Medicare Advantage Plans for Multnomah County, Oregon

  • 84 Total Plans
  • 132,112 Seniors Eligible for Medicare
  • 87,137 Seniors on Medicare Advantage (66%)
  • 12 plans with 12,308 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 33 plans with 31,405 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 33% 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
CareOregon Advantage CareOregon Advantage Plus (HMO-POS D-SNP)
H5859-001-0 		HMOPOS $405 per Quarter No $1,620 No 8,285
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H3805-036-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 6,902
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
H9003-001-0 		HMOPOS No $0 No 6,638
Kaiser Permanente Kaiser Permanente Senior Advantage Standard (HMO-POS)
H9003-006-0 		HMOPOS No $0 No 6,629
Kaiser Permanente Employer Group Only with Part D (HMO)
H9003-801-0 		HMO No $0 No 5,401
Providence Medicare Advantage Plans Providence Medicare Prime + Rx (HMO)
H9047-037-0 		HMO No $0 Yes No No Yes No No 4,336
Providence Medicare Advantage Plans Providence Medicare Choice + Rx (HMO-POS)
H9047-065-0 		HMOPOS No $0 Yes No No Yes No No 3,662
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-029-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 3,481
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 3,151
Kaiser Permanente Kaiser Permanente Senior Advantage Value (HMO-POS)
H9003-009-0 		HMOPOS No $0 No 2,743
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2228-084-0 		Local PPO No $0 Yes No No Yes Yes No 2,743
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 2,698
Humana Humana Gold Plus H1036-153 (HMO)
H1036-153-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 2,602
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 2,008
Providence Medicare Advantage Plans Providence Medicare Extra + Rx (HMO)
H9047-064-0 		HMO $195 per Quarter Yes $780 Yes No No Yes No No 1,759
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3805-001-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,624
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 1,521
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-808-0 		HMO No $0 No 1,179
Kaiser Permanente FEHB AB with D (HMO)
H9003-805-0 		HMO No $0 No 1,144
Providence Medicare Advantage Plans Providence Medicare Dual Plus (HMO D-SNP)
H9047-043-0 		HMO $400 per Quarter Yes $1,600 No 1,111
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO)
H3817-009-2 		Local PPO No $0 Yes No No Yes No No 1,110
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 996
Humana HumanaChoice H5216-247 (PPO)
H5216-247-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 931
Providence Medicare Advantage Plans Providence Medicare Flex Group Plan + Rx (HMO-POS)
H9047-809-0 		HMOPOS No $0 No 874
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 864
Providence ElderPlace Portland Providence ElderPlace Portland (dual eligible) (PACE)
H3809-001-0 		National PACE No $0 No 862
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 858
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 824
PacificSource Medicare PacificSource Medicare MyCare Rx 40 (HMO)
H3864-040-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 815
Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO (HMO)
H6237-007-4 		HMO $40 per Quarter No $160 Yes No No Yes No No 730
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 712
Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO Plus (HMO)
H6237-008-3 		HMO No $0 Yes No No Yes No No 583
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H2056-004-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 569
Kaiser Permanente Employer Group Only without Part D (HMO)
H9003-802-0 		HMO No $0 No 552
Wellcare by Health Net Wellcare Premium Ultra Open (PPO)
H5439-011-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 441
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 401
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx (PPO)
H3817-802-0 		Local PPO No $0 No 297
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-088-0 		Local PPO $85 per Quarter No $340 Yes No No Yes Yes No 279
Humana Humana Value Plus H5216-294 (PPO)
H5216-294-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 272
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-055-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 245
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 228
Humana Humana Honor (PPO)
H5216-301-4 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 227
Regence BlueCross BlueShield of Oregon Regence Valiance (PPO)
H3817-010-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 219
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 218
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 212
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-804-0 		HMO No $0 No 209
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 195
Providence Medicare Advantage Plans Providence Medicare Reverence (HMO-POS)
H9047-035-0 		HMOPOS $75 per Quarter Yes $300 Yes No No Yes No No 179
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 171
PacificSource Medicare PacificSource Dual Care (HMO D-SNP)
H3864-043-0 		HMO $500 per Month No $0 No 159
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7389-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 154
Devoted Health Devoted CHOICE PLUS Oregon (PPO)
H7199-002-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 148
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 147
Devoted Health Devoted CORE Oregon (HMO)
H2923-001-0 		HMO $80 per Quarter No $320 Yes No No Yes No No 131
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 120
AgeRight Advantage AgeRight Advantage Health Plan (HMO I-SNP)
H1372-001-0 		HMO No $0 Yes $1,800 Yes No No No No 116
Devoted Health Devoted CHOICE Oregon (PPO)
H7199-001-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 111
Providence Medicare Advantage Plans Providence Medicare Focus Medical (HMO)
H9047-033-0 		HMO $75 per Quarter Yes $300 Yes No No Yes No No 102
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 100
Wellcare by Health Net Wellcare Giveback Open (PPO)
H5439-015-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 68
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 66
Humana Humana Gold Plus - Diabetes (HMO C-SNP)
H1036-306-0 		HMO $600 per Month No $0 Yes No No Yes No No 61
Moda Health Plan, Inc. Moda Health PPO (PPO)
H3813-001-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 57
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 51
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 49
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 36
Humana Humana Honor (PPO)
H5216-315-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 36
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 35
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 34
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 32
Wellcare by Health Net Wellcare Assist (HMO)
H6815-037-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 27
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2228-016-0 		Local PPO $425 per Quarter Yes $1,700 Yes $3,600 No No Yes Yes No 25
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 24
PacificSource Medicare PacificSource Medicare Essentials Rx 803 (HMO)
H3864-803-0 		HMO No $0 No 22
Regence BlueShield Regence MedAdvantage + Rx (PPO)
H5009-802-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		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 Assisted Living Plan 1 (PPO I-SNP)
H2228-017-0 		Local PPO $160 per Quarter Yes $640 Yes $2,000 No No Yes Yes No 13
ATRIO Health Plans ATRIO Special Needs Plan (Willamette) (HMO D-SNP)
H5995-001-0 		HMO $170 per Quarter No $680 No 12
Providence Medicare Advantage Plans Providence Medicare Timber + Rx (HMO)
H9047-054-0 		HMO $40 per Quarter Yes $160 Yes No No Yes No No 12
Moda Health Plan, Inc. Moda Health + Fred Meyer PPORX (PPO)
H3813-016-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 11
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