Medicare Advantage Plans for Clackamas County, Oregon

  • 82 Total Plans
  • 92,644 Seniors Eligible for Medicare
  • 61,305 Seniors on Medicare Advantage (66%)
  • 10 plans with 4,584 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 31 plans with 25,402 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 32% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Oregon Enrollees
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H3805-036-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 6,150
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
H9003-001-0 		HMOPOS No $0 No 4,811
Kaiser Permanente Kaiser Permanente Senior Advantage Standard (HMO-POS)
H9003-006-0 		HMOPOS No $0 No 4,496
Kaiser Permanente Employer Group Only with Part D (HMO)
H9003-801-0 		HMO No $0 No 3,945
Providence Medicare Advantage Plans Providence Medicare Prime + Rx (HMO)
H9047-037-0 		HMO No $0 Yes No No Yes No No 3,351
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-029-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 3,019
Providence Medicare Advantage Plans Providence Medicare Choice + Rx (HMO-POS)
H9047-065-0 		HMOPOS No $0 Yes No No Yes No No 2,941
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Classic (PPO)
H3817-008-4 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 2,819
Wellcare by Health Net Wellcare No Premium (HMO)
H6815-038-0 		HMO $96 per Quarter No $384 Yes $1,000 No No Yes Yes No 2,372
CareOregon Advantage CareOregon Advantage Plus (HMO-POS D-SNP)
H5859-001-0 		HMOPOS $405 per Quarter No $1,620 No 2,206
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2228-084-0 		Local PPO No $0 Yes No No Yes Yes No 1,853
Kaiser Permanente Kaiser Permanente Senior Advantage Value (HMO-POS)
H9003-009-0 		HMOPOS No $0 No 1,765
Providence Medicare Advantage Plans Providence Medicare Bridge + Rx (HMO-POS)
H9047-059-0 		HMOPOS $70 per Quarter Yes $280 Yes No No Yes No No 1,744
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3805-001-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,648
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Primary (PPO)
H3817-011-3 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 1,391
Providence Medicare Advantage Plans Providence Medicare Extra + Rx (HMO)
H9047-064-0 		HMO $195 per Quarter Yes $780 Yes No No Yes No No 1,333
Humana Humana Gold Plus H1036-153 (HMO)
H1036-153-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,245
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO)
H3817-009-2 		Local PPO No $0 Yes No No Yes No No 1,017
Wellcare by Health Net Wellcare Low Premium Open (PPO)
H5439-018-0 		Local PPO $53 per Quarter No $212 Yes $1,500 No No Yes Yes No 957
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-808-0 		HMO No $0 No 874
Kaiser Permanente FEHB AB with D (HMO)
H9003-805-0 		HMO No $0 No 708
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 645
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 643
Providence Medicare Advantage Plans Providence Medicare Flex Group Plan + Rx (HMO-POS)
H9047-809-0 		HMOPOS No $0 No 626
Aetna Medicare Aetna Medicare Elite Plan (HMO-POS)
H2056-003-0 		HMOPOS $45 per Quarter No $180 Yes $4,000 No No Yes No No 562
PacificSource Medicare PacificSource Medicare MyCare Rx 40 (HMO)
H3864-040-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 531
Humana HumanaChoice H5216-247 (PPO)
H5216-247-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 486
Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO (HMO)
H6237-007-4 		HMO $40 per Quarter No $160 Yes No No Yes No No 486
Wellcare by Health Net Wellcare Premium Ultra Open (PPO)
H5439-011-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 449
Providence Medicare Advantage Plans Providence Medicare Dual Plus (HMO D-SNP)
H9047-043-0 		HMO $400 per Quarter Yes $1,600 No 431
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H2056-004-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 394
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-804-0 		HMO No $0 No 363
Moda Health Plan, Inc. Moda Health Metro PPORX (PPO)
H3813-013-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 309
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-036-0 		Local PPO $140 per Month No $0 Yes $3,600 Yes No Yes Yes No 299
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx (PPO)
H3817-802-0 		Local PPO No $0 No 296
Providence ElderPlace Portland Providence ElderPlace Portland (dual eligible) (PACE)
H3809-001-0 		National PACE No $0 No 290
Kaiser Permanente Employer Group Only without Part D (HMO)
H9003-802-0 		HMO No $0 No 286
Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO Plus (HMO)
H6237-008-3 		HMO No $0 Yes No No Yes No No 241
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-088-0 		Local PPO $85 per Quarter No $340 Yes No No Yes Yes No 230
Regence BlueCross BlueShield of Oregon Regence Valiance (PPO)
H3817-010-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 212
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-055-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 155
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-005-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 150
Providence Medicare Advantage Plans Providence Medicare Reverence (HMO-POS)
H9047-035-0 		HMOPOS $75 per Quarter Yes $300 Yes No No Yes No No 140
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 138
Humana Humana Honor (PPO)
H5216-301-4 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 136
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 134
AgeRight Advantage AgeRight Advantage Health Plan (HMO I-SNP)
H1372-001-0 		HMO No $0 Yes $1,800 Yes No No No No 124
UnitedHealthcare UnitedHealthcare Assisted Living Plan 2 (PPO I-SNP)
H0710-037-0 		Local PPO $265 per Quarter Yes $1,060 Yes $2,000 Yes No Yes Yes No 121
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 119
Devoted Health Devoted CHOICE Oregon (PPO)
H7199-001-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 100
Humana Humana Value Plus H5216-294 (PPO)
H5216-294-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 95
Devoted Health Devoted CORE Oregon (HMO)
H2923-001-0 		HMO $80 per Quarter No $320 Yes No No Yes No No 94
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7389-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 91
Providence Medicare Advantage Plans Providence Medicare Focus Medical (HMO)
H9047-033-0 		HMO $75 per Quarter Yes $300 Yes No No Yes No No 88
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 78
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-036-0 		Local PPO $350 per Quarter Yes $1,400 Yes $3,600 Yes No Yes Yes No 75
Devoted Health Devoted CHOICE PLUS Oregon (PPO)
H7199-002-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 70
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 68
PacificSource Medicare PacificSource Dual Care (HMO D-SNP)
H3864-043-0 		HMO $500 per Month No $0 No 67
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 55
Wellcare by Health Net Wellcare Patriot No Premium Open (PPO)
H5439-010-0 		Local PPO No $0 Yes $2,000 No No Yes Yes No 54
Wellcare by Health Net Wellcare Giveback Open (PPO)
H5439-015-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 50
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 33
Humana Humana Gold Plus - Diabetes (HMO C-SNP)
H1036-306-0 		HMO $600 per Month No $0 Yes No No Yes No No 28
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H9431-015-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 26
Humana Humana Honor (PPO)
H5216-315-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 25
ATRIO Health Plans ATRIO Special Needs Plan (Willamette) (HMO D-SNP)
H5995-001-0 		HMO $170 per Quarter No $680 No 24
Moda Health Plan, Inc. Moda Health PPO (PPO)
H3813-001-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 24
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 22
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 19
PacificSource Medicare PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)
H3864-034-0 		HMOPOS $75 per Quarter No $300 Yes No No Yes No No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 16
Wellcare by Health Net Wellcare Assist (HMO)
H6815-037-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 16
PacificSource Medicare PacificSource Medicare Essentials Rx 803 (HMO)
H3864-803-0 		HMO No $0 No 15
Regence BlueShield Regence MedAdvantage + Rx (PPO)
H5009-802-0 		Local PPO No $0 No 14
Regence BlueCross BlueShield of Oregon Regence Valiance (HMO)
H6237-006-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H3805-803-0 		HMO No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 11
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