $14.70 $29.30 $0.00 Washington Providence Health Assurance Providence Medicare Extra + RX (HMO) H9047 001 HMO No Enhanced Alternative $109.10 $52.50 $18.10 Washington Providence Health Assurance Providence Medicare Extra Part B Only + RX (HMO) H9047 013 HMO No Enhanced Alternative $375.60 $42.10 $7.30 Washington Providence Health Assurance Providence Medicare Choice + RX (HMO-POS) H9047 024 HMOPOS No Enhanced Alternative $39.50 $48.50 $13.70 Washington Providence Health Assurance Providence Medicare Prime + RX (HMO-POS) H9047 037 HMOPOS No Enhanced Alternative $0.00 $0.00 $0.00 Washington AgeRight Advantage Health Plan (HMO SNP) AgeRight Advantage Health Plan (HMO SNP) (HMO SNP) H1372 001 HMO Yes Institutional Defined Standard Benefit $0.00 $30.40 $0.00 Washington UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO SNP) H2228 016 Local PPO Yes Institutional Defined Standard Benefit $0.00 $28.70 $0.00 Washington UnitedHealthcare UnitedHealthcare Assisted Living Plan (PPO SNP) H2228 017 Local PPO Yes Institutional Alternative $0.00 $24.90 $0.00 Washington FamilyCare Health FamilyCare Community (HMO SNP) H3818 002 HMO Yes Enhanced Alternative $0.00 $31.40 $0.00 Washington CareOregon Advantage CareOregon Advantage Plus (HMO-POS SNP) 001 HMOPOS Yes Defined Standard Benefit $0.00 $34.80 $0.00
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx