Oregon Health Insurance – Private Under-65 And Senior Medicare Plans

Compare affordable Oregon medical coverage from top companies. Individual, family, Group, and Senior plans are available. Open Enrollment provides guaranteed benefits with pre-existing conditions covered. Policies are also offered outside of the OE period.  View free instant quotes and review prices, benefits, and network providers.

Comprehensive, catastrophic, and short-term plans provide customized coverage with an easy application process. Regardless if you are currently uninsured, or shopping for better benefits at a lower rate, within minutes, you can find a quality policy that meets your budget. Preventive and routine physician office visits, prescription drugs, emergency room, hospitalization, Urgent Care, and other major medical services are available.

Companies offering 2020 ACA-compliant plans include BridgeSpan, Health Net, Kaiser, Moda, PacificSource, Providence, and Regence. Carriers offering small group plans are Health Net, Kaiser, Moda, PacificSource, Providence, Regence, Samaritan, UnitedHealthcare, and UnitedHealthcare of Oregon. Counties with the most available carriers (seven) are Clackamas, Lane, and Washington. Counties with the fewest available carriers (three) are Coos, Curry, Douglas, Jackson, Josephine, Klamath, and Lake.

 

Oregon Under-65 Health Insurance Plans

 

Catastrophic Tier

PacificSource Legacy Catastrophic – No charge for first three pcp office visits. $7,900 deductible with 0% coinsurance.

Kaiser KP OR Catastrophic 7900/0 – No charge for first three pcp office visits. $7,900 deductible with 0% coinsurance.

 

Bronze Tier

Kaiser KP OR Standard Bronze Plan – $6,550 deductible with 0% coinsurance.

Kaiser KP OR Bronze 6550/0% HSA – HSA-eligible option with $6,550 deductible and 0% coinsurance.

Kaiser KP OR Bronze 5000/50 – $50 pcp office visit copay for first three visits.  $5,000 deductible with 40% coinsurance. Generic drug copays are $25 and $50 (mail order).

Pacific Source OR Standard Bronze Plan LHN – $6,550 deductible with 0% coinsurance.

Pacific Source Legacy Bronze HSA 6650 – HSA-eligible option with $6,650 deductible and 0% coinsurance.

Providence Health Plan Connect 7900 Bronze – $65 and $125 office visit copays.  $125 Urgent Care copay. $6,550 deductible with 0% coinsurance. Preferred and non-preferred drug copays are $35 and $65.

Providence Health Plan HSA Qualified 6650 Bronze – HSA-eligible option with $6,650 deductible and 0% coinsurance.

Providence Health Plan Oregon Standard Bronze – $6,550 deductible with 0% coinsurance.

Moda Health Oregon Standard Bronze – $6,550 deductible with 0% coinsurance.

Moda Health Beacon Bronze 6500 – $60 and $100 office visit copays.  $60 Urgent Care copay. $6,500 deductible with 40% coinsurance. Value Tier drug copays are $2 and $6 (mail order).

Moda Health Beacon Bronze HSA 6000 – HSA-eligible option with $6,000 deductible and 0% coinsurance.

Moda Health Cornerstone Bronze HSA 6000 – HSA-eligible option with $6,000 deductible and 0% coinsurance.

BridgeSpan Bronze HDHP 6000 EPO OHSU Plus – HSA-eligible option with $6,000 deductible and 30% coinsurance.

BridgeSpan Bronze Standard Bronze Plan EPO OHSU Plus – $6,550 deductible with 0% coinsurance.

 

Colorado Medical Plans

 

Silver Tier

Kaiser KP OR Silver 3500/30 – $30 and $65 office visit copays.  $50 Urgent Care copay. $3,500 deductible with 30% coinsurance. Generic and preferred brand drug copays are $20 and $65 ($40 and $130 mail order).

Kaiser KP OR Silver 2500/30 – $30 and $65 office visit copays.  $50 Urgent Care copay. $2,500 deductible with 30% coinsurance. Generic and preferred brand drug copays are $20 and $65 ($40 and $130 mail order).

Kaiser KP OR Standard Silver Plan – $40 and $80 office visit copays.  $70 Urgent Care copay. $2,850 deductible with 30% coinsurance. Generic, preferred brand, and non-preferred brand drug copays are $15, $60, and 50% ($30, $120, and 50% mail order).

