Providence Medicare Align Group Plan + Rx (HMO) and Flex Group Plan + Rx (HMO-POS)

2018 benefit information

Providence Medicare Align Group Plan + Rx (HMO)

Providence Medicare Flex Group Plan + Rx (HMO-POS)

Contact PERS directly at 1-800-768-7377 for premium and enrollment information.

Individuals must have both Part A and Part B to enroll.

You must continue to pay your Medicare Part B premium.

Members of Providence Medicare Align Group Plan + Rx (HMO) must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor Providence Medicare Advantage Plans will be responsible for the costs.

It may cost Providence Medicare Flex Group Plan + Rx (HMO-POS) members more to get care from out-of-network providers, except in an emergency or urgent care situation.

Medical Appeals, Determination and Grievance Processes

Contract information (PDF)

This notice states that Providence Medicare Advantage Plans and/or CMS may choose to terminate their contract with each other at any time in the future.

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

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Providence Medicare Advantage Plans is an HMO, HMO-POS, and HMO SNP plan with a Medicare and Oregon Health Plan contract. Enrollment in Providence Medicare Advantage Plans depends on contract renewal.

Website is current as of 11/27/2017