PacificSource MedAdvantage Plans Calling 1.800.884.2343 will direct you to a licensed insurance agent

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PacificSource Medicare Advantage Plan Information
2014 PacificSource Medicare Advantage Plan Information
Helpful Information
PacificSource Customer Support

Existing Customers

From October 1st - February 14th:
8:00 a.m. - 8:00 p.m., seven days a week

From February 15th - September 30:
8:00 a.m. - 8:00 p.m., Monday - Friday

(541) 385-5315 - Bend
(541) 225-3771 - Springfield
(888) 863-3637 - Toll Free
(800) 735-2900 - TTY

2015 PacificSource Medicare Advantage Plans

MyCare RX 22 (HMO MAPD)
Essentials 2
(HMO MA)
Essentials RX 6
(HMO MAPD)
Essentials RX 14 (HMO MAPD)
Essentials RX 15 (HMO MAPD)
Essentials RX 19 (HMO MAPD)
Essentials Choice RX 25 (HMO-POS MAPD)
Explorer RX 4 (PPO MAPD)
Explorer RX 7 (PPO MAPD)
Explorer 8 (PPO MA)

PacificSource Plan List
Plan Name Plan Type Plan Details Application Premium
MyCare RX 22 HMO MAPD Benefit Summary Apply online
Download app
$47
Available in: Clackamas, Multnomah, Washington Counties
Essentials 2 HMO MA Benefit Summary Apply online
Download app
$25
Available in: Crook, Deshcutes, Grant, Hood River, Jefferson, Klamath: 97731, 97733, 97737, 97739, Lake: 97638, 97641, 97735, 97739, Sherman, Wasco, Wheeler Counties
Essentials RX 6 HMO MAPD Benefit Summary Apply online
Download app
$175
Available in: Crook, Deshcutes, Grant, Hood River, Jefferson, Klamath: 97731, 97733, 97737, 97739, Lake: 97638, 97641, 97735, 97739, Sherman, Wasco, Wheeler Counties
Essentials RX 14 HMO MAPD Benefit Summary Apply online
Download app
$95
Available in: Crook, Deshcutes, Grant, Hood River, Jefferson, Klamath: 97731, 97733, 97737, 97739, Lake: 97638, 97641, 97735, 97739, Sherman, Wasco, Wheeler Counties
Essentials RX 15 HMO MAPD Benefit Summary Apply online
Download app
$27
Available in: Lane County
Essentials RX 19 HMO MAPD Benefit Summary Apply online
Download app
$75
Available in: Coos and Curry Counties
Essentials Choice RX 25 HMO-POS MAPD Benefit Summary Apply online
Download app
$202
Available in: Crook, Deschutes, Grant, Hood River, Jefferson, Klamath: 97731, 97733, 97737, 97739, Lake: 97638, 97641, 97735, 97739, Sherman, Wasco, Wheeler Counties
Explorer RX 4 PPO MAPD Benefit Summary Apply online
Download app
$145
Available in: Lane County
Explorer RX 7 PPO MAPD Benefit Summary Apply online
Download app
$100
Available in: Coos and Curry Counties
Explorer 8 PPO MA Benefit Summary Apply online
Download app
$49
Available in: Coos and Curry Counties
Explorer 8 PPO MA Benefit Summary Apply online
Download app
$49
Available in: Lane County

Medicare Disclaimers

  • If you need help, please call 1-800-884-2343 Mon - Fri, 9am - 4pm PT for Customer Service Representatives and licensed insurance agents who can assist with finding information on available Medicare Advantage.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year.
  • You must be enrolled in both Medicare Part A and Medicare Part B and live in the plan's service area to be eligible for these plans.
  • You must continue to pay your Medicare Part B premium in addition to any plan premium shown below.
  • Estimated annual savings is determined by subtracting a plan's annual cost estimate of the medications entered from the medications' average retail prices. The annual cost estimate for a plan includes covered annual monthly premiums and any annual cost sharing expenses that you must pay out-of-pocket for the medications entered. This number can only be calculated if the consumer enters medication information.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

Important details and dates

  • You are first eligible during the 7–month Initial Coverage Enrollment Period (ICEP), the 3 months before your 65th birthday, the month of, and 3 months after. CAUTION: You only have one choice so take your time, ask for help and choose wisely.
  • You are also eligible during the Annual Election Period (AEP) which is from Oct.15 to Dec.7. You can change as many times as you want. The last change received by CMS prevails.
  • You have an opportunity to disenroll from your plan and return to Original Medicare and purchase a Part D Prescription Drug Plan during the new Annual Disenrollment Period from Jan 1 to Feb 14.
  • You may be eligible for a Special Enrollment Period (SEP) if you reside in a nursing home, join a Special Needs Plan (SNP), move outside the plan's service area, the plan leaves your area, or other special situations.
  • This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consultwww.medicare.gov.
  • For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult¬†www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your Medicaid Office.
  • A Medicare Advantage Plan Health plan sold by an insurance company with a Medicare contract.
  • PacificSource Community Solutions Inc., is a health plan with a Medicare contract.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • Benefits, formulary, pharmacy network, premium, and copayments/coinsurance may change on January 1 of each year.

* denotes partial county. Klamath County includes zip codes 97731, 97733, 97737 and 97739. Lake County includes zip codes 97638, 97641, 97735 and 97739.

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