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2012 Plans
ODS Advantage PPO
ODS Advantage PPORX Select (PPO)
Coverage Area
The service area for these plans includes Baker, Benton,Clackamas, Clatsop,Columbia, Coos, Crook, Curry, Deschutes, Douglas, Gilliam, Grant, Harney, HoodRiver, Jackson, Jefferson, Josephine, Klamath,
Lake, Lane, Lincoln, Linn, Malheur, Marion, Morrow, Multnomah, Polk, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco, Washington, Wheeler and Yamhill Counties in Oregon. You must live in one
of these areas to join a plan.
Benefit Information
2012
Summary of Benefits (PDF)
2012
Evidence of Coverage (PDF)
2012
Benefit Comparison Flyer (PDF)
Enrollment Forms
Enrollment
Form (PDF)
Dental Enrollment
Form (PDF)
EFT Form
Providers, Pharmacies & Drugs
Provider Directory
Pharmacy
Directory
2012
Formulary (PDF)
ODS Health Plan, Inc. offers two medical plan options: ODS Advantage PPORx Select and ODS Advantage PPO. Under all of these plans, your medical coverage is through ODS Health
Plan, Inc.
ODS Advantage PPO plans provide medical services through Medicare–certified healthcare facilities and other healthcare professionals who are in compliance with Medicare credentialing
standards. ODS Advantage PPO plans are not Medicare supplement policies, sometimes known as “Medigap” insurance policies. Once you have enrolled in an ODS Advantage PPO plan, you are
getting your Medicare medical benefits through ODS Health Plan, Inc. The Medicare program pays us to manage health services for people with Medicare who are members of an ODS Advantage PPO plan.
As a member of an ODS Advantage PPO plan, you may get your health services from doctors, hospitals and other healthcare providers in the ODS Advantage network or from any Medicare provider.
- These
ODS Advantage plans offer exceptional benefits and flexibility:
- Access to more than 6,000 statewide ODS Advantage contracted providers or any Medicare provider
- Continue to seek care with your existing
Medicare providers
- Access to Medicare providers without a referral or prior authorization
- No medical deductible
- Fixed co–payments or co-insurance for most services
- Annual out–of–pocket
maximum protection
- Travel throughout the United States for up to 12 months – and keep your coverage
- ODS Advantage PPO plans are available to residents throughout the state of Oregon.
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