ATRIO Special Needs Plan (HMO D-SNP)
Oregon Medicare-Medicaid Dual Eligible D-SNP Plan (2024 Plan)
Overall Government Star Rating3.0
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ATRIO Special Needs Plan (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Oregon and offered by the health insurance company ATRIO Health Plans. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
ATRIO Special Needs Plan (HMO D-SNP) has a monthly premium cost of $41 per month, with an annual deductible of $0 or $240 per year for in-network services. and a maximum out of pocket cost sharing of $6,700 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 ATRIO Special Needs Plan (HMO D-SNP) are defined below.
Additional Benefits and Coverage
ATRIO Special Needs Plan (HMO D-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. ATRIO Special Needs Plan (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. ATRIO Special Needs Plan (HMO D-SNP) includes coverage for the following additional benefits:
Comparing the Quality Score of ATRIO Special Needs Plan (HMO D-SNP) to Other Plans in Oregon
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, ATRIO Special Needs Plan (HMO D-SNP) received an overall government quality rating of 3.0 stars out of 5 stars.
ATRIO Special Needs Plan (HMO D-SNP) performed worse than Oregon’s State average overall quality score of 3.2 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
ATRIO Special Needs Plan (HMO D-SNP) received 3 stars for its health plan quality score which is worse than the Oregon State average health plan quality score of 3.2 stars.
ATRIO Special Needs Plan (HMO D-SNP) received 3 stars for its drug plan quality score which is worse than the Oregon State average drug plan quality score of 3.3 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
0% or 8% per day for days 7 through 10
0% or 20% per day for days 11 through 90
Skilled nursing facility
0% or 10% per day for days 21 through 100
Mental health services
Opioid treatment services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
|Tiers||Initial coverage phase||Gap coverage phase||Catastrophic coverage phase|
Brand-name drugs :
Brand-name drugs :
Part B Drugs
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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.
The Medicare landscape in Oregon is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Oregon.