2018 Providence Medicare Extra (HMO) H9047-33-0 in OR from Providence | HealthPocket

Providence Medicare Extra (HMO)

Medicare Advantage Plan for Oregon

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderProvidence
Plan IDH9047-33-0
CMS Rating1
Plan TypeHMO
Annual Deductible$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Why We Like This Plan

  • has been rated 5 stars by CMS

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$109

Coverage Area for Providence Medicare Extra (HMO)

StateOregon
CountyMultnomah

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Not Rated
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
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

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

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept Providence Medicare Extra (HMO) for Oregon

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PENA, ANGELES
15220 NW LAIDLAW RD STE 100
PORTLAND, OR 97229
KAKODKAR, SWATI
15640 NW LAIDLAW RD
PORTLAND, OR 97229
BARICH, FRANK
15640 NW LAIDLAW RD
PORTLAND, OR 97229
ROMERO, CYNTHIA
14600 NW CORNELL RD
PORTLAND, OR 97229
BLIEVERNICHT, MATTHEW
15280 NW CENTRAL DR
PORTLAND, OR 97229
LOWENSTEIN, KEITH
15160 NW LAID LAW RD
PORTLAND, OR 97229
JI, DONG
15640 NW LAIDLAW RD
PORTLAND, OR 97229
GILLINGHAM, TODD
15160 NW LAIDLAW RD
PORTLAND, OR 97229
CRIHFIELD, KIMBERLY
15285 NW CENTRAL DR
PORTLAND, OR 97229
DORRINGTON, MICHAEL
4876 NW BETHANY BLVD
PORTLAND, OR 97229
BARRY, HAROLD
12400 NW CORNELL RD
PORTLAND, OR 97229
BARLOW, ROBERT
12400 NW CORNELL RD
PORTLAND, OR 97229
HARDEBECK, LAURA
13520 NW PETTYGROVE ST
PORTLAND, OR 97229
GEDDES, GARY
12400 NW CORNELL RD
PORTLAND, OR 97229
KRISCIUNAS, VIC
12400 NW CORNELL RD
PORTLAND, OR 97229
LUTFI, EMAN
9555 SW BARNES RD
PORTLAND, OR 97229
DOSHI, HEENA
12400 NW CORNELL RD
PORTLAND, OR 97229
MCILRAITH, MARLO
15220 NW LAIDLAW RD STE 100
PORTLAND, OR 97229
HANKENSON, LORI
9555 SW BARNES RD
PORTLAND, OR 97229
CHIANG, LYDIA
15220 NW LAIDLAW RD., STE 100
PORTLAND, OR 97229
PASKOWSKI, BRIAN
15285 NW CENTRAL DR
PORTLAND, OR 97229
SAMAGH, GUNJEET
15640 NW LAIDLAW RD
PORTLAND, OR 97229
LOSLI, STEVE
3300 NW 185TH AVE
PORTLAND, OR 97229
BARR, IAN
15455 NW GREENBRIER PKWY
BEAVERTON, OR 97006
Details
ANGELES PENA, MD
Phone Number
(503) 418-2000
Office Locations
15220 NW LAIDLAW RD STE 100
PORTLAND, OR 97229
15220 NW LAIDLAW RD STE 100 PORTLAND OR, 97229

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