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 (Medicare and under-65) 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 Navigator Catastrophic – No charge for first three pcp office visits. $8,150 deductible with 0% coinsurance.

Kaiser KP OR Catastrophic 8150/0 – No charge for first three pcp office visits. $8,150 deductible with 0% coinsurance.

 

Bronze Tier

Kaiser KP OR Standard Bronze Plan – $7,900 deductible with 0% coinsurance. $45 and $90 office visit copays. Generic drug copay is $15 ($30 mail order).

Kaiser KP OR Bronze 5000/50 – $5,000 deductible with 35% coinsurance. $50 office visit copay. Generic drug copay is $30 ($60 mail order).

Kaiser KP OR Bronze 6900/0% HSA – 16 – HSA-eligible option with $6,900 deductible and 0% coinsurance.

Pacific Source Navigator Bronze HSA 6750 – HSA-eligible option with $6,750 deductible and 0% coinsurance.

Pacific Source Navigator Bronze 7000 – $7,000 deductible with three pcp office visits provided with a $35 copay. Urgent Care also has a $35 copay.

Pacific Source OR Standard Bronze – $7,900 deductible with 0% coinsurance with $45 and $90 office visit copays. Generic drug copay is $15 ($30 mail order).

Providence Connect 8150 Bronze – $70 and $100 office visit copays.  $100 Urgent Care copay. $8,150 deductible with 0% coinsurance. Preferred and non-preferred drug copays are $35 and $65.

Providence Health Plan HSA Qualified 6750 Bronze – HSA-eligible option with $6,750 deductible and 0% coinsurance.

Providence Health Plan Oregon Standard Bronze – $45 and $90 office visit copays. Generic drug copays are $15 and $30 (mail order).  $7,900 deductible with 0% coinsurance.

Moda Health Oregon Standard Bronze – $45 and $90 office visit copays.  Value tier and Select tier drug copays are $15 and $30 (mail order). $7,900 deductible with 0% coinsurance.

Moda Health Beacon Bronze 6500 – $85 and $120 office visit copays ($75 for virtual care visits).  $85 Urgent Care copay ($75 virtual care). $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.

BridgeSpan Bronze HDHP 6000 EPO OHSU Plus – HSA-eligible option with $6,000 deductible and 50% coinsurance.

BridgeSpan Bronze On Demand 8000 EPO OHSU Plus – $8,000 deductible with 20% coinsurance. $30 pcp office visit copay and $15 ($30 mail order) preferred generic drug copay.

BridgeSpan Bronze Essential 7500 EPO OHSU Plus – $7,500 deductible with 10% coinsurance. $60 office visit and Urgent Care copay.  $15 ($30 mail order) preferred generic drug copay.

BridgeSpan Standard Bronze Plan  7900 EPO OHSU Plus – $7,900 deductible with 0% coinsurance. $45 and $90 office visit copays.  $15 ($30 mail order) preferred generic drug copay.

 

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 NAV – $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).

PacificSource Navigator Gold 1500 – $20 and $40 office visit copays.  $20 Urgent Care copay. $1,500 deductible with 20% coinsurance. Tier 1, Tier 2, and Tier 3 drug copays are $15, $60, and 20% ($30, $180, and 20% 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. Policy renewals may require medical underwriting.

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  begins in October.

 

Oregon Medicare Supplement Plans – Estimated Monthly Male Rates For Multnomah County (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

$178 – Assured Life

$215 – Continental Life

$226 – Assured Life

 

Plan N

$96 – AARP-UnitedHealthcare

$113 – Mutual Of Omaha

$122 – Humana

$126 – Lumico Life

$132 – Loyal American Life

$141 – Manhattan Life

$142 – Regence BCBS

$178 – Assured Life

$180 – Continental Life

 

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 Medicare Advantage Plan 2 – $0 per month and $150 deductible. Tiers 1, 2, and 3 prescription drug copays are $4, $12, and $47. Urgent Care and ER copays are $40 and $90. Office visit copays are $0 and $40. The inpatient hospital copay is $400 for days 1-4. The Plan Star Rating is 4.5.

AARP Medicare Advantage Choice – $32 per month and $150 deductible. Tiers 1, 2, and 3 prescription drug copays are $0, $5, and $47. Urgent Care and ER copays are $30-$40 and $90. Office visit copays are $0 and $30. The inpatient hospital copay is $300 for days 1-5. The Plan Star Rating is 4.0.

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 $40 and $90. Office visit copays are $0 and $40. The inpatient hospital copay is $375 for days 1-5.

Aetna Medicare Elite Plan – $0 per month and $0 deductible. Tiers 1, 2, and 3 prescription drug copays are $0, $0, and $47. Urgent Care and ER copays are $25 and $90. Office visit copays are $0 and $25. The inpatient hospital copay is $295 for days 1-4.

