Give your health every advantage
Original Medicare has helped tens of millions of people since its creation in 1965, but it often falls short in terms of the coverage you may want or need. That’s because Original Medicare is great at what it was designed to do—cover the basics.
But life is about so much more than just hospital stays and doctor’s visits, and it’s the everyday benefits—vision, dental, hearing, and even gym memberships—that contribute to our overall health and well-being. And that’s exactly what Medicare Advantage is designed to take care of.
But life is about so much more than just hospital stays and doctor’s visits, and it’s the everyday benefits—vision, dental, hearing, and even gym memberships—that contribute to our overall health and well-being. And that’s exactly what Medicare Advantage is designed to take care of.
Original Medicare vs. PacificSource
Medicare Advantage
In many cases, a Medicare Advantage plan can save you significant money compared to Original Medicare. For example:
Cost of Hearing Aids
$4000
with Original Medicare
$500
with PacificSource Medicare Advantage
Cost of Dentures
$2250
with Original Medicare
$1125
with PacificSource Medicare Advantage
Cost of Routine Eye Exam
$115
with Original Medicare
$0
with PacificSource Medicare Advantage
Hearing aids, dentures, and vision benefits aren't covered by Original Medicare.
Why choose Medicare Advantage?
When you enroll in a Medicare Advantage plan, you don’t give up any of the benefits you would have gotten through Original Medicare, but you gain a lot more—and pay less for it.
Original Medicare
PacificSource Medicare Advantage
Dental, vision, and hearing coverage
Not covered
Covered in many plans
Prescription drug coverage
Not available
Covered in many plans
Doctor visits
80% after met deductible
Low or no copays for your doctor and specialist visits
Hospital visits
You pay a deductible for each stay, plus a copay for long stays
You pay copays for a set number of days. After that, your plan pays the rest.
Provider network
You can use any doctor who accepts Medicare and do not need referrals
Most plans let you see any doctor who accepts Medicare, without a referral. Some plans require in-network doctors and facilities.
$0 extras (fitness program, over-the-counter spending allowance)
Not covered
Covered in many plans
Worldwide coverage for urgent/emergency care and ambulance
Not covered
Yes
Alternative care (chiropractic, acupuncture, naturopathic care)
Very limited coverage (Part B pays 80% of treatment cost only after you've met your deductible)
Covered in many plans where available
Annual out-of-pocket limit
None
Yes, both for medical and Rx coverage
$0 premium
Part A: Some qualify for $0 premiums
Part B: $0 premiums not available
Yes, $0 Part A premium options are available
Human service
Plan likely uses automated phone trees
Real people to assist you by phone or live chat
For Medicare Advantage questions, talk to an expert who can help guide you
Call us at 877-450-8858, TTY: 711
We accept all relay calls.
October 1–March 31: 8:00 a.m.– 8:00 p.m., seven days a week
April 1–September 30: 8:00 a.m. – 8:00 p.m., Monday – Friday
Hearing aids, dentures, and vision benefits aren't covered by Original Medicare. Average cost of a pair of hearing aids: $4,000, Forbes, bit.ly/3sx0KUg, 03/24. With PacificSource Medicare Advantage, a pair starts at $599 (member cost share). Average cost of either upper or lower removable dentures: $2,250, AARP, bit.ly/3weNsy5, 01/24. Average cost of eye exam: $155, USNews, bit.ly/3UNmmr, 01/24. With PacificSource Medicare Advantage, member cost share is $0. With PacificSource Medicare Advantage, member cost share is 50% of total cost. PacificSource Community Health Plans is an HMO, HMO D-SNP, and PPO plan with a Medicare contract and a contract with Oregon Health Plan (Medicaid). Enrollment in PacificSource Medicare depends on contract renewal.
Y0021_MED869_0924_M Accepted 10012024
