Medicare provides health insurance to people 65 years and older regardless of income or medical history. Medicare beneficiaries can enroll in Original Medicare or Medicare Advantage plans. Let’s explore the Gresham, Oregon Medicare plans available.
Medicare plans in Gresham Oregon
Medicare beneficiaries in Oregon can benefit by enrolling in Supplemental plans and reducing their healthcare costs. These plans pay for expenses not covered by Original Medicare. All the information below pertains to male enrollees older than 65.
Medicare Advantage plans
In Gresham, Oregon, you can sign up for Medicare Advantage plans to receive more coverage and lower your Medicare costs. People can choose from 45 Medicare Advantage (MA) plans. Enrolling in a MA plan means getting your Part A and B benefits from a private insurance provider rather than the federal government; however, coverage stays the same.
The FamilyCare HMO plan has a $0 monthly premium and a maximum out-of-pocket (MOOP) limit of $6,700. FamilyCare provides comprehensive care for your overall health.
Humana’s HMO plan also has a $0 monthly premium and a MOOP cost of $5,700. Providence’s HMO plan has no premium and a MOOP limit of $5,500.
Health Net’s plan has a MOOP limit of $3,950 and no monthly premium. Health Net offers discounts on alternative treatment methods, such as acupuncture and massage therapy, and the Regence plan has a competitively low MOOP of $3,400 and a $0 monthly premium.
The average cost of Medicare Advantage plans in Gresham, Oregon
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| FamilyCare | $0 | $6,700 | HMO | N/A |
| Humana | $0 | $5,700 | HMO | N/A |
| Providence | $0 | $5,500 | HMO | N/A |
| Health Net | $0 | $3,950 | HMO | N/A |
| Regence | $0 | $3,400 | HMO | N/A |
Medicare Supplement plans
Gresham, Oregon Medicare Supplement plans provide health care insurance and pay for Medicare gap expenses. These plans have government standardization, and the benefits remain the same in every state and with every carrier. However, premium costs will vary depending on location and various other factors.
Most people choose Medigap Plan G, which ranges from $122.91 to $372.85 per month. Plan G covers most Medicare costs except the Part B deductible. People also pick Medigap Plan HDG, which ranges from $31 to $50.40 and has similar benefits but a higher deductible.
Medigap Plan F monthly premiums range from $160.31 to $399.87. Plan F pays for 20% of Part B coinsurance. Another option includes Plan HDF, which pays for expenses after a $250 deductible; premiums for this plan range from $31 to $111.12 per month.
Medigap Plan L ranges from $101.84 to $222.06 per month. Lastly, Plan M has low monthly premiums, but you must pay for half of the Part A expenses. The monthly premiums range from $150.53 to $227.88.
The average cost of Medicare Supplement plans in Gresham, Oregon
| LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| PLAN A | $103.37 | $326.76 |
| PLAN B | $167.27 | $344.87 |
| PLAN C | $191.00 | $398.00 |
| PLAN D | $136.17 | $272.28 |
| PLAN F | $160.31 | $399.87 |
| PLAN HDF | $31.00 | $111.12 |
| PLAN G | $122.91 | $372.85 |
| PLAN HDG | $31.00 | $50.40 |
| PLAN K | $51.98 | $117.00 |
| PLAN L | $101.84 | $222.06 |
| PLAN M | $150.53 | $227.88 |
| PLAN N | $105.66 | $268.00 |
Medicare Part D prescription drug plans
Medicare Part D in Oregon helps Medicare beneficiaries by covering prescription drug expenses. People can choose between a stand-alone Part D plan or opt for a Medicare Advantage Plan with Prescription Drug coverage (MAPD). It’s crucial to remember that only some MA plans have drug coverage, and there are no Medigap Plans with Part D coverage.
Aetna’s plan costs $7.70 monthly plus the $480 deductible, but it has a high four-star rating.
The Wellcare plan costs $11.60 per month with a $480 deductible and has Similarly, Clear Spring Health plans have a monthly premium of $16.20 with a deductible of $480, but the program only has a two-star rating.
Elixir Insurance’s three-star plan costs $20.30 monthly with a $480 deductible. Lastly, Humana’s impressive four-star plan has a premium of $22.70 per month and a $480 deductible.
The average cost of Medicare Part D plans in Gresham, Oregon
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $7.70 | $480 | 3 |
| Wellcare | $11.60 | $480 | 3 |
| Clear Spring Health | $16.20 | $480 | 2 |
| Elixir Insurance | $20.30 | $480 | 3 |
| Humana | $22.70 | $480 | 4 |
Special Needs plans
Special Need Plans cater to people with chronic conditions or disabilities. Although SNPs are a subset of Medicare Advantage plans, they are only available in select areas.
The PacificSource plan has no monthly premium and a MOOP limit of $6,700 for dual-eligible beneficiaries with both Medicare and Medicaid coverage.
UnitedHealthcare’s plan costs $4.20 per month with a MOOP of $7,550 for beneficiaries with chronic or disabling conditions. CareOregon has a monthly premium of $40.50 with a MOOP of $3,400 and dual eligibility.
The Providence HMO plan for dual-eligible beneficiaries has a low MOOP of $3,400 and a monthly premium of $40.50.
The average cost of Medicare Special Needs plans in Gresham, Oregon
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| PacificSource | $0 | $6,700 | HMO | Dual |
| UnitedHealthcare | $4.20 | $7,550 | LOCAL PPO | Chronic/Disabling |
| CareOregon | $40.50 | $3,400 | HMO-POS | Dual |
| Providence | $40.50 | $3,400 | HMO | Dual |
| AgeRight | $40.50 | $6,500 | HMO | Institutional |
How to sign up for Medicare plans in Gresham
Medicare Advantage and Medigap plans help alleviate the burden of expensive medical bills. Medigap.com can help you find and enroll in the right program. Our team compares the best Gresham, Oregon Medicare plans that fit your unique insurance and financial needs. Call us or complete our online form to get rates in your area now.
