HMOPOS Not Available SNP Includes Rx
Plan Details
Plan NamePacificSource Medicare MyCare Choice Rx 34 (HMO-POS)
OrganizationPacificSource Medicare
Legal EntityPACIFICSOURCE COMMUNITY HEALTH PLANS
Plan TypeHMOPOS
Service AreaSelect Idaho, Oregon and Washington Counties
Contract IDH3864
Plan ID034
In-Network MOOP$6,500
Prescription Drug CoverageYes (Part D Included)
About This Plan
PacificSource Medicare MyCare Choice Rx 34 (HMO-POS) is a HMOPOS Medicare plan offered by PacificSource Medicare (PACIFICSOURCE COMMUNITY HEALTH PLANS). This plan is available to eligible Medicare beneficiaries in Select Idaho, Oregon and Washington Counties.
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 $6,500, 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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