Best Gresham, Oregon Medicare Companies & Plans (2024)
Gresham, Oregon Medicare plans include Advantage plans from private health insurance companies as well as standalone Part D prescription drug coverage. For those that prefer original Medicare, Gresham, OR supplemental plans are also available. Medicare plans in Gresham, Oregon are sold by both large national companies and local insurers.
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Laura D. Adams
Insurance & Finance Analyst
Laura Adams is one of the nation’s leading finance, insurance, and small business authorities. As an award-winning author, spokesperson, and host of the top-rated Money Girl podcast since 2008, millions of readers and listeners benefit from her practical advice. Her mission is to empower consumers to live healthy and rich lives by planning for the future and making smart money decisions. She rec...
Insurance & Finance Analyst
UPDATED: Mar 8, 2024
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UPDATED: Mar 8, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Options for Medicare supplement in Gresham, Oregon include Medigap Plan F-high deductible and Medigap Plan M
- Medicare Advantage plans are available in Gresham with both PPO and HMO networks
- Medicare Advantage plans in Gresham, Oregon may include prescription drug coverage, or you may need to buy Part D coverage separately
If you’re eligible for Medicare in Gresham, Oregon, you have a lot of choices. Major health insurance companies provide Gresham, Oregon Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Gresham, OR Part D coverage or buy prescription coverage as a standalone policy.
Gresham, Oregon Medicare supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that Gresham original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy Gresham, Oregon Medicare coverage? Enter your ZIP code to compare Gresham, OR Medicare options available to you right now.
Medicare Advantage Companies in Gresham, Oregon
Medicare Advantage in Gresham, Oregon is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in Gresham, OR offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Medicare Advantage Companies in Gresham, Oregon
Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
---|---|---|---|---|---|
AARP Medicare Advantage Choice (PPO) – H2228-029-0 | $32.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 31% | $4,500 |
AARP Medicare Advantage Patriot (PPO) – H2228-088-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,600 |
AARP Medicare Advantage Plan 1 (HMO) – H3805-001-0 | $72.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $3,500 |
AARP Medicare Advantage Plan 2 (HMO) – H3805-036-0 | $0.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $5,600 |
AARP Medicare Advantage Walgreens (PPO) – H2228-084-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $5,600 |
Aetna Medicare Choice Plan (PPO) – H9431-005-0 | $19.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
Aetna Medicare Elite Plan (HMO) – H2056-003-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,900 |
Aetna Medicare Select Plan (PPO) – H9431-008-0 | $49.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,000 |
Aetna Medicare Value Plan (HMO) – H2056-004-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,000 |
AgeRight Advantage Health Plan (HMO I-SNP) – H1372-001-0 | $36.00 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% | n/a |
CareOregon Advantage Plus (HMO-POS D-SNP) – H5859-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Generic: 25%, Brand: 25% | n/a |
Health Net Aqua (PPO) – H5439-010-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $2,500 |
Health Net Medicare Complement (HMO) – H6815-037-0 | $12.00 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | $5,600 |
Health Net Ruby (HMO) – H6815-038-0 | $0.00 | $125 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $8.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | $6,600 |
Health Net Violet 1 (PPO) – H5439-011-0 | $121.00 | $95 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 31%, Select Care Drugs: $0.00 | $4,000 |
Health Net Violet 2 (PPO) – H5439-018-0 | $29.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | $6,900 |
Health Net Violet 3 (PPO) – H5439-015-0 | $0.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 29%, Select Care Drugs: $0.00 | $7,550 |
Humana Gold Plus H1036-153 (HMO) – H1036-153-0 | $0.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $5,700 |
Humana Honor (PPO) – H5216-046-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 |
HumanaChoice H5216-048 (PPO) – H5216-048-0 | $201.00 | $320 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $16.00, Generic: $18.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
HumanaChoice H5216-247 (PPO) – H5216-247-0 | $0.00 | $400 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $7,550 |
Kaiser Permanente Senior Advantage Enhanced (HMO) – H9003-001-0 | $127.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Brand: $90.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,000 |
Kaiser Permanente Senior Advantage Standard (HMO) – H9003-006-0 | $44.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Brand: $90.00, Specialty Tier: 33%, Vaccines: $0.00 | $4,900 |
Kaiser Permanente Senior Advantage Value (HMO) – H9003-009-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Brand: $90.00, Specialty Tier: 33%, Vaccines: $0.00 | $5,600 |
Lasso Healthcare Growth (MSA) – H1924-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
Moda Health Metro PPORX (PPO) – H3813-013-0 | $97.00 | $285 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 28%, Vaccines: $0.00 | $5,500 |
Moda Health PPO (PPO) – H3813-001-0 | $18.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,500 |
Moda Health PPORX Enhanced (PPO) – H3813-009-0 | $196.00 | $175 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 30%, Vaccines: $0.00 | $3,900 |
PacificSource Medicare MyCare Rx 39 (HMO) – H3864-039-0 | $68.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $37.00, Non-Preferred Drug: 31%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,950 |
