Local PPO Not Available SNP Includes Rx
Plan Details
Plan NamePacificSource Medicare Explorer Rx 802 (PPO)
OrganizationPacificSource Medicare
Legal EntityPACIFICSOURCE COMMUNITY HEALTH PLANS
Plan TypeLocal PPO
Service AreaStatewide - Idaho, Montana, Oregon and Washington
Contract IDH4754
Plan ID802
Prescription Drug CoverageYes (Part D Included)
About This Plan
PacificSource Medicare Explorer Rx 802 (PPO) is a Local PPO 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. This plan includes Medicare Part D prescription drug coverage.
The in-network maximum out-of-pocket (MOOP) for this plan is N/A, 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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