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.

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
$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.

Written By:
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Lindsay Malzone, Lindsay Malzone is the Medicare editor for Medigap.com. She's been contributing to many well-known publications since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.
Reviewed By:
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Rodolfo Marrero, Rodolfo Marrero is one of the co-founders at Medigap.com. He has been helping consumers find the right coverage since the site was founded in 2013. Rodolfo is a licensed insurance agent that works hand-in-hand with the team to ensure the accuracy of the content.