PacificSource Medicare MyCare Rx 40 (HMO) – H3864-040-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $37.00, Non-Preferred Drug: 31%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,950 |
Providence Medicare Bridge 1 + RX (HMO-POS) – H9047-059-0 | $35.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $4,900 |
Providence Medicare Choice + RX (HMO-POS) – H9047-056-1 | $92.00 | $240 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $13.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,500 |
Providence Medicare Dual Plus (HMO D-SNP) – H9047-043-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | n/a |
Providence Medicare Extra + RX (HMO) – H9047-055-1 | $173.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $3,400 |
Providence Medicare Focus Medical (HMO) – H9047-033-0 | $128.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
Providence Medicare Prime + RX (HMO) – H9047-037-0 | $0.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $5,900 |
Providence Medicare Select Medical (HMO-POS) – H9047-035-0 | $51.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 |
Regence BlueAdvantage HMO (HMO) – H6237-007-1 | $0.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 29% | $5,500 |
Regence BlueAdvantage HMO Plus (HMO) – H6237-008-1 | $42.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $8.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 31% | $4,900 |
Regence MedAdvantage + Rx Classic (PPO) – H3817-008-1 | $47.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 30% | $5,700 |
Regence MedAdvantage + Rx Enhanced (PPO) – H3817-009-1 | $174.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $8.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 33% | $5,000 |
Regence MedAdvantage + Rx Primary (PPO) – H3817-011-1 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 28% | $6,200 |
Regence Valiance (HMO) – H6237-006-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 |
Regence Valiance (PPO) – H3817-010-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 |
UnitedHealthcare Assisted Living Plan 1 (PPO I-SNP) – H2228-017-0 | $30.60 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | n/a |
UnitedHealthcare Assisted Living Plan 2 (PPO I-SNP) – H0710-037-0 | $36.00 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | n/a |
UnitedHealthcare Medicare Advantage Assure (PPO) – H0271-022-0 | $36.00 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | $7,550 |
UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP) – H2228-016-0 | $36.00 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) – H0710-036-0 | $30.70 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
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Medicare Supplement Companies in Gresham, Oregon
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With a Gresham, Oregon Medicare supplement plan, you can get coverage for some or all of those costs. Medicare supplement plans in Oregon are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in Gresham, Oregon
Company | Plans |
---|---|
AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan K, Medigap Plan L, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan K, Medigap Plan L, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan K, Medigap Plan L, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan K, Medigap Plan L, Medigap Plan N |
Accendo Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan N |
Cigna Health & Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan N |
Cigna Health & Life Insurance Company (w/ 11% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan N |
Cigna Health & Life Insurance Company (w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan N |
Colonial Penn Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
Colonial Penn Life Insurance Company (Substandard) | Medigap Plan A, Medigap Plan B, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
Continental Life Insurance Company of Brentwood, Tennessee (Aetna) | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan N |
Everence Association Inc. | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan L, Medigap Plan N |
GPM Health and Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan N |
Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G-high deductible, Medigap Plan N |
Humana (Humana Insurance Company) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
Humana (Humana Insurance Company) (Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
Humana Healthy Living (Humana Insurance Company) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan K, Medigap Plan N |
Humana Healthy Living (Humana Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan K, Medigap Plan N |
Lumico Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan N |
Manhattan Life Assurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan N |
Moda Health Plan, Inc. | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G-high deductible, Medigap Plan N |
National Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan N |
National Health Insurance Company (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan N |
Omaha Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G-high deductible, Medigap Plan N |
Providence Health Assurance | Medigap Plan A, Medigap Plan N |
Puritan Life Insurance Company of America | Medigap Plan A, Medigap Plan F, Medigap Plan N |
Regence Blue Cross BlueShield of Oregon | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan K, Medigap Plan N |
Sentinel Security Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan N |
State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan N |
Transamerica Life Insurance Company (Direct) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan N |
United American Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
United Commercial Travelers of America | Medigap Plan A, Medigap Plan F, Medigap Plan N |
Gresham, Oregon Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard Oregon Medicare supplement plans? Take a look at all of the Gresham, Oregon Medicare supplement plans with coverage details.