Aetna Medicare ValuePlan – $0 per month and $0 deductible. Tiers 1, 2, and 3 prescription drug copays are $0, $10, and $47. Urgent Care and ER copays are $35 and $90. Office visit copays are $0 and $35. The inpatient hospital copay is $390 for days 1-4.

Aetna Medicare Select Plan – $46 per month and $0 deductible. Tiers 1, 2, and 3 prescription drug copays are $2, $5, and $47. Urgent Care and ER copays are $30 and $90. Office visit copays are $0 and $30. The inpatient hospital copay is $325 for days 1-5.

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 $0 and $45. 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. 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. Office visit copays are $15 and $30. The inpatient hospital copay is $375 for days 1-4.

Health Net Aqua – $0 per month and no prescription drug benefits.. Urgent Care and ER copays are $120 and $25. Office visit copays are $12 and $25. The inpatient hospital copay is $175 for days 1-8.

 

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

AARP MedicareRx Walgreens – $34.10 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $5, $40, 32%, and 25%. 2,898 formulary drugs are available.

AARP MedicareRx Saver Plus – $31.00 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $6, $26, 35%, and 25%. 2,964 formulary drugs are available.

AARP MedicareRx Preferred – $77.80 per month premium and $0 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $5, $10, $45, 40%, and 33%. 2,964 formulary drugs are available.

Asuris Medicare Script Saver – $38.00 per month premium and $260 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $3, $10, $40, 40%, and 28%. 2,898 formulary drugs are available.

Asuris Medicare Script Basic – $91.00 per month premium and $260 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $3, $10, $40, 40%, and 28%. 2,898 formulary drugs are available.

Asuris Medicare Script Enhanced – $120.00 per month premium and $0 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $3, $10, $47, 40%, and 33%. 2,898 formulary drugs are available.

Cigna-HealthSpring Rx Secure-Essential – $22.10 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $2, 18%, 43%, and 25%. 3,161 formulary drugs are available.

Cigna-HealthSpring Rx Secure – $31.10 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $2, $30, 35%, and 25%. 3,195 formulary drugs are available.

Cigna-HealthSpring Rx Secure-Extra – $46.30 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.

Clear Spring Health Premier Rx – $15.60 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $3, $40, 40%, and 25%. 2,999 formulary drugs are available.

Clear Spring Health Value Rx – $30.50 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $3, $45, 38%, and 25%. 2,999 formulary drugs are available.

EnvisionRxPlus – $14.20 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $7, $35, 33%, and 25%. 2,973 formulary drugs are available.

Express Scripts Medicare-Saver – $29.30 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $4, $30, 47%, and 25%. 2,810 formulary drugs are available.

Express Scripts Medicare-Value – $53.80 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $3, $25, 44%, and 25%. 2,931 formulary drugs are available.

Express Scripts Medicare-Choice – $83.70 per month premium and $250 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $2, $7, $42, 48%, and 28%. 2,931 formulary drugs are available.

Humana Walmart Value Rx Plan – $13.20 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $4, $47, 35%, and 25%. 3,071 formulary drugs are available.

Humana Basic Rx Plan – $13.20 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $1, 25%, 41%, and 25%. 3,071 formulary drugs are available.

Humana Premier Rx Plan – $56.60 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $4, $42, 44%, and 25%. 2,992 formulary drugs are available.

Mutual Of Omaha Rx Value – $24.00 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $2, $25, 43%, and 25%. 2,810 formulary drugs are available.

Mutual Of Omaha Rx Plus – $56.30 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $6, $42, 48%, and 25%. 3.189 formulary drugs are available.

SilverScript Choice – $31.30 per month premium and $245 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $1, $47, 38%, and 28%. 3,005 formulary drugs are available.

SilverScript Plus – $85.00 per month premium and $0 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $2, $47, 50%, and 33%. 3,005 formulary drugs are available.

WellCare Value Script – $18.30 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $4, $43, 47%, and 25%. 3,337 formulary drugs are available.

WellCare Classic – $30.20 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $1, $29, 33%, and 25%. 2,999 formulary drugs are available.

WellCare Medicare Rx Select – $20.10 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $3, $47, 42%, and 25%. 2,999 formulary drugs are available.

WellCare Wellness Rx – $15.70 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $5, $40, 46%, and 25%. 2,999 formulary drugs are available.

WellCare Medicare Rx Saver – $32.60 per month premium and $435 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $0, $2, $28, 38%, and 25%. 2,999 formulary drugs are available.

WellCare Medicare Rx Value Plus – $67.30 per month premium and $0 deductible. Tier 1, 2, 3, 4, and 5 30-day drug copays are $1, $4, $47, 48%, and 33%. 2,999 formulary drugs are available.

Oregon PDP Statistics

Number of drug plans – 28

Number of plans that cost less than $25 per month – 8

Number of $0 deductible plans – 4

Least expensive $0 deductible plan – $67.30 per month

Lowest cost monthly premium – $13.20

Most expensive monthly premium – $120

Average monthly premium – $42.90

 

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.