Oregon and Southwest Washington
- Clackamas, Multnomah and Washington counties:
- Linn and Benton counties:
- Columbia, Lane, Marion, Polk, Yamhill and Clark (WA) counties:
- Crook, Deschutes, Hood River, Jefferson and Wheeler counties:
- King and Snohomish counties:
Optional supplemental benefit coverage for dental
Please read enrollment instructions before completing enrollment forms.
Complete the enrollment form and fax it to 503-574-8653 or mail to:
Providence Medicare Advantage Plans
P.O. Box 5548
Portland, OR 97228-5548
You will receive a notice in the mail acknowledging receipt of your enrollment request.
Individuals must have both Part A and Part B to enroll.