Find 2018 Medicare Plans in Oregon - OR Medicare Insurance Overview

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Oregon Medicare Insurance

Medicare in Oregon

Medicare offers healthcare coverage to Oregon residents age 65 or older, or to those Oregon residents that suffer from certain medical disabilities. In 2016, 753,000 people are enrolled in Medicare in Oregon, accounting for 18.6% of the population in Oregon. In 2009 approximately $8,247 was spent per Medicare enrollee in Oregon, about 20.43% lower than the national average of $10,365. Between 2015 to 2030 the senior population in Oregon is expected to increase by an estimated 49.29% according to calculations based off of the 2000 Census. Therefore the number of eligible Medicare beneficiaries in Oregon is also projected to increase.

Local Medicare Resources

Medicare beneficiaries, their families, and their caregivers who reside in Oregon can receive free, one-on-one, and unbiased health insurance counseling from the Senior Health Insurance Benefits Assistance program (SHIBA). Additionally, the state has a Senior Medicare Patrol (SMP) program which is dedicated to educating and empowering individuals on how to identify, avoid, and report instances of healthcare fraud, errors, and/or abuse.

Types of Medicare Coverage

Individuals that qualify for Medicare can sign up for Medicare Part A & Part B (medical services) through the Federal government. Part A is generally paid for by paycheck deductions from their working years (or their spouse's) but most Medicare beneficiaries pay for Part B through monthly premiums unless they qualify for financial assistance. If you are eligible for Original Medicare (Parts A & B) or if you are already enrolled in it, you also have the option to enroll in a Medicare Advantage plan (Part C) instead of Original Medicare or add a stand alone prescription drug plan (Part D) to your current Original Medicare coverage. Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. Many Medicare beneficiaries will elect to enroll in a Medicare Advantage plan that includes prescription drug coverage (MAPD) or purchase a stand alone prescription drug plan to go with their Original Medicare coverage. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Additional benefits of Medicare Advantage plans such as dental, vision, or hearing coverage can help reduce out-of-pocket expenses for seniors with certain medical needs.

Oregon 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Oregon is $78.02, 24.87% greater than the national average of $62.48. 13.37% of 2017 Medicare Part C insurance plans in Oregon have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $400, but in Oregon the average annual drug deductible for Medicare Part C insurance plans with drug components is $139.84. 24.83% of 2017 Medicare Part C insurance plans with a drug component in Oregon have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in Oregon is $35.11. 13.56% of 2017 Medicare Part C insurance plans without a drug component in Oregon have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Oregon is $4337.53. 49.01% of 2017 Medicare Advantage plans in Oregon had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Oregon was 4 stars in 2017.
  • Among Oregon's 2017 Medicare Advantage plans with CMS star ratings:
    • 4.46% earned a score of 5 stars
    • 51.73% earned a score of 4 or 4.5 stars
    • 40.59% earned a score of 3 or 3.5 stars
    • 3.22% of plans are “Not enough data available” or “Too new to be measured”.

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

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Oregon Medicare Insurance Companies

There are 28 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Oregon. Of these, the companies that offer the largest variety of plans to choose from are PacificSource Health Plans, Humana, and ATRIO Health Plans. In Oregon,. The following are all medicare insurance providers in Oregon:

Humana

10 Plans

Providence

9 Plans

Health Net

5 Plans

WellCare

3 Plans

REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH

2 Plans

EMI Health

2 Plans

Cigna

2 Plans

CALIFORNIA PHYSICIANS' SERVICE

2 Plans

Aetna

2 Plans

MERIT HEALTH INSURANCE COMPANY

1 Plans

FamilyCare

1 Plans

CareOregon

1 Plans

2018 Featured Medicare Plans in Oregon

There are 100 medicare plans in Oregon. The following are the 10 highest rated medicare plans in Oregon based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $0Providence - Providence Medicare Prime + RX (HMO-POS) - Clackamas County
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from $8Providence - Providence Medicare Extra Part B Only + RX (HMO) - Clackamas County
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from $44Kaiser Permanente - Kaiser Permanente Senior Advantage Basic (HMO) - Benton County
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from $45Providence - Providence Medicare Choice (HMO-POS) - Clackamas County
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from $88Providence - Providence Medicare Choice + RX (HMO-POS) - Clackamas County
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from $99Providence - Providence Medicare Compass + RX (HMO-POS) - Crook County
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from $109Providence - Providence Medicare Extra (HMO) - Clackamas County
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from $127Kaiser Permanente - Kaiser Permanente Senior Advantage (HMO) - Benton County
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from $146Providence - Providence Medicare Enrich + RX (HMO) - Benton County
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from $165Providence - Providence Medicare Extra + RX (HMO) - Clackamas County
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See all Medicare plans in Oregon

Oregon Featured Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Oregon based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $143Samaritan Health Plans - Samaritan Advantage Premier Plan Plus (HMO) - Benton County
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from $113Samaritan Health Plans - Samaritan Advantage Premier Plan (HMO) - Benton County
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from $77Samaritan Health Plans - Samaritan Advantage Conventional Plan (HMO) - Benton County
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from $34CareOregon - CareOregon Advantage Star (HMO) - Clackamas County
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from $69Humana - Humana Gold Plus H1036-219 (HMO) - Deschutes County
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Oregon Featured Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Oregon based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $127Kaiser Permanente - Kaiser Permanente Senior Advantage (HMO) - Benton County
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from $44Kaiser Permanente - Kaiser Permanente Senior Advantage Basic (HMO) - Benton County
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from $116Health Net - Health Net Violet 1 (PPO) - Benton CountyNot Rated
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from $49Health Net - Health Net Aqua (PPO) - Douglas CountyNot Rated
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from $19Health Net - Health Net Violet 2 (PPO) - Clackamas CountyNot Rated
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Oregon Featured Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Oregon based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $209ATRIO Health Plans - ATRIO Gold Rx (Willamette) (PPO) - Marion County
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from $88ATRIO Health Plans - ATRIO Silver Rx (Willamette) (PPO) - Marion County
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from $0FamilyCare - FamilyCare Advantage Rx (HMO) - Clackamas County
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from $189ATRIO Health Plans - ATRIO Gold Rx (PPO) - Douglas County
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from $143Samaritan Health Plans - Samaritan Advantage Premier Plan Plus (HMO) - Benton County
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Oregon Featured Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Oregon based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $116Health Net - Health Net Violet 1 (PPO) - Benton CountyNot Rated
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from $49Health Net - Health Net Aqua (PPO) - Douglas CountyNot Rated
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from $19Health Net - Health Net Violet 2 (PPO) - Clackamas CountyNot Rated
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from $0Health Net - Health Net Violet 3 (PPO) - Douglas CountyNot Rated
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from $143Samaritan Health Plans - Samaritan Advantage Premier Plan Plus (HMO) - Benton County
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Most Popular Medicare Doctors in Oregon

The following are the most popular medicare doctors in Oregon based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
Internal MedicineBEND, OR
DermatologyBEND, OR
Thoracic Surgery (Cardiothoracic Vascular Surgery)MEDFORD, OR
Neurological SurgeryKLAMATH FALLS, OR
Internal MedicineMEDFORD, OR
DermatologyCOOS BAY, OR
OphthalmologyREDMOND, OR
RadiologyEUGENE, OR
SurgeryMEDFORD, OR
RadiologyMEDFORD, OR
See all doctors accepting Medicare in Oregon

Browse Medicare Plans by Cities

  1. Portland, OR
  2. Eugene, OR
  3. Salem, OR
  4. Hillsboro, OR
  5. Beaverton, OR
  6. Gresham, OR
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