Member benefits
Welcome to CareOregon Advantage! We’re glad to be teaming up on your health care journey. This page will help you know and understand your benefits. Chapter 4 of your Evidence of Coverage lists your full CareOregon Advantage benefits. We care about your whole health, which is why we also offer extra services at no cost to you.
Click on a plan year below to display the benefits.
Plan Year 2024
Premium and Deductible
$0monthly premium and annual deductible
- 90-day fills for many prescriptions
- Eye exams and glasses
- Silver&Fit fitness program
- Meal delivery after hospital stays
- 24/7 virtual visits for non-emergency care
- In-home wellness visits
- In-home support services
- 24/7 personal medical alert system
$0copayment
Medicaid benefits
Dental, medical transportation, alternative care, hearing aids
$0covered by Medicaid
CareOregon Advantage CareCard
$1,620 per year ($405/quarter) for over-the-counter health items and healthy foods, and $1,500 for dental services
$1,620per year
$1,500per year
Rewards
for completing healthy activities
Earn
$$per year
Plan Year 2025
Premium and Deductible
$0monthly premium and annual deductible
- 90-day fills for many prescriptions
- Eye exams and glasses
- Silver&Fit fitness program
- Meal delivery after hospital stays
- 24/7 virtual visits for non-emergency care
- In-home wellness visits
- In-home support services
- 24/7 personal medical alert system
$0copayment
Medicaid benefits
Dental, medical transportation, alternative care, hearing aids
$0covered by Medicaid
CareOregon Advantage CareCard
For over-the-counter health items, healthy foods and utilities ($344.50/quarter)
$1,378per year
Rewards
for completing healthy activities
Earn
$$per year
As a CareOregon Advantage member, you are “dual-eligible” for both Medicare AND Medicaid benefits. Medicaid may cover some benefits that Medicare doesn’t, including mental health, dental health, acupuncture and chiropractic care. Check with your Medicaid plan for more information about the benefits they cover.
To learn more about your benefits, take a look at the COA Welcome Guide or the COA Benefit Highlights flyer, which can be found on the My plan documents page.
CareOregon Advantage Plus is an HMO-POS D-SNP with a Medicare/Medicaid contract. Enrollment in CareOregon Advantage Plus depends on contract renewal. If you prefer to speak to someone directly, please call Customer Service at 503-416-4279, toll-free 888-712-3258 or TTY 711. Our hours are October 1 through March 31, 8 a.m. to 8 p.m. daily; and April 1 through September 30, 8 a.m. to 8 p.m., Monday-Friday. You can also send us a secure message through the member portal.
Page last updated: October 15, 2024
Pending CMS approval H5859_COAWEB_M_2025
