$0 premium plan
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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. They include:
Provider availability may vary by plan.
With a Dual-Eligible Special Needs Plan (D-SNP), you get all the benefits of Medicaid and Original Medicare, plus much more, at no cost to you*.
$0 premium plan
$0 copays for medical services, including telehealth
$0 select drugs
$0 dental exams, cleanings, fillings, X-rays, crowns, and more
$250 per year for eyewear and $0 routine eye exam
$0 alternative care
$0 fitness program with free fitness tracker option
$0 meals delivered after a hospital or nursing home stay
$0 in-home support program
$0 transportation to medical appointments
$0 nicotine replacement therapy
$100 per quarter for hundreds of over-the-counter items
$50 per quarter for groceries for those with certain chronic conditions
Rewards—earn gift cards just for completing $0 preventive services
*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.
A Dual-Eligible Special Needs Plan (D-SNP) gives extra benefits for no additional cost to people who qualify for both Medicare and full Medicaid; it combines your Original Medicare benefits, your Part D prescription drug coverage, and your Medicare benefits.
PacificSource Dual Care (HMO D-SNP) is available to you, if:
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. Other providers are available in our network. The Silver&Fit® Program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). All programs and services may not be available in all areas. Silver&Fit and Connected! are registered trademarks of ASH and used with permission, herein. 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_AEP_DSNP_0921_M Accepted 10012021