Read more: Best Nursing Homes That Will Accept Medicare
Gresham, Oregon Standard Medicare Plan Coverage
Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
---|---|---|---|---|
Medigap Plan A | Premiums range from $75-$823 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan B | Premiums range from $122-$637 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan C | Premiums range from $141-$681 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan D | Premiums range from $130-$565 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan F | Premiums range from $141-$944 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan F-high deductible | Premiums range from $27-$202 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan G | Premiums range from $117-$737 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan G-high deductible | Premiums range from $27-$158 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan K | Premiums range from $39-$295 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan L | Premiums range from $78-$568 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan M | Premiums range from $128-$659 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan N | Premiums range from $93-$533 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in Gresham, Oregon
Prescription drug coverage for Medicare in Gresham, Oregon is covered by a Part D plan. You can purchase Part D coverage in Gresham, Oregon as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in Gresham, Oregon
Plan | Details | Tiers |
---|---|---|
SilverScript SmartRx (PDP) S5601 – 205 – 0 by Aetna Medicare |
Monthly Premium: $6.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
Clear Spring Health Premier Rx (PDP) S6946 – 054 – 0 by Clear Spring Health |
Monthly Premium: $14.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 25% |
Elixir RxPlus (PDP) S7694 – 136 – 0 by Elixir Insurance |
Monthly Premium: $14.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
Humana Walmart Value Rx Plan (PDP) S5884 – 209 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 18% Tier 4: 35% Tier 5: 25% |
WellCare Wellness Rx (PDP) S4802 – 199 – 0 by WellCare |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
WellCare Value Script (PDP) S4802 – 135 – 0 by WellCare |
Monthly Premium: $18.70 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $4.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
Cigna Secure-Essential Rx (PDP) S5617 – 309 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 50% Tier 5: 25% |
WellCare Medicare Rx Select (PDP) S5810 – 306 – 0 by WellCare |
Monthly Premium: $24.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
Mutual of Omaha Rx Premier (PDP) S7126 – 099 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 41% Tier 5: 25% |
Express Scripts Medicare – Saver (PDP) S5660 – 246 – 0 by Express Scripts Medicare |
Monthly Premium: $29.50 Annual Deductable: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
Express Scripts Medicare – Value (PDP) S5660 – 132 – 0 by Express Scripts Medicare |
Monthly Premium: $30.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 47% Tier 5: 25% |
WellCare Classic (PDP) S4802 – 020 – 0 by WellCare |
Monthly Premium: $30.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: $25.00 Tier 4: 33% Tier 5: 25% |
Clear Spring Health Value Rx (PDP) S6946 – 025 – 0 by Clear Spring Health |
Monthly Premium: $31.10 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 34% Tier 5: 25% |
SilverScript Choice (PDP) S5601 – 060 – 0 by Aetna Medicare |
Monthly Premium: $31.30 Annual Deductable: $260 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 43% Tier 5: 28% |
AARP MedicareRx Saver Plus (PDP) S5921 – 374 – 0 by UnitedHealthcare |
Monthly Premium: $32.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $32.00 Tier 4: 40% Tier 5: 25% |
Elixir RxSecure (PDP) S7694 – 030 – 0 by Elixir Insurance |
Monthly Premium: $32.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 35% Tier 5: 25% |
Cigna Secure Rx (PDP) S5617 – 148 – 0 by Cigna |
Monthly Premium: $33.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $36.00 Tier 4: 50% Tier 5: 25% |
WellCare Medicare Rx Saver (PDP) S5810 – 064 – 0 by WellCare |
Monthly Premium: $33.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $35.00 Tier 4: 41% Tier 5: 25% |
AARP MedicareRx Walgreens (PDP) S5921 – 411 – 0 by UnitedHealthcare |
Monthly Premium: $34.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
Humana Basic Rx Plan (PDP) S5884 – 113 – 0 by Humana |
Monthly Premium: $34.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 34% Tier 5: 25% |
