2020 Marion County Oregon
Medicare Advantage Plans

There are 23 Medicare Advantage Plans available in Marion County OR from 8 different health insurance providers. 3 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2500 and the highest out of pocket is $6700. Marion County Oregon residents can also pick from 4 Medicare Special Needs Plans. The highest rated plan available in Marion County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars

(Click the Plan Name for More Details)
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Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage Choice (PPO)
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$32.00 $100.00 $4,500 NoEnroll
AARP Medicare Advantage Plan 1 (HMO)
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$72.00 $150.00 $3,500 NoEnroll
AARP Medicare Advantage Plan 2 (HMO)
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$0 $150.00 $5,900 NoEnroll
ATRIO Gold Rx (Willamette) (PPO)
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$190.00 $0 $3,500 NoEnroll
ATRIO Silver Rx (Willamette) (PPO)
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$75.00 $200.00 $3,900 NoEnroll
Health Net Ruby (HMO)
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$0 $125.00 $4,600 NoEnroll
Health Net Violet 1 (PPO)
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$120.00 $95.00 $2,900 NoEnroll
Health Net Violet 2 (PPO)
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$32.00 $150.00 $6,700 NoEnroll
Kaiser Permanente Senior Advantage (HMO)
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$127.00 $0 $2,500 YesEnroll
Kaiser Permanente Senior Advantage Basic (HMO)
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$44.00 $0 $4,900 YesEnroll
Moda Health NW PPORX (PPO)
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$104.00 $275.00 $6,700 NoEnroll
Providence Medicare Bridge 2 + RX (HMO)
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$40.00 $200.00 $4,900 NoEnroll
Providence Medicare Choice + RX (HMO-POS)
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$88.00 $240.00 $4,500 NoEnroll
Providence Medicare Extra + RX (HMO)
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$173.00 $0 $3,400 YesEnroll
Providence Medicare Timber + RX (HMO)
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$0 $270.00 $5,500 NoEnroll
Regence MedAdvantage + Rx Classic (PPO)
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$75.00 $250.00 $6,000 NoEnroll
Regence MedAdvantage + Rx Enhanced (PPO)
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$194.00 $0 $5,000 NoEnroll
Regence MedAdvantage + Rx Primary (PPO)
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$15.00 $300.00 $6,700 NoEnroll

Return to 2020 Medicare Advantage Plans in Oregon

Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
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Health Net Aqua (PPO)
$0 Local PPO * $2,500
Moda Health PPO (PPO)
$24.00 Local PPO * $3,900
Providence Medicare Focus Medical (HMO)
$128.00 Local HMO * $3,400
Providence Medicare Select Medical (HMO-POS)
$67.00 Local HMO * $4,500
Regence MedAdvantage Basic (PPO)
$0 Local PPO * $5,000

2020 Medicare Special Needs Plans in Marion county Oregon

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
ATRIO Special Needs Plan (Willamette) (HMO D-SNP)     $32.60 $435.0  No Dual-Eligible
UnitedHealthcare Assisted Living Plan 1 (PPO I-SNP)     $14.20 $200.0  No Institutional
UnitedHealthcare Assisted Living Plan 2 (PPO I-SNP)     $15.10 $200.0  No Institutional
UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)     $29.70 $435.0  No Institutional

Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard


In 2020 once you and your plan provider have spent $4020 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

Source: CMS. Data as of September 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.

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