Table of Contents

Medicare Plans by State

STATE -Select-
  • Alabama
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
Page Reviewed / Updated – December 23, 2023

For seniors in Oregon that want the benefits of Medicare without the complication of managing multiple plans at once, Medicare Advantage, also known as Part C, provides a strong alternative. Unlike the separate Part A and B of traditional Medicare that requires the addition of Part D to cover prescriptions, Medicare Advantage often includes all three with other additional benefits added, such as coverage for hearing, vision, and dental. This means all health care is covered under one premium. Medicare Advantage is offered through private insurance companies, eliminating the extra effort needed to navigate a government program. By law, these plans are required to provide the same benefits as original Medicare but are free to add additional perks and benefits to attract enrollees.

Although Medicare Advantage can offer savings, add benefits and simplify health care premiums for some seniors, there are some limitations that could impact the care received. The most notable is the introduction of a care network that specifically names the facilities and providers that are eligible for the full coverage amount. Seeing someone outside this network can result in additional costs to the enrollee. Despite this, Medicare Advantage is a popular choice among eligible residents in Oregon, with just under 500,000 enrollees as of July 2023. This comes out to 53% of those eligible, a 5% increase over the national average and a 4.11% increase when compared to this same time in 2022. This follows a continued trend of increased interest among Oregon seniors who are choosing to explore their options and enroll in the program that provides them with the most benefit for their premiums.

This comprehensive guide can help interested seniors decide whether Medicare Advantage is the right choice over traditional Medicare and provide the information needed to choose the best plan for their needs. Seniors can find out the potential costs they can expect if they make the switch and what benefits may be available.

The Top 10 Medicare Advantage Plans in Oregon

For Oregon seniors considering Medicare Advantage, there are several providers that offer these plans in the area. The top 16 providers, listed by greatest number of enrollees, are listed in the table below. Most providers have more than one plan to choose from, so the cost range reflects the possible differences in price. The satisfaction rating is pulled from government satisfaction surveys that ask plan members about their experiences with the coverage provided. The information provided is accurate as of July 2023. For a more recent account on these and other Part C options in Oregon, seniors can visit Medicare.gov.

Name

Enrollment

Medicare Star Rating

Monthly Cost Range

Plan Types

UnitedHealthcare

110955

3.5

$0 – $129

PPO, HMO

Kaiser Permanente

73956

4

$0 – $127

HMO

Regence BlueCross BlueShield of Oregon

67466

4

$0 – $172

PPO, HMO

Providence Medicare Advantage Plans

59531

4

$0 – $173

HMO

Wellcare by Health Net

32149

3

$0 – $119

PPO, HMO

Blue Cross Blue Shield of Michigan

27605

3.5

$0 – $203

HMO

ATRIO Health Plans

21498

3

$0 – $99

PPO

Aetna Medicare

13272

3

$0 – $52

PPO, HMO

Humana

11104

4

$0 – $199

PPO, HMO

Anthem Blue Cross and Blue Shield

6884

4.5

$0 – $55

HMO

How Medicare Advantage Plans Work in Oregon

Due to the high number of Medicare Advantage beneficiaries in Oregon, insurance companies offer a variety of plans. In order to get the best possible care with the lowest costs, it’s important for seniors to know how Part C works in this state. Each plan has different premiums, deductibles, copays and other out-of-pocket expenses. Companies that offer Medicare Advantage plans in Oregon have to renew their contracts with the federal government every year, so coverage options and costs may change. The plans available to seniors vary from county to county. 

Medicare Advantage Plan Types Graphic

What Medicare Advantage Plans Cover in Oregon

The Centers for Medicare & Medicaid Services only certifies a Medicare Advantage insurance plan if it covers the same benefits as Parts A and B, excluding hospice care. This includes inpatient hospital care, preventative medicine and durable medical equipment. These private health insurance policies may also offer coverage for routine annual physicals, dental care and vision. Many types of Medicare Advantage plans in Oregon are available with and without prescription drug coverage.



Coverage Available With Medicare Parts A & B?

Coverage Available With Medicare Advantage?

Preventive Screenings

Yes

Yes

Hospital Care

Yes

Yes

Durable Medical Equipment

Yes

Yes

Prescription Drugs

No

Yes**

Vision Care

No

Yes*

Dental Care

No

Yes*

Hearing Aids

No

Yes*

*Select plans offer this coverage

** Most plans offer this coverage

Eligibility for Medicare Advantage in Oregon

Seniors in Oregon must already have Medicare Parts A and B to be eligible for a Medicare Advantage policy. Original Medicare requires the beneficiary to be at least 65 years old, or younger with certain disabilities or end-stage renal disease. They must also live in the service area where the coverage is provided. While this is usually determined by county, some policies just cover certain zip codes because certain insurance companies only provide managed care in specific cities. Seniors who meet all of these qualifications can only enroll during certain times of the year. These enrollment periods are listed in the table below.