Pacific Source OR Standard Silver Plan LHN – $40 and $80 office visit copays.  $70 Urgent Care copay. $2,850 deductible with 30% coinsurance. Generic, preferred brand, and non-preferred brand drug copays are $15, $60, and 50% ($30, $180, and 50% mail order).

Providence Health Plan Connect 2500 Silver – $45 and $65 office visit copays.  $75 Urgent Care copay. $2,500 deductible with 30% coinsurance. Preferred generic, non-preferred generic, and preferred brand drug copays are $20, $35, and $75.

Providence Health Plan Oregon Standard Silver – $40 and $80 office visit copays.  $70 Urgent Care copay. $2,850 deductible with 30% coinsurance. Preferred generic, non-preferred generic, and preferred brand drug copays are $15, $15, and $60.

Moda Health Beacon Silver 3500 – $35 and $75 office visit copays.  $35 Urgent Care copay. $3,500 deductible with 35% coinsurance. Value Tier drug copays are $2 and $6 (mail order). Select Tier copays are $20 and $60 (mail order).

Moda Health Beacon Silver 3000 – $35 and $75 office visit copays.  $35 Urgent Care copay. $3,000 deductible with 30% coinsurance. Value Tier drug copays are $2 and $6 (mail order). Select Tier copays are $20 and $60 (mail order).

Moda Health Oregon Standard Silver – $40 and $80 office visit copays.  $70 Urgent Care copay. $2,850 deductible with 30% coinsurance. Value, Select, and Preferred Tier copays are $15, $15, and $60 ($45, $45, and $180 mail order).

Moda Health Cornerstone Silver 3000 – $35 and $70 office visit copays.  $35 Urgent Care copay. $3,000 deductible with 30% coinsurance. Value, Select, and Preferred Tier copays are $2, $20, and $40% ($6, $60, and $40% mail order).

BridgeSpan Silver Essential 4000 EPO OHSU Plus – $20 and $30 office visit copays.  $30 Urgent Care copay. $4,000 deductible with 10% coinsurance. Preferred generic drug copays are $10 and $20.

BridgeSpan Silver HDHP 3000 EPO OHSU Plus – HSA-eligible option with $6,750 deductible and 20% coinsurance.

BridgeSpan Standard Gold Plan EPO OHSU Plus – $40 and $80 office visit copays.  $70 Urgent Care copay. $2,850 deductible with 30% coinsurance. Preferred generic drug copays are $15, 25%, and $60 ($30, 20%, and $120 mail order).

 

Gold Tier

Kaiser KP OR Gold 1000/20 – $20 and $40 office visit copays.  $40 Urgent Care copay. $1,000 deductible with 30% coinsurance. Generic, preferred brand, and non-preferred brand drug copays are $10, $30, and 50% ($20, $60, and 50% mail order).

Kaiser KP OR Standard Gold Plan – $20 and $40 office visit copays.  $60 Urgent Care copay. $1,000 deductible with 20% coinsurance. Generic, preferred brand, and non-preferred brand drug copays are $10, $30, and 50% ($20, $60, and 50% mail order).

Kaiser KP OR Gold 0/20 – $20 and $40 office visit copays.  $40 Urgent Care copay. $0 deductible with 30% coinsurance. Generic and preferred brand drug copays are $10 and $30 ($20 and $60 mail order).

PacificSource OR Standard Gold Plan LHN – $20 and $40 office visit copays.  $60 Urgent Care copay. $1,000 deductible with 20% coinsurance. Tier 1, Tier 2, and Tier 3 drug copays are $10, $30, and 50% ($20, $90, and 50% mail order).

Providence Health Plan Oregon Standard Gold – $20 and $40 office visit copays.  $60 Urgent Care copay. $1,000 deductible with 20% coinsurance. Generic, preferred brand, and non-preferred brand drug copays are $10, $30, and 50%.

Moda Health Beacon Gold 1500 – $25 and $50 office visit copays.  $25 Urgent Care copay. $1,500 deductible with 25% coinsurance. Value Tier drug copays are $2 and $6 (mail order). Select Tier copays are $10 and $30 (mail order).

Moda Health Beacon Gold 1000 – $15 and $30 office visit copays.  $15 Urgent Care copay. $1,000 deductible with 15% coinsurance. Value Tier drug copays are $2 and $6 (mail order). Select Tier copays are $10 and $30 (mail order).

