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My plan documents

CareOregon Advantage Plus member documents

Members of CareOregon Advantage Plus HMO-POS D-SNP can access all plan materials below in an electronic format.

Locate your document below and click the plan year to access a PDF document or an audio file.

If you need paper copies of any of these documents, or, if you have any questions about them, please call Customer Service at 503-416-4279, toll-free at 888-712-3258 or TTY 711. You can also send us a secure message through the member portal.

COA Evidence of Coverage

COA Summary of Benefits

COA Annual Notice of Changes

COA Formulary (Drug List)

COA Benefit Highlights

COA Provider Directory

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Audio version

  • 2024 COA Plus Provider Directory (audio) - English
  • 2024 COA Plus Provider Directory (audio) - Spanish
  • 2024 COA Plus Provider Directory (audio) - Russian
  • 2024 COA Plus Provider Directory (audio) - Traditional Chinese
  • 2024 COA Plus Provider Directory (audio) - Simplified Chinese
  • 2024 COA Plus Provider Directory (audio) - Vietnamese

COA Pharmacy Directory

COA LIS premium summary table 

COA CareCard benefit flyer

COA vision benefit flyer

In-home wellness visit (Signify Health) flyer

Healthy aging and exercise program (Silver&Fit) flyer

COA Plan star ratings

  • 2024 COA Plan Star ratings