Providence Medicare Advantage Plans

Our plans offer competitive premiums and cost shares with thousands of in-network providers in Oregon and Washington. There are three plans available in Clackamas, Multnomah and Washington counties.

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Download printer-friendly version - 2018 Western Oregon, Tri-County and Clark County, Wash. plan comparison (PDF)

Providence Medicare Prime + RX (HMO-POS)

Plan highlights

  • $0 monthly premium
  • Prescription drug coverage
  • No-cost fitness center membership
  • Broad network of providers in and outside of the Providence Health & Services system

Benefits (in-network)

  • Primary care physician copay: $5
  • Specialist copay: $50 (with referral)
  • Secure video visits: $0
  • Vision coverage copay for exams and hardware: $0 (limits apply)
  • Prescription drugs: Annual deductible waived on generic tiers

View more plan and drug coverage details ›


Providence Medicare Choice (HMO-POS)

Plan highlights

  • $45 monthly premium without RX
  • $88 monthly premium with RX
  • No-cost fitness center membership
  • Hearing exam and hearing aid coverage
  • Broad network of providers in and outside of the Providence Health & Services system

Benefits (in-network)

  • Primary care physician copay: $15
  • Specialist copay: $30 (with referral)
  • Secure video visits: $0
  • Vision coverage copay for exams and hardware: $0 (limits apply)
  • Prescription drugs: Annual deductible waived on generic tiers

View more plan and drug coverage details ›


Providence Medicare Extra (HMO)

Plan highlights

  • $109 monthly premium without RX
  • $165 monthly premium with RX
  • No-cost fitness center membership
  • Hearing exam and hearing aid coverage
  • Broad network of providers in and outside of the Providence Health & Services system

Benefits (in-network)

  • Primary care physician copay: $10
  • Specialist copay: $20 (with referral)
  • Secure video visits: $0
  • Vision coverage copay for exams and hardware: $0 (limits apply)
  • Prescription drugs: No deductible

View more plan and drug coverage details ›


Does not include any Part B premium you may have to pay. You must continue to pay your Medicare Part B premium.

It may cost more to get care from out-of-network providers except in an emergency or urgent care situation.

Multi-language insert (PDF)
We have free interpreter services to answer any questions you may have about our health or drug plan.

Find out if you qualify for extra help with your premiums ›

Medical appeals, determination and grievance processes ›

For more information about Providence Medicare Advantage Plans, please contact the sales team.

This information is available in a different format, including audio CDs. If you need plan information in another format, please call Customer Service at 503-574-8000 or 1-800-603-2340 (TTY: 711). Service is available between 8 a.m. and 8 p.m. (Pacific time), seven days a week.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits and premiums may change on January 1 of each year. The formulary, pharmacy network, and provider network may change at any time. You will receive notice when necessary.