AgeRight Advantage Plus Health Plan (HMO I-SNP)

Oregon Institutional Special Needs I-SNP Plan (2024 Plan)


Monthly Premium

Your Cost
$55
by AgeRight Advantage

Additional Coverage

HearingVisionDental

Overall Government Star Rating

No Rating (new plan)

Ready to Enroll Online?


Plan Name
AgeRight Advantage Plus Health Plan (HMO I-SNP)
Insurance Carrier
AgeRight Advantage
Plan Type
Institutional Special Needs Plan (I-SNP)
Network Type
HMO

AgeRight Advantage Plus Health Plan (HMO I-SNP) is a Institutional Special Needs Plan (I-SNP), which is available in Oregon and offered by the health insurance company AgeRight Advantage. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium
$55
Annual Deductible
$240 per year for in-network services.
Max Out-of-Pocket
$6,500
Primary doctor visit
$0 copay
Specialist visit
$20 copay per visit
ER visit
$90 copay per visit (always covered)
Ambulance
$250 copay

AgeRight Advantage Plus Health Plan (HMO I-SNP) has a monthly premium cost of $55 per month, with an annual deductible of $240 per year for in-network services. and a maximum out of pocket cost sharing of $6,500 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for AgeRight Advantage Plus Health Plan (HMO I-SNP) are defined below.

Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

AgeRight Advantage Plus Health Plan (HMO I-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. AgeRight Advantage Plus Health Plan (HMO I-SNP) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. AgeRight Advantage Plus Health Plan (HMO I-SNP) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Not covered
Home and bathroom safety devices
Not covered
Meals for short duration
Not covered
Annual physical exams
Not covered
Telehealth
Limited coverage

Monthly Premium
$55
Health Portion of Premium
$24
Drug Portion of Premium
$31
Health Plan Deductible
$240 per year for in-network services.
Health Plan Max Out-of-Pocket
$6,500 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes

Doctor Services

Primary doctor visit
$0 copay
Specialist visit
$20 copay per visit

Tests, labs, & imaging

Diagnostic tests & procedures
20% coinsurance
Lab services
$0 copay
Diagnostic radiology services (like MRI)
20% coinsurance
Outpatient x-rays
20% coinsurance
Emergency care
$90 copay per visit (always covered)
Urgent care
20% coinsurance per visit (always covered)

Hospital Services

Inpatient hospital coverage
$276.70 per day for days 1 through 7
$0 per day for days 8 through 90
Outpatient hospital coverage
20% coinsurance per visit

Skilled nursing facility

Skilled nursing facility
In 2024 the amounts for each benefit period are:
$0 copay for days 1 through 20
$204 copay per day for days 21 through 100

Preventive services

Preventive services
$0 copay

Ambulance

Ground ambulance
$250 copay

Therapy services

Occupational therapy visit
20% coinsurance
Physical therapy & speech & language therapy visit
20% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist
20% coinsurance
Outpatient individual therapy with a psychiatrist
20% coinsurance
Outpatient group therapy visit
$20 copay
Outpatient individual therapy visit
$20 copay

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
20% coinsurance per item
Prosthetics (like braces, artificial limbs)
20% coinsurance per item
Diabetes supplies
$0 copay

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phaseCatastrophic coverage phase
Preferred Generic$0.00 copay


Generic drugs :
25%

Brand-name drugs :
25%


Generic drugs :
$0 copay

Brand-name drugs :
$0 copay

Generic$15.00 copay
Preferred Brand$45.00 copay
Non-Preferred Drug
Specialty Tier28%

Part B Drugs

Chemotherapy drugs
0-20% coinsurance
Other Part B drugs
0-20% coinsurance

Hearing

Hearing exam
20% coinsurance
Fitting/evaluation
$0 copay
Hearing aids - All types
$0 copay

Preventive Dental

Oral exam
$0 copay
Cleaning
$0 copay
Fluoride treatment
Not covered
Dental x-rays
$0 copay

Comprehensive dental

Non-routine services
$0 copay
Diagnostic services
$0 copay
Restorative services
$0 copay
Endodontics
$0 copay
Periodontics
$0 copay
Extractions
$0 copay
Prosthodontics, other oral/maxillofacial surgery, other services
$0 copay

Vision

Routine eye exam
$0 copay
Contact lenses
$0 copay
Eyeglasses (frames & lenses)
$0 copay
Eyeglass frames (only)
$0 copay
Eyeglass lenses (only)
$0 copay
Upgrades
$0 copay

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 


Ready to Enroll Online?

Please Support Our Sponsor

Advertisement

Medicare Health Plans

Get Advice & Sign Up Help

TTY 711

Speak with a Licensed Insurance Agent

Mon-Fri: 8am - 11pm ET
Sat-Sun: 8am - 11pm ET

Medicare65quote

  • Medicare Advantage Plans
  • Medicare Prescription Drug Plans
  • Medicare Supplement Insurance Plans

No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.

Related Articles
Best Oregon Medicare Advantage Health Insurance Companies for 2024

In this article we rank Oregon Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.

Read more →