Medicare Plans in
Clackamas County, OR

39 Medicare Advantage Plans Found in Clackamas County. See Plans

Clackamas County, OR
Medicare Information

For Clackamas County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 39 private Medicare plans are available in Clackamas County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

For Clackamas County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 39 private Medicare plans are available in Clackamas County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

Part D plans, also referred to as PDPs, cover retail prescription drugs.

Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.

Learn more about some of the Medicare plans in Clackamas County, Oregon, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

The following is HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files as well as carrier-provided plan data supplied by SunFire Inc.

Average Cost of Medicare
Plans in Clackamas County

Average Cost of Medicare Advantage Plans in Clackamas County, Oregon
Average Monthly Premium $43.47
Average in-network out-of-pocket spending limit $5,187.18
Average drug deductible in 2024 (weighted) $327.89
Percentage of plans rated 4 stars or higher 41.0%
Average Cost of Medicare Advantage Plans in Clackamas County, Oregon
Average Monthly Premium
$43.47
Average in-network out-of-pocket spending limit
$5,187.18
Average drug deductible in 2021 (weighted)
$327.89
Percentage of plans rated 4 stars or higher
41.0%

Learn More About Medicare
Prescription Drug Plans

Clackamas County Medicare beneficiaries who are interested in a private Medicare policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type and Description
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.

Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Plans in Clackamas County, OR

The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Oregon in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Eagle (PPO) H9431: 015 $0 N/A $5,600 No
3 out of 5
Aetna Medicare SmartFit Elite Plan (HMO-POS) H2056: 010 $0 $0 $5,200 Yes
3 out of 5
Aetna Medicare Value Plan (HMO-POS) H2056: 004 $0 $150 $6,100 Yes
3 out of 5
Aetna Medicare Elite Plan (HMO-POS) H2056: 003 $0 $0 $5,200 Yes
3 out of 5
Aetna Medicare Choice Plan (PPO) H9431: 005 $20 $150 $5,600 Yes
3 out of 5
Aetna Medicare Value Plus Plan (HMO-POS) H2056: 011 $21 $400 $6,100 Yes
3 out of 5

Centene Corporation

Centene Corporation Medicare Plans in Clackamas County, OR

The following table includes cost information and other plan details for Centene Corporation private Medicare plans available in Oregon in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Giveback Open (PPO) H5439: 015 $0 $545 $8,850 Yes
2.5 out of 5
Wellcare No Premium Open (PPO) H5439: 017 $0 $300 $3,450 Yes
2.5 out of 5
Wellcare No Premium (HMO) H6815: 039 $0 $250 $5,600 Yes
3 out of 5
Wellcare No Premium (HMO) H6815: 038 $0 $425 $5,900 Yes
3 out of 5
Wellcare Patriot No Premium Open (PPO) H5439: 010 $0 N/A $3,500 No
2.5 out of 5
Wellcare Assist (HMO) H6815: 037 $17 $380 $5,600 Yes
3 out of 5
Wellcare Low Premium Open (PPO) H5439: 019 $24 $350 $5,900 Yes
2.5 out of 5
Wellcare Premium Ultra Open (PPO) H5439: 011 $139 $150 $4,000 Yes
2.5 out of 5
Cigna

Cigna Medicare Plans in Clackamas County, OR

The following table includes cost information and other plan details for Cigna private Medicare plans available in Oregon in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna True Choice Medicare (PPO) H7849: 055 $0 $0 $5,600 Yes
3 out of 5
Cigna Preferred Medicare (HMO) H7389: 002 $0 $0 $4,900 Yes
Not enough data available
Cigna True Choice Courage Medicare (PPO) H7787: 002 $0 N/A $5,700 No
3 out of 5

Devoted Health

Devoted Health Medicare Plans in Clackamas County, OR

The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Oregon in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Devoted CHOICE Oregon (PPO) H7199: 001 $0 $225 $5,900 Yes
Plan too new to be measured
Devoted CORE Oregon (HMO) H2923: 001 $0 $0 $5,200 Yes
Plan too new to be measured
Devoted CHOICE PLUS Oregon (PPO) H7199: 002 $12 $150 $5,400 Yes
Plan too new to be measured
Humana Inc.

Humana Inc. Medicare Plans in Clackamas County, OR

The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Oregon in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Gold Plus H1036-153 (HMO) H1036: 153 $0 $0 $5,200 Yes
5 out of 5
Humana USAA Honor (PPO) H5216: 301 $0 N/A $5,000 No
4.5 out of 5
Humana USAA Honor (PPO) H5216: 315 $0 N/A $8,850 No
4.5 out of 5
HumanaChoice H5216-247 (PPO) H5216: 247 $0 $125 $6,500 Yes
4.5 out of 5
Humana Gold Plus - Diabetes (HMO C-SNP) H1036: 306 $0 $250 $6,900 Yes
5 out of 5
Humana Value Plus H5216-294 (PPO) H5216: 294 $36 $545 $8,850 Yes
4.5 out of 5

Kaiser Foundation Health Plan, Inc.

Kaiser Foundation Health Plan, Inc. Medicare Plans in Clackamas County, OR

The following table includes cost information and other plan details for Kaiser Foundation Health Plan, Inc. private Medicare plans available in Oregon in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Kaiser Permanente Senior Advantage Value (HMO-POS) H9003: 009 $0 $0 $5,000 Yes
3.5 out of 5
Kaiser Permanente Senior Advantage Standard (HMO-POS) H9003: 006 $46 $0 $4,650 Yes
3.5 out of 5
Kaiser Permanente Senior Advantage Enhanced (HMO-POS) H9003: 001 $131 $0 $3,000 Yes
3.5 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Plans in Clackamas County, OR

The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Oregon in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage from UHC OR-0004 (HMO-POS) H3805: 039 $0 $0 $4,500 Yes
4 out of 5
AARP Medicare Advantage from UHC OR-0002 (PPO) H2406: 070 $0 $0 $5,600 Yes
4 out of 5
AARP Medicare Advantage Patriot No Rx OR-MA01 (PPO) H2406: 073 $0 N/A $6,300 No
4 out of 5
UHC Complete Care OR-001A (PPO C-SNP) H0271: 036 $21 $545 $8,850 Yes
4 out of 5
UHC Nursing Home Plan OR-F002 (PPO I-SNP) H2406: 033 $28 $545 $2,000 Yes
4 out of 5
UHC Nursing Home Plan OR-F001 (PPO I-SNP) H0710: 036 $30 $545 $2,300 Yes
5 out of 5
UHC Care Advantage RI-E002 (PPO I-SNP) H2406: 049 $33 $200 $750 Yes
4 out of 5
AARP Medicare Advantage from UHC OR-0001 (PPO) H2406: 042 $39 $0 $4,500 Yes
4 out of 5
UHC Care Advantage OR-E001 (PPO I-SNP) H0710: 037 $41 $0 $750 Yes
5 out of 5
AARP Medicare Advantage from UHC OR-0003 (HMO-POS) H3805: 001 $58 $0 $3,500 Yes
4 out of 5