Regence MedAdvantage + Rx Enhanced (PPO)

Medicare Advantage Plan (Part C w/ RX)

Don't overpay for your Medicare plan.

Call Toll Free (800) 942-8708

PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Regence BlueCross BlueShield of Oregon
CMS Rating
Plan Type
PPO
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Why We Like This Plan

  • has both Health and Drug Coverage
  • gives you freedom to choose which doctors, specialist and hospitals you visit
  • Primary care physician office visit copay of $15

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$5 copay$5 copay$5 copay
Tier 2: Non-Preferred Generic$33 copay$33 copay$33 copay
Tier 3: Preferred Brand Name$45 copay$45 copay$45 copay
Tier 4: Non-Preferred Brand Name$90 copay$90 copay$90 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$15 copay$15 copay$10 copay
Tier 2: Non-Preferred Generic$99 copay$99 copay$66 copay
Tier 3: Preferred Brand Name$135 copay$135 copay$112.5 copay
Tier 4: Non-Preferred Brand Name$270 copay$270 copay$225 copay
Tier 5: Specialty Tier

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Cholesterol screening for patients with heart disease
Glaucoma testing
Annual flu vaccine
Pneumonia vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Access to primary care doctor visits
Adult BMI assessment

Managing Chronic Conditions

Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Diabetes care – cholesterol controlled
Controlling blood pressure
Rheumatoid arthritis management
Improving bladder control
Reducing the risk of falling
Plan all-cause readmissions

Ratings of Plan Responsiveness and Care

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Beneficiary access and performance problems
Members choosing to leave the plan
Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability

Physician Finder

Physicians that accept Regence MedAdvantage + Rx Enhanced (PPO) for Oregon

/
SHIN, SEJUNG
13305 NW CORNELL RD STE C
PORTLAND, OR 97229
HARDEBECK, LAURA
13520 NW PETTYGROVE ST
PORTLAND, OR 97229
CRIHFIELD, KIMBERLY
15285 NW CENTRAL DR
PORTLAND, OR 97229
LOSLI, STEVE
3300 NW 185TH AVE
PORTLAND, OR 97229
BARRY, HAROLD
12400 NW CORNELL RD
PORTLAND, OR 97229
BARLOW, ROBERT
12400 NW CORNELL RD
PORTLAND, OR 97229
SAMAGH, GUNJEET
15640 NW LAIDLAW RD
PORTLAND, OR 97229
WILSON, ADDISON
15285 NW CENTRAL DR
PORTLAND, OR 97229
PASKOWSKI, BRIAN
15285 NW CENTRAL DR
PORTLAND, OR 97229
RADHAKRISHNAN, LATHA
13661 NW STONEBRIDGE DR
PORTLAND, OR 97229
KO, ALMIRA
4608 NW 166TH AVE
PORTLAND, OR 97229
JEWETT, STILES
12400 NW CORNELL RD
PORTLAND, OR 97229
TOBIN, TERRY
660 NW MURRAY BLVD
PORTLAND, OR 97229
CARTER, DALE
12400 NW CORNELL RD
PORTLAND, OR 97229
ROMERO, CYNTHIA
14600 NW CORNELL RD
PORTLAND, OR 97229
FLATH, LAURA
13580 NW PETTYGROVE ST
PORTLAND, OR 97229
BLIEVERNICHT, MATTHEW
15280 NW CENTRAL DR
PORTLAND, OR 97229
MOSHOFSKY, DEAN
15455 NW GREENBRIER PKWY
BEAVERTON, OR 97006
CHING, GERALD
15455 NW GREENBRIER PKWY
BEAVERTON, OR 97006
NEACE, GWYNNETH
15455 NW GREENBRIER PKWY
BEAVERTON, OR 97006
MOORE, HEATHER
15455 NW GREENBRIER PKWY
BEAVERTON, OR 97006
RYDELL, GALE
1960 NW 167TH PL
BEAVERTON, OR 97006
DENMAN, SUSAN
18345 SW ALEXANDER ST
ALOHA, OR 97006
BENZ, ALFRED
1960 NW 167TH PL STE 205
BEAVERTON, OR 97006
CENOVA, JAMES
16265 NW CORNELL RD
BEAVERTON, OR 97006
Details
SEJUNG SHIN, M.D.
Phone Number
(503) 646-8500
Office Locations
13305 NW CORNELL RD STE C
PORTLAND, OR 97229
13305 NW CORNELL RD STE C PORTLAND OR, 97229

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
2 question
Regence of Oregon Medadvantage Plus RX Enhanced: OHSU Access
Q:As a member of Regence of Oregon MedAdvantage do I have access to OHSU if I am seriously ill? If so, is this considered in network or out of network (i.e. does OHSU take this insurance?
Asked by Anonymous 
Know the Answer? Answer this Question
Medicare plans informational meetings in Portland area
Q:Need more information on the various Advantage pland.
Asked by Anonymous 
Know the Answer? Answer this Question

Similar Plans

PremiumPlan NameCMS Rating
$0.00
Humana Gold Choice H8145-097 (PFFS)
Select
$59.50
Providence Medicare Extra Part B Only + RX (HMO)
Select
$0.00
PacificSource Medicare Essentials Rx 15 (HMO)
Select
$24.70
WellCare Classic (PDP)
Select
$20.00
AARP MedicareRx Saver Plus (PDP)
Select

Related Articles

Related Searches

 

 

Speak with a licensed agent

(800) 895-7124

(800) 895-7124

24 hours a day, 7 days a week

LEARN MORE​ 
{"phone":"8008957124","helpInfo":{"leadCopy":"Speak with a licensed agent","phone":"8008957124"},"bannerData":{"phone":"8008957124","text":"Open Enrollment is Now.","text2":"Speak With a Licensed Agent"},"analyticsInfo":{"pageType":"details","productLine":"medicare","phone":"8008957124"},"globalPhoneNumber":"8008957124","partner":"TruBridge"}