Moda Health Oregon Standard Gold – $20 and $40 office visit copays.  $60 Urgent Care copay. $1,000 deductible with 20% coinsurance. Value Tier drug copays are $10 and $30 (mail order). Select Tier copays are also $10 and $30 (mail order). Preferred tier copays are $30 and $90.

BridgeSpan Standard Plan EPO OHSU Plus – $20 and $40 office visit copays.  $60 Urgent Care copay. $1,000 deductible with 20% coinsurance. Preferred generic, generic, and preferred brand drug copays are $10, 25%, and $30 ($20, 20%, and $60 mail order).

 

Sample Monthly Oregon Health insurance Rates (Approved by Department Of Insurance)

 

Portland Area Age 30 With Household Income Of $25,000

$36 – Kaiser KP OR Standard Bronze Plan

$37 – Kaiser KP OR Bronze 6550/0% HSA

$41 – Providence Health Plan Connect 7900 Bronze

$48 – Kaiser KP OR Bronze 5000/50

$136 – Kaiser KP OR Silver 3500/30

 

Medford Area Age Married Couple Age 40 And One Child With Household Income Of $65,000

$273 – Providence Health Plan HSA Qualified 6650 Bronze

$278 – Providence Health Plan Oregon Standard Bronze

$288 –  Moda Health Oregon Standard Bronze

$336 – Moda Health Beacon Bronze 6500

$508 – Moda Health Beacon Silver 3500

 

Salem Area Age 45 With Household Income Of $32,000

$101 – Kaiser KP OR Standard Bronze Plan

$101 – Kaiser KP OR Bronze 6550/0% HSA

$116 – Kaiser KP OR Bronze 5000/50

$153 – Providence Health Plan HSA Qualified 6650 Bronze

$227 – Kaiser KP OR Silver 3500/30

 

Eugene Area Married Couple Age 50 And Two Children With Household Income Of $78,000

$169 – Kaiser KP OR Standard Bronze Plan

$171 – Kaiser KP OR Bronze 6550/0% HSA

$213 – Pacific Source OR Standard Bronze Plan SCN

$225 – Kaiser KP OR Bronze 5000/50

$627 – Kaiser KP OR Silver 3500/30

 

Bend Area Age Married Couple Age 62 With Household Income Of $65,000

$0 – Pacific Source OR Standard Bronze Plan SCN

$15 – Pacific Source SmartChoice Bronze HSA 6650

$35 – Providence Health Plan HSA Qualified 6650 Bronze

$43 – Providence Health Plan Oregon Standard Bronze

$363 – Pacific Source OR Standard Silver Plan SCN

 

Temporary Healthcare Plans In Oregon

 

Short-Term Plans

Temporary coverage is designed to provide benefits between 1-12 months. The cost of coverage is inexpensive, and available through several carriers. Shown below are monthly rates (Multnomah County) for several scenarios. Cost of coverage may be different in other counties. Policies can be canceled at any time by the customer.

30-Year-Old-Male

$59 – $10,000 deductible and $500,00 maximum benefits (Companion Life Economy 10000)

$69 – $5,000 deductible and $500,00 maximum benefits (Companion Life Economy 5000)

$72 – $5,000 deductible and $1 million maximum benefits (Everest Reinsurance Flex $5,000 50/50%)

$84 – $2,500 deductible and $1 million maximum benefits (National General 2500 80/20)

$103 – $1,000 deductible and $1 million maximum benefits (Everest Reinsurance Flex $1,000 50/50%)

 

40-Year-Old-Married Couple

$157 – $10,000 deductible and $500,00 maximum benefits (Companion Life Economy 10000)

$191 – $5,000 deductible and $500,00 maximum benefits (Companion Life Economy 5000)

$196 – $5,000 deductible and $1 million maximum benefits (Everest Reinsurance Flex $5,000 50/50%)

$231 – $2,500 deductible and $1 million maximum benefits (Everest Reinsurance Flex $2,500 50/50%)

$288 – $1,000 deductible and $1 million maximum benefits (Everest Reinsurance Flex $1,000 50/50%)

 

40-Year-Old-Married Couple With  Two Children

$219 – $10,000 deductible and $500,00 maximum benefits (Companion Life Economy 10000)

$270 – $5,000 deductible and $500,00 maximum benefits (Companion Life Economy 5000)

$271 – $5,000 deductible and $1 million maximum benefits (Everest Reinsurance Flex $5,000 50/50%)

