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PacificSource Medicare Essentials 805 (HMO-POS)

PacificSource Medicare · HMOPOS · Statewide - Idaho, Montana, Oregon and Washington

PacificSource Medicare Essentials 805 (HMO-POS)HMOPOS Not Available SNP

Plan Details

Plan NamePacificSource Medicare Essentials 805 (HMO-POS)
OrganizationPacificSource Medicare
Legal EntityPACIFICSOURCE COMMUNITY HEALTH PLANS
Plan TypeHMOPOS
Service AreaStatewide - Idaho, Montana, Oregon and Washington
Contract IDH3864
Plan ID805
In-Network MOOP$6,751

About This Plan

PacificSource Medicare Essentials 805 (HMO-POS) is a HMOPOS Medicare plan offered by PacificSource Medicare (PACIFICSOURCE COMMUNITY HEALTH PLANS). This plan is available to eligible Medicare beneficiaries in Statewide - Idaho, Montana, Oregon and Washington.

This is a Special Needs Plan (SNP) designed for Not Available beneficiaries.

The in-network maximum out-of-pocket (MOOP) for this plan is $6,751, which is the most you would pay for covered services in a plan year. After reaching this amount, the plan pays 100% of covered services.

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