2014 Benefits for:
CareOregon Advantage Plus HMO-POS SNP
CareOregon Advantage Star HMO-POS

(Please note: these benefits do not take effect until January 1, 2014)

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CareOregon Advantage (COA) has two health plans for people who qualify for Medicare:

  • CareOregon Advantage Plus HMO-POS SNP for people who qualify for both Medicare and Medicaid/Oregon Health Plan, and
  • CareOregon Advantage Star HMO-POS for all Medicare beneficiaries

CareOregon Advantage Plus HMO-POS SNP

Benefits Summary: 

Premium $0*

(*$34.80 subsidized by Low Income Subsidy assistance)

Our Special Needs Plan (SNP) combines Medicare, the Oregon Health Plan (Medicaid) and prescription drug benefits into one convenient plan for our dual-eligible members (Medicare and Medicaid).

  • Local customer service with one phone number to call for Medicaid, Medicare and Part D questions
  • Over-the-Counter (OTC) Debit Card good for $40/month toward select pharmacy items
  • 24-hour Nurse Advice line
  • Routine vision Exams and eyeglasses

CareOregon Advantage Star HMO-POS

Benefits Summary: 

Premium $34.80

(As low as $0 with Low Income Subsidy assistance)  

Enhanced Medicare coverage combining all the services of Parts A, B and D (prescription drugs) all into a convenient, simple to use plan.
  • Local customer service with one phone number to call for Medicare and Part D questions
  • $10 primary care copay
  • $310 deductible and low copays for generic drugs
  • $0 copay diabetic testing supplies
  • $0 copay Lab tests
  • Nationwide emergency and urgent care coverage
  • Routine vision Exams and eyeglasses
  • 24 Hour Nurse Advice Line


CareOregon Advantage Plus HMO-POS SNP is an HMO plan with a Medicare/Medicaid contract.  Enrollment in CareOregon Advantage Plus depends on contract renewal.
CareOregon Advantage Star HMO-POS is an HMO plan with a Medicare contract.  Enrollment in CareOregon Advantage Star depends on contract renewal.

You must continue to pay your Medicare Part B premium.  The Part B Premium is paid for members with full Medicaid benefits.
Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year.
   Page last updated: Oct. 23, 2013 
   H5859_4006_CO_0018 APPROVED

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