CareOregon Advantage Plus (HMO-POS D-SNP)

Medicare Plan Details (2022 Plan)


Monthly Premium

 

by CareOregon Advantage
Additional Coverage
HearingVisionDental
Overall Government Star Rating
 4.0
out of 5 stars

Ready to Enroll Online?


Plan Type

Medicare Advantage (Part C) with Prescription Drug (Part D)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B + Part D

 

$41
$0
$41
$0 or $233 per year for some in-network and out-of-network services.
$3,400 In and Out-of-network
$3,400 In-network
No
Yes
Yes
Yes

Doctor Services

In-network: 0% or 20% coinsurance per visit
Out-of-network: 20% coinsurance per visit
In-network: 0% or 20% coinsurance per visit
Out-of-network: 20% coinsurance per visit

Tests, labs, & imaging

In-network: 0% or 20% coinsurance
Out-of-network: No Data
In-network: 0% or 20% coinsurance
Out-of-network: No Data
In-network: 0% or 20% coinsurance
Out-of-network: No Data
In-network: 0% or 20% coinsurance
Out-of-network: No Data
0% or 20% coinsurance per visit (always covered)
0% or 20% coinsurance per visit (always covered)

Hospital Services

In-network: In 2022 the amounts for each benefit period are $0 or:
$1,556 deductible for days 1 through 60
$389 copay per day for days 61 through 90
Out-of-network: Not Applicable
In-network: 0% or 20% coinsurance per visit
Out-of-network: No Data

Skilled nursing facility

In-network: In 2022 the amounts for each benefit period are $0 or:
$0 copay for days 1 through 20
$194.50 copay per day for days 21 through 100
Out-of-network: Not Applicable

Preventive services

In-network: $0 copay
Out-of-network: No Data

Ambulance

In-network: 0% or 20% coinsurance
Out-of-network: No Data

Therapy services

In-network: 0% or 20% coinsurance
Out-of-network: No Data
In-network: 0% or 20% coinsurance
Out-of-network: No Data

Mental health services

In-network: 0% or 20% coinsurance
Out-of-network: No Data
In-network: 0% or 20% coinsurance
Out-of-network: No Data
In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance
In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Opioid treatment services

Covered

Other services

In-network: 0% or 20% coinsurance per item
Out-of-network: No Data
In-network: 0% or 20% coinsurance per item
Out-of-network: No Data
In-network: 0% or 20% coinsurance per item
Out-of-network: No Data

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

TiersInitial coverage phaseGap coverage phaseCatastrophic coverage phase
Preferred Generic


Generic drugs :
25%

Brand-name drugs :
25%


Generic drugs :
$3.95 copay or 5% (whichever costs more)

Brand-name drugs :
$9.85 copay or 5% (whichever costs more)

Generic
Preferred Brand
Non-Preferred Drug
Specialty Tier

Part B Drugs

In-network: 0% or 20% coinsurance
Out-of-network: No Data
In-network: 0% or 20% coinsurance
Out-of-network: No Data

Hearing

In-network: 0% or 20% coinsurance
Out-of-network: No Data
Not covered
Not covered
Not covered
Not covered

Preventive Dental

In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data

Comprehensive dental

In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data

Vision

In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
Not covered
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data

Other benefits

Limited coverage
Limited coverage
Not covered
Not covered
Limited coverage
Limited coverage
Limited coverage
 4
 3
 4
 3
 4
 5
 4.5
 4
 5
No Rating
 4

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?

Advertisement

Medicare Health Plans

Get Advice & Sign Up Help
TTY 711

Speak with a Licensed Insurance Agent

Medicare65quote

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! Plan availability depends on your location. Licensed agents may not be able to provide assistance for all plans shown on this site.