  • Initial Coverage Election Period: This is the initial 7-month period, coinciding with one’s 65th birthday, during which everyone is eligible to enroll in a Medicare Advantage plan.
  • Annual Election Period (AEP): Also referred to as the Open Enrollment Period, this the time of year when anyone over 65 can enroll in Medicare Advantage for the first time or change to a new plan.
  • Medicare Advantage Open Enrollment Period: During this period, those who are already enrolled in Medicare Advantage can switch to a different plan or switch back to Original Medicare.

Start Date

End Date

Initial Coverage Election
Period

3 Months Before One’s
65th Birth Month

3 Months After One’s
65th Birth Month

Annual Election Period
(AEP)

October 15th

December 7th

Medicare Advantage Open
Enrollment Period

January 1st

March 31st

Additionally, Medicare Advantage plan participants can change their plan outside of these enrollment periods under certain qualifying circumstances, such as moving to a new state.

How to Find & Choose a Medicare Advantage Plan in Oregon

Navigating the many intricacies of Medicare Advantage plan types, insurers, and the specific plan options available by region can be a difficult and time-consuming task. Below are several resources we’ve created to help you through the process.

First is a downloadable PDF that you can use as a guide to help you compare plans as you research. Finally, we have listed a number of organizations that you can contact with experts that will help you determine whether Medicare Advantage is right for you and what plans you should consider.

Choose a Medicare Advantage Plan



State-Wide Medicare Advantage Resources

Senior Health Insurance Benefits Assistance (SHIBA)

Oregon’s Senior Health Insurance Benefits Assistance (SHIBA) program provides free, one-on-one Medicare counseling services to seniors interested in enrolling and those who have questions, issues or concerns about their plan. Trained volunteers answer questions and can assist with enrollment applications, helping a senior understand a plan’s benefits and compare all types of Medicare and prescription drug plans. Volunteers can also help seniors file claims or appeals with their Medicare plan.

Contact Info

Seniors can contact SHIBA by calling its free helpline at 1-800-722-4134 or completing the online contact form.

Visit Website
Senior Medicare Patrol

The Oregon Senior Medicare Patrol (SMP) program aims to empower seniors enrolled in Medicare to recognize and report fraudulent activity related to their health care. Highly trained volunteers educate seniors to help them understand their Medicare documents and bills so they can more easily spot errors or scams. The Oregon SMP partners with other state organizations such as SHIBA and the Association for Oregon Centers for Independent Living (AOCIL).

Contact Info

To contact SMP, Oregon seniors can call 1-855-673-2372 or contact their local Aging and Disability Resource Connection (ADRC).

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Services for Seniors and People with Disabilities

Oregon’s Services for Seniors and People with Disabilities office is part of the state’s Department of Human Services (DHS). The office provides information on state medical programs including Medicare and the Prescription Drugs Assistance Program that gives interested Oregon residents of any age and income a discount card for prescription drugs. Through the office’s website, seniors can apply for benefits and access information on services such as in-home support, reporting abuse, caregiver support and disability benefits. 

Contact Info

Seniors can find the contact information of their local Seniors and People with Disabilities office here or call DHS at 503-945-5600.

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Local Medicare Advantage Resources

YWCA of Greater Portland

The YWCA of Greater Portland is a nonprofit women’s organization that offers programs and services to improve the lives of women and their families. The YWCA’s Senior Services program provides resources, information and referrals to low-income seniors ages 60 and older who wish to remain in their homes. Services include insurance and benefits counseling, care management and legal assistance. Seniors can also stay active through the YWCA’s fitness programs and shop for clothes and home goods at its affordable thrift store.

Contact Info

To contact the YWCA of Greater Portland, seniors can call (503) 294-7400, email [email protected] or visit the corporate office at 4610 SE Belmont St., Portland, OR 97215.

Email
Aging and Disability Resource Connection

Oregon’s numerous Aging and Disability Resource Connection (ADRC) offices are located throughout the state, each serving designated counties. Oregon seniors and people with disabilities can contact their local ADRC to be connected to resources and support programs that fit their needs. Options counselors can help individuals plan for their futures by discussing their short- and long-term goals and assessing their needs related to insurance, health care, in-home care and caregiver support.

Contact Info

Seniors can call the Oregon ADRC toll-free at 1-855-673-2372 or find the contact information for their local office on the ADRC website here.

Visit Website
Oregon Area Agencies on Aging

Throughout Oregon, 17 Area Agencies on Aging serve seniors and their loved ones through advocacy and support programs geared to help seniors receive the long-term care they need while remaining in the community. These agencies are members of O4AD, the Oregon Association of Area Agencies on Aging and Disabilities. This associate promotes the long-term care needs of seniors across the state and supports member programs including home-delivered meals and ADRC services.

Contact Info

Seniors and caregivers can find the contact information for their local Area Agency on Aging on the O4AD website here.

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