Regence BlueCross Regence BlueShield of MedAdvantage + Local Basic Columbia 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 Columbia Oregon (PPO) H3817 009 PPO No Alternative $147.40 $66.90 $55.80 CareOregon CareOregon Advantage Star Enhanced Columbia Advantage (HMO-POS) H5859 003 HMOPOS No Alternative $0.00 $34.80 $0.00 Humana Insurance HumanaChoice Local Basic Columbia Company H6609-073 (PPO) 073 PPO No Alternative $168.90 $32.10 $0.00 Kaiser Permanente Senior Advantage Enhanced Columbia Kaiser Permanente (HMO) H9003 001 HMO No Alternative $61.00 $41.50 $31.20 Kaiser Permanente Senior Advantage Enhanced Columbia Kaiser Permanente Basic (HMO) H9003 006 HMO No Alternative $14.70 $29.30 $0.00 Providence Providence Health Medicare Extra + Enhanced Columbia Assurance RX (HMO) H9047 001 HMO No Alternative $109.10 $52.50 $18.10 Providence Medicare Extra Providence Health Part B Only + RX Enhanced Columbia Assurance (HMO) H9047 013 HMO No Alternative $375.60 $42.10 $7.30 Providence Providence Health Medicare Choice + Enhanced Columbia Assurance RX (HMO-POS) H9047 024 HMOPOS No Alternative $39.50 $48.50 $13.70 CareOregon Defined CareOregon Advantage Plus Standard Columbia Advantage (HMO-POS SNP) H5859 001 HMOPOS Yes Benefit $0.00 $34.80 $0.00 Moda Health Plan, Moda Health Local Enhanced Coos Inc. (PPO) H3813 006 PPO No Alternative $40.60 $57.40 $22.60
Columbia Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Classic (PPO) H3817 008 Local PPO No Basic Alternative $51.50 $49.50 $14.70 Columbia Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO) H3817 009 Local PPO No Enhanced Alternative $147.40 $66.90 $55.80 Columbia CareOregon Advantage CareOregon Advantage Star (HMO-POS) H5859 003 HMOPOS No Enhanced Alternative $0.00 $34.80 $0.00 Columbia Humana Insurance Company HumanaChoice H6609-073 (PPO) 073 Local PPO No Basic Alternative $168.90 $32.10 $0.00 Columbia Kaiser Permanente Kaiser Permanente Senior Advantage (HMO) H9003 001 HMO No Enhanced Alternative $61.00 $41.50 $31.20 Columbia Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO) H9003 006 HMO No Enhanced Alternative $14.70 $29.30 $0.00 Columbia Providence Health Assurance Providence Medicare Extra + RX (HMO) H9047 001 HMO No Enhanced Alternative $109.10 $52.50 $18.10 Columbia Providence Health Assurance Providence Medicare Extra Part B Only + RX (HMO) H9047 013 HMO No Enhanced Alternative $375.60 $42.10 $7.30 Columbia Providence Health Assurance Providence Medicare Choice + RX (HMO-POS) H9047 024 HMOPOS No Enhanced Alternative $39.50 $48.50 $13.70 Columbia CareOregon Advantage CareOregon Advantage Plus (HMO-POS SNP) H5859 001 HMOPOS Yes Defined Standard Benefit $0.00 $34.80 $0.00 Coos Moda Health Plan, Inc. Moda Health (PPO) H3813 006 Local PPO No Enhanced Alternative $40.60 $57.40 $22.60
2017%20Medicare%20Advantage%20Prescription%20Drug%20Plan%20List.docx