Cigna Secure-Extra Rx (PDP) S5617 – 275 – 0 by Cigna |
Monthly Premium: $40.30 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
Humana Premier Rx Plan (PDP) S5884 – 176 – 0 by Humana |
Monthly Premium: $65.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
Express Scripts Medicare – Choice (PDP) S5660 – 215 – 0 by Express Scripts Medicare |
Monthly Premium: $71.60 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
WellCare Medicare Rx Value Plus (PDP) S5768 – 153 – 0 by WellCare |
Monthly Premium: $71.90 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 48% Tier 5: 33% |
SilverScript Plus (PDP) S5601 – 061 – 0 by Aetna Medicare |
Monthly Premium: $75.00 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
Mutual of Omaha Rx Plus (PDP) S7126 – 029 – 0 by Mutual of Omaha Rx |
Monthly Premium: $91.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 36% Tier 5: 25% |
AARP MedicareRx Preferred (PDP) S5820 – 029 – 0 by UnitedHealthcare |
Monthly Premium: $92.10 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
Asuris Medicare Script Basic (PDP) S5609 – 001 – 0 by Asuris Northwest Health |
Monthly Premium: $93.50 Annual Deductable: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $13.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 27% |
Asuris Medicare Script Enhanced (PDP) S5609 – 002 – 0 by Asuris Northwest Health |
Monthly Premium: $124.50 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $3.00 Tier 2: $10.00 Tier 3: $47.00 Tier 4: 40% Tier 5: 33% |
Compare Medicare Rates in Gresham, Oregon
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Frequently Asked Questions
What are the best Medicare companies available in Gresham, Oregon in 2023?
The best Medicare companies available in Gresham, Oregon for 2023 may vary depending on individual preferences and needs. However, some popular options include UnitedHealthcare, Humana, Blue Cross Blue Shield, Aetna, and Kaiser Permanente.
How can I determine the best Medicare plan for me in Gresham, Oregon?
To determine the best Medicare plan for you in Gresham, Oregon, it’s essential to consider your specific healthcare needs, budget, and personal preferences. You can start by comparing the available plans from different insurance companies, looking into their coverage options, premiums, deductibles, copayments, and networks. Additionally, you may consult with an insurance agent or a Medicare counselor who can provide personalized guidance based on your situation.
What factors should I consider when choosing a Medicare plan in Gresham, Oregon?
When choosing a Medicare plan in Gresham, Oregon, several factors should be considered, including:
- Coverage: Ensure that the plan covers your healthcare needs, such as doctor visits, hospital stays, prescription drugs, and specialized services.
- Costs: Evaluate the premiums, deductibles, copayments, and out-of-pocket maximums associated with the plan to determine if they align with your budget.
- Network: Check if your preferred healthcare providers, hospitals, and pharmacies are included in the plan’s network to ensure convenient access to care.
- Prescription Drugs: If you take prescription medications, review the plan’s formulary to see if your medications are covered and at what cost.
- Additional Benefits: Some Medicare plans offer extra benefits like dental, vision, hearing, or fitness programs. Consider whether these additional benefits are important to you.
Can I switch Medicare plans during the year in Gresham, Oregon?
In most cases, you can only switch Medicare plans during specific enrollment periods, such as the Annual Enrollment Period (AEP) from October 15th to December 7th each year. However, there are certain exceptions that may allow you to make changes to your plan outside of the standard enrollment periods, such as qualifying for a Special Enrollment Period (SEP) due to certain life events (e.g., moving, losing other coverage, or becoming eligible for Medicaid). It’s important to review the official guidelines or consult with an insurance professional to understand the options available to you.
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Laura D. Adams
Insurance & Finance Analyst
Laura Adams is one of the nation’s leading finance, insurance, and small business authorities. As an award-winning author, spokesperson, and host of the top-rated Money Girl podcast since 2008, millions of readers and listeners benefit from her practical advice. Her mission is to empower consumers to live healthy and rich lives by planning for the future and making smart money decisions. She rec...
Insurance & Finance Analyst
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