Medicare Plans in
Benton County, OR
19 Medicare Advantage Plans Found in Benton County. See Plans
Benton County, OR
Medicare Information
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For Benton County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.
Currently, 19 private Medicare plans are available in Benton County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Part D plans, also referred to as PDPs, cover retail prescription drugs.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about some of the Medicare plans in Benton County, Oregon, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare
Plans in Benton County
| Average Cost of Medicare Advantage Plans in Benton County, Oregon | |
|---|---|
| Average Monthly Premium | $54.56 |
| Average in-network out-of-pocket spending limit | $4,828.95 |
| Average drug deductible in 2024 (weighted) | $387.78 |
| Percentage of plans rated 4 stars or higher | 31.6% |
| Average Cost of Medicare Advantage Plans in Benton County, Oregon |
|---|
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Average Monthly Premium $54.56 |
|
Average in-network out-of-pocket spending limit $4,828.95 |
|
Average drug deductible in 2021 (weighted) $387.78 |
|
Percentage of plans rated 4 stars or higher 31.6% |
Learn More About Medicare
Prescription Drug Plans
| Plan Type | Description |
|---|---|
| HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
| PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
| PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
| SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
| Plan Type and Description |
|---|
|
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
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Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
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Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
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Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
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Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Have Medicare questions?
Talk to a licensed agent today to find a plan that fits your needs.
Medicare Advantage Plans
Kaiser Foundation Health Plan, Inc.
Kaiser Foundation Health Plan, Inc. Medicare Plans in Benton County, OR
The following table includes cost information and other plan details for Kaiser Foundation Health Plan, Inc. private Medicare plans available in Oregon in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Kaiser Permanente Senior Advantage Value (HMO-POS) | H9003: 009 | $0 | $0 | $5,000 | Yes | 4 out of 5 |
| Kaiser Permanente Senior Advantage Standard (HMO-POS) | H9003: 006 | $46 | $0 | $4,650 | Yes | 4 out of 5 |
| Kaiser Permanente Senior Advantage Enhanced (HMO-POS) | H9003: 001 | $131 | $0 | $3,000 | Yes | 4 out of 5 |
UnitedHealthcare Medicare Plans in Benton County, OR
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Oregon in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx OR-MA01 (PPO) | H2406: 073 | $0 | N/A | $6,300 | No | 3.5 out of 5 |
| AARP Medicare Advantage from UHC OR-0004 (HMO-POS) | H3805: 039 | $0 | $0 | $4,500 | Yes | 3.5 out of 5 |
| AARP Medicare Advantage from UHC OR-0002 (PPO) | H2406: 070 | $0 | $0 | $5,600 | Yes | 3.5 out of 5 |
| UHC Complete Care OR-001A (PPO C-SNP) | H0271: 036 | $21 | $545 | $8,850 | Yes | 4 out of 5 |
| UHC Nursing Home Plan OR-F001 (PPO I-SNP) | H0710: 036 | $30 | $545 | $2,300 | Yes | 5 out of 5 |
| AARP Medicare Advantage from UHC OR-0001 (PPO) | H2406: 042 | $39 | $0 | $4,500 | Yes | 3.5 out of 5 |
| UHC Care Advantage OR-E001 (PPO I-SNP) | H0710: 037 | $41 | $0 | $750 | Yes | 5 out of 5 |
| AARP Medicare Advantage from UHC OR-0003 (HMO-POS) | H3805: 001 | $58 | $0 | $3,500 | Yes | 3.5 out of 5 |
Wellcare Health Plans, Inc. Medicare Plans in Benton County, OR
The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Oregon in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Wellcare Giveback Open (PPO) | H5439: 015 | $0 | $545 | $8,850 | Yes | 3 out of 5 |
| Wellcare No Premium Open (PPO) | H5439: 017 | $0 | $300 | $3,450 | Yes | 3 out of 5 |
| Wellcare No Premium (HMO) | H6815: 038 | $0 | $425 | $5,900 | Yes | 3 out of 5 |
| Wellcare No Premium (HMO) | H6815: 039 | $0 | $250 | $5,600 | Yes | 3 out of 5 |
| Wellcare Patriot No Premium Open (PPO) | H5439: 010 | $0 | N/A | $3,500 | No | 3 out of 5 |
| Wellcare Assist (HMO) | H6815: 037 | $17 | $380 | $5,600 | Yes | 3 out of 5 |
| Wellcare Low Premium Open (PPO) | H5439: 019 | $24 | $350 | $5,900 | Yes | 3 out of 5 |
| Wellcare Premium Ultra Open (PPO) | H5439: 011 | $139 | $150 | $4,000 | Yes | 3 out of 5 |
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