$321 – $2,500 deductible and $1 million maximum benefits (Everest Reinsurance Flex $2,500 50/50%)

$402 – $1,000 deductible and $1 million maximum benefits (Everest Reinsurance Flex $1,000 50/50%)

 

50-Year-Old-Female

$126 – $10,000 deductible and $500,00 maximum benefits (Companion Life Economy 10000)

$152 – $5,000 deductible and $500,00 maximum benefits (Companion Life Economy 5000)

$180 – $5,000 deductible and $1 million maximum benefits (Companion Life Choice 5000)

$223 – $2,500 deductible and $1 million maximum benefits (Everest Reinsurance Flex $2,500 50/50%)

$268 – $2,000 deductible and $1 million maximum benefits (Companion Life Choice 2000)

 

60-Year-Old-Married Couple

$378 – $10,000 deductible and $500,00 maximum benefits (Companion Life Economy 10000)

$467 – $5,000 deductible and $500,00 maximum benefits (Companion Life Economy 5000)

$531 – $5,000 deductible and $1 million maximum benefits (UnitedHealthcare Medical Value)

$561 – $5,000 deductible and $1 million maximum benefits (Companion Life Choice 5000)

$664 – $2,500 deductible and $1 million maximum benefits (UnitedHealthcare Medical Value)

 

Senior Oregon Medicare Plan Options

The initial enrollment period (IEP) is a seven-month period that is three months before your 65th month of birth, the month of your 65th birthday, and the three months after your 65th month of birth. Legal US residents (five years or longer) are eligible to apply for benefits. Medicare Supplement plans, (Medigap), Part D prescription drug, and Advantage plans are offered to help pay out-of-pocket expenses and provide other benefits. Senior enrollment for 2020 plans begins in October.

 

Oregon Medicare Supplement Plans – Estimated Monthly Male Rates (Age 65)

Plan A

$77 – UnitedHealthcare (AARP)

$122 – Transamerica

$132 – Humana

$137 – Lumico Life

$143 – Loyal American Life

$145 – Regence BCBS

$149 – Mutual Of Omaha

$168 – Manhattan Life

$177 – Continental Life

$194 – Assured Life

 

Plan B

$124 – UnitedHealthcare (AARP)

$143 – Humana

$167 – Loyal American Life

$210 – Assured Life

$223 – Continental Life

 

Plan C

$143 – UnitedHealthcare (AARP)

$181 – Regence BCBS

$190 – Humana

$205 – Loyal American Life

$222 – Manhattan Life

$261 – Assured Life

 

Plan D

$175 – Transamerica

$224 – Assured Life

 

Plan F

$143 – AARP-UnitedHealthcare

$182 – Regence BCBS

$193 – Humana

$197 – Lumico Life

$199 – Mutual Of Omaha

$206 – Transamerica

$213 – Loyal American Life

$224 – Manhattan Life

$193 – Humana

$266 – Continental Life

$276 – Assured Life

 

Plan  F (HD)

$47 – Mutual Of Omaha

$53 – Humana

$102 – Continental Life

 

Plan G

$119 – AARP-UnitedHealthcare

$148 – Mutual Of Omaha

$155 – Lumico Life

$155 – Regence BCBS

$161 – Transamerica

$164 – Loyal American Life

$174 – Manhattan Life

$215 – Continental Life

$226 – Assured Life

 

Plan N

$87 – Everence

$93 – Colonial Penn

$94 – Combined Insurance

$94 – Puritan Life

$99 – State Farm

$99 – USAA

$102 – First Health Life

$103 – Mutual Of Omaha

$104 – Lumico Life

$106 – UnitedHealthcare (AARP)

$108 – Loyal American Life

$114 – Humana

$126 – Moda Health

$136 – Transamerica

$142 – Regence BCBS

 

Compare Medigap Oregon Health Insurance

 

Medicare Advantage Plans

Contracts are offered by the following carriers: Aetna, AllCare, ATRIO, Health Net, Humana, Kaiser Permanente, Moda Health Plan, PacificSource, Providence, Regence BCBS, Samaritan, and UnitedHealthcare. Shown below are plans (and monthly rates) offered in Multnomah County.  Advantage contracts are offered in all counties, although rates and plan availability will vary.

