HMO Not Available SNP Includes Rx
Plan Details
Plan NameProvidence Medicare Prime + Rx (HMO)
OrganizationProvidence Medicare Advantage Plans
Legal EntityPROVIDENCE HEALTH ASSURANCE
Plan TypeHMO
Service AreaPortland Metro
Contract IDH9047
Plan ID037
In-Network MOOP$5,000
Prescription Drug CoverageYes (Part D Included)
About This Plan
Providence Medicare Prime + Rx (HMO) is a HMO Medicare plan offered by Providence Medicare Advantage Plans (PROVIDENCE HEALTH ASSURANCE). This plan is available to eligible Medicare beneficiaries in Portland Metro.
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 $5,000, 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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