$0 premiums
What extra benefits could you qualify for?
Why pay plan premiums when you don’t have to? Save your money.
$0 copays for medical services, including telehealth
Why pay copays when you don’t have to? Our plans have you covered.
$0 comprehensive dental (with limitations)
We haven’t forgotten your teeth. Our plans have the benefits to keep your mouth healthy.
$0 select drugs
Helping you get your prescriptions for as little money as possible.
$0 routine eye exam
We’re here to help you see as well as possible—while saving some money.
$0 hearing exam
See how our hearing benefit can help you save.
$0 alternative care
There’s more than one way to stay healthy. Our plans are here with options.
$0 fitness program with gym membership
Stay as fit as possible while saving money.
$200 per year to spend on eyeglasses or contacts
Your eyes are an important part of your overall health. We’ll make sure they’re covered.
$800 ($200 per quarter) for hundreds of over-the-counter items
Another little perk. We strive to go beyond what’s required to put members first.
Improved care coordination
Our local Health Services teams assist when you need help managing your healthcare.
Local human service–not automated phone trees or offshore call centers
Human service will never be obsolete. It’s what sets us apart from the rest.
Extra help for members with special needs
Health coverage is all about people. Which is why we go beyond what’s required for members who need extra help.
Rides to and from your healthcare visits
We’ll help you get where you need to go—at no cost.
Frequently Asked Questions
The term “D-SNP” is short for Dual Eligible Special Needs Plan. Our plan is called PacificSource Dual Care (HMO D-SNP). It is a Medicare Advantage plan with extra benefits at no additional cost to people who qualify for Medicare and full Medicaid. It combines the benefits of Original Medicare, Part D prescription drug coverage, and Medicaid benefits.
No-cost benefits and extras include:
- $0 premium
- $0 copays for medical services, including telehealth
- $0 select drugs
- Medicaid-covered dental care with many routine procedures
- $200 per year for eyewear and $0 routine eye exam
*Cost shares, benefits, premiums, and deductibles shown here reflect Medicare and full Medicaid coverage. Your costs may vary if your Medicaid eligibility category and/or the level of Extra Help you receive changes.
You can enroll in PacificSource Dual Care (HMO D-SNP) if:
- You qualify for Medicare Parts A and B
- You’re eligible for or enrolled in full Medicaid benefits
- You live in our service area: Clackamas, Crook, Deschutes, Hood River, Jefferson, Lane, Marion, Multnomah, Polk, Wasco, or Washington Counties, as well as North Klamath ZIP codes 97731, 97733, 97737, and 97739
No, your Medicaid benefits will not change at all. Actually, a D-SNP plan gives you even more coverage than your current medical and drug benefits.
Highly rated providers you can count on.
These are the doctors and facilities you want. Thousands of top physicians and specialists of all kinds, plus world-class hospitals and urgent care centers right where you need them. Here are just a few of our many partners available in-network across Oregon:
Provider availability may vary by plan.
Seven things you need to know about Dual-Eligible Special Needs Plans (D-SNP)
Are you eligible for Medicare and Medicaid? If so, you have another health plan option that will provide you with all the coverage from both programs, plus extra benefits. This health coverage option is a Dual-Eligible Special Needs Plan (D-SNP). Qualifying for a D-SNP plan could give you dental, hearing, and meal benefits. Learn more about what D-SNP plans are and find out if you qualify for one.
Download
Get all the benefits you’re entitled to.
Speak to one of our Medicare experts today.
Call 800-814-6692, TTY: 711 We accept all relay calls.
800-814-6692, TTY: 711 We accept all relay calls.
Monday – Friday, 8:00 a.m. to 5:00 p.m.
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). Cost shares, benefits, premiums, and deductibles reflect Medicare and full Medicaid coverage. Your costs may vary if your Medicaid eligibility category and/or the level of Extra Help you receive changes. Enrollment in PacificSource Medicare depends on contract renewal. Other providers are available in our network. ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 888-863-3637, TTY 711. 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.
Y0021_MED367_DSNP_0425_M Accepted 04092025
Y0021_MED367_DSNP_0425_M Accepted 04092025