AARP MedicareComplete Plan 2 – $0 per month and $275 deductible. Tiers 1, 2, and 3 prescription drug copays are $4, $12, and $47. Urgent Care and ER copays are $90 and $30-$40. Office visit copays are $5 and $40. The inpatient hospital copay is $430 for days 1-4.

AARP MedicareComplete Choice – $35 per month and $200 deductible. Tiers 1, 2, and 3 prescription drug copays are $3, $10, and $45. Urgent Care and ER copays are $90 and $30-$40. Office visit copays are $0 and $30. The inpatient hospital copay is $350 for days 1-5.

Aetna Medicare Choice Plan – $17 per month and $145 deductible. Tiers 1, 2, and 3 prescription drug copays are $0, $10, and $47. Urgent Care and ER copays are $90 and $0-40. Office visit copays are $0 and $40. The inpatient hospital copay is $375 for days 1-4.

AllCare Advantage Preferred Rx – $33.80 per month and $415 deductible. All formulary drugs subject to 25% coinsurance. Urgent Care and ER coinsurance are 20%. Office visit copays are 20% coinsurance.

ATRIO Bronze Rx – $0 per month and $150 deductible. Tiers 1, 2, and 3 prescription drug copays are $10, $20, and $45. Urgent Care and ER copays are $90 and $15. Office visit copays are $15 and $25. The inpatient hospital copay is $200 for days 1-8.

Health Net Ruby – $0 per month and $125 deductible. Tiers 1, 2, and 3 prescription drug copays are $3, $8, and $37. Urgent Care and ER coinsurance are $25 and $90. Office visit copays are $10 and $35. The inpatient hospital copay is $465 for days 1-4.

Health Net Violet 1 – $120 per month and $95 deductible. Tiers 1, 2, and 3 prescription drug copays are $5, $10, and $37. Urgent Care and ER copays are $120 and $35-$50. Office visit copays are $12 and $25. The inpatient hospital copay is $225 for days 1-7.

Health Net Violet 2 – $19 per month and $150 deductible. Tiers 1, 2, and 3 prescription drug copays are $5, $15, and $37. Urgent Care and ER copays are $90 and $35-$50. Office visit copays are $15 and $30. The inpatient hospital copay is $375 for days 1-4.

Health Net Violet 3 – $0 per month and $200 deductible. Tiers 1, 2, and 3 prescription drug copays are $5, $15, and $37. Urgent Care and ER copays are $90 and $35-$50. Office visit copays are $20 and $40. The inpatient hospital copay is $295 for days 1-4.

Humana Gold Plus – $0 per month and $150 deductible. Tiers 1, 2, and 3 prescription drug copays are $2, $8, and $47. Urgent Care and ER copays are $90 and $0-$40. Office visit copays are $0 and $40. The inpatient hospital copay is $400 for days 1-4.

Kaiser Permanante Senior Advantage Basic – $44 per month and $0 deductible. Tiers 1, 2, and 3 prescription drug copays are $5, $10, and $45. Urgent Care and ER copays are $75 and $35. Office visit copays are $25 and $35. The inpatient hospital copay is $265 for days 1-6.

Kaiser Permanante Senior Advantage – $127 per month and $0 deductible. Tiers 1, 2, and 3 prescription drug copays are $5, $10, and $45. Urgent Care and ER copays are $75 and $25. Office visit copays are $15 and $25. The inpatient hospital copay is $200 for days 1-6.

PacificSource Medicare MyCare Rx 40 – $0 per month and $200 deductible. Tiers 1, 2, and 3 prescription drug copays are $3, $12, and $37. Urgent Care and ER copays are $90 and $40. Office visit copays are $0 and $0-$35. The inpatient hospital copay is $370 for days 1-5.

Providence Medicare Prime + RX – $0 per month and $270 deductible. Tiers 1, 2, and 3 prescription drug copays are $0, $10, and $47. Urgent Care and ER copays are $90 and $65. Office visit copays are $0 and $40. The inpatient hospital copay is $450 for days 1-4.

Providence Medicare Choice + RX – $88 per month and $240 deductible. Tiers 1, 2, and 3 prescription drug copays are $4, $13, and $47. Urgent Care and ER copays are $90 and $60. Office visit copays are $15 and $30. The inpatient hospital copay is $300 for days 1-6.

Regence BlueAdvantage HMO – $0 per month and $200 deductible. Tiers 1, 2, and 3 prescription drug copays are $3, $12, and $40. Urgent Care and ER copays are $90 and $40. Office visit copays are $5 and $40. The inpatient hospital copay is $430 for days 1-4.

