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Oregon Medicare and Senior Health Information (OR)

Before January 2006, the coverage gaps in the original Medicare were shifted onto a separate, optional Medigap policy. Although Medigap policies are handled by privately-owned insurance companies, they were rigidly structured, following one of 12 standard sets of benefits no matter the insurance provider. While this made plan comparisons among the insurers easy to do, it also made it harder to find a plan that fitted any particular set of health considerations. With the advent of Medical Advantage and other supplementary Medicare plan options under the Medicare Prescription Drug Modernization and Improvement Act (MMA) passed by Congress in 2003, this became easier because of the more flexible regulation of such plans. However, Medicare Advantage plans still need to follow state and federal insurance laws, especially with regard to marketing.

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When enrolled in an Medicare Advantage plan, the Medigap policy that may be in force will be automatically nullified; in other words, deductibles, co-payments and other cost-sharing mechanisms under Medigap is superseded by the Medicare Advantage plan. However, once the Medigap policy is dropped, eligibility for re-enrolling will only occur under special circumstances. Dropping an existing Medigap enrollment is not compulsory, even with a co-existing Medicare Advantage plan.

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Some OR Medicare Plans Available

In Oregon, at least 68 plans approved by Medicare as an alternative to Medigap are available in the area, some with no monthly premiums while still providing for prescription drug coverage*. These include:

  • Advantra Freedom-Freedom 7 [H0846 - 014]
  • Evercare Plan MP [H3812 - 007]
  • SecurityChoice Plus [H0540 - 020]

Providers for Medicare plans available in Oregon1:

AARP
Advantra
Aetna
ATRIO
CareOregon
CareSource
Clear Choice
WellCare
Evercare
SecureHorizons
Health Net
Humana
Marion Polk Community Health Plan
ODS Health Plan
Blue Cross
FamilyCare Health Plans
Providence Health Plan
Samaritan Advantage
UniCare
Kaiser
Sterling Options
Team Care Advantage
HealthMarkets Care Assured
Today’s Options
Trillium Advantage

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* You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:

1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week;

The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call, 1-800-325-0778; or Your State Medicaid Office


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