Regence MedAdvantage + Rx Primary – $19 per month and $300 deductible. Tiers 1, 2, and 3 prescription drug copays are $3, $13, and $40. Urgent Care and ER copays are $90 and $45. Office visit copays are $15 and $45. The inpatient hospital copay is $400 for days 1-4.

Regence MedAdvantage + Rx Classic – $76 per month and $250 deductible. Tiers 1, 2, and 3 prescription drug copays are $3, $13, and $40. Urgent Care and ER copays are $90 and $40. Office visit copays are $10 and $40. The inpatient hospital copay is $395 for days 1-4.

 

Medicare Part D Prescription Drug Plans

Aetna Medicare Rx Select – $15.40 per month premium and $370 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $2, $47, 40%, and 25%. 3,743 formulary drugs are available.

Aetna Medicare Rx Saver – $32.50 per month premium and $320 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $2, $30, 35%, and 26%. 3,291 formulary drugs are available.

AARP MedicareRx Walgreens – $28.00 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $5, $30, 32%, and 25%. 2,898 formulary drugs are available.

AARP MedicareRx Saver Plus – $33.80 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $6, $25, 33%, and 25%. 2,964 formulary drugs are available.

Cigna-HealthSpring Rx Secure-Essential – $21.80 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $3, 20%, 50%, and 25%. 3,161 formulary drugs are available.

Cigna-HealthSpring Rx Secure – $27.80 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $3, $30, 37%, and 25%. 3,195 formulary drugs are available.

Cigna-HealthSpring Rx Secure-Extra – $49.40 per month premium and $100 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $4, $10, $42, 50%, and 31%. 3,320 formulary drugs are available.

EnvisionRxPlus – $14.50 per month premium and $365 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $6, $35, 37%, and 25%. 2,973 formulary drugs are available.

Express Scripts Medicare-Saver – $24.00 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $4, 18%, 31%, and 25%. 2,810 formulary drugs are available.

Express Scripts Medicare-Value – $47.20 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $3, $25, 42%, and 25%. 2,931 formulary drugs are available.

Humana Walmart Rx Plan – $26.60 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $4, 20%, 35%, and 25%. 3,071 formulary drugs are available.

Humana Preferred Rx Plan – $34.00 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $1, 25%, 39%, and 25%. 2,992 formulary drugs are available.

Mutual Of Omaha Rx Value – $29.40 per month premium and $370 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $4, 15%, 33%, and 25%. 2,810 formulary drugs are available.

Mutual Of Omaha Rx Plus – $45.00 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $3, $5, $25, 48%, and 25%. 3.189 formulary drugs are available.

SilverScript Choice – $32.50 per month premium and $0 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $3, $10, $34, 34%, and 33%. 3,005 formulary drugs are available.

WellCare Value Script – $16.90 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $3, $37, 46%, and 25%. 3,337 formulary drugs are available.

WellCare Classic – $33.40 per month premium and $415 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $5, $37, 40%, and 25%. 2,999 formulary drugs are available.

 

Oregon Health Plan

Oregon Health Plan (OHP) is the Medicaid program offered to state residents. OHP with Limited Drug is available for adults that qualify for Medicare Part D and Medicaid. OHP Plus Supplemental  covers pregnant females age 21 or over. And OHP Plus covers adults (ages 19-64) and children (ages 0-18). Applications can be submitted online or with a paper application at any time of the year since there is no designated Open Enrollment period.

Covered benefits include chemical dependency care, dental, hearing, home health, hospice care, hospital care, immunizations, vaccines, labor and delivery, x-rays, lab tests, labor, delivery, postpartum care, physician and nurse practitioner office visits, medical supplies and equipment, mental therapy and treatment, occupational, speech, and physical therapy, prescription drugs, and vision.

Benefits need to be renewed each year. Renewal notices will be sent at different times, depending on the policy effective date. The client customer services departments can assist with finding a provider, setting appointments,

Maximum household income requirements are listed below:

Adults (ages 19-64) – $1,436 – single person. $1,945 – two-person family. $2,961 – four-person family.

Children (ages 0-18) – $4,298 – two-person family. $6,545 – four-person family.

Households with pregnant women – $2,677 – single pregnant woman. $4,077 – four-person family. $5,477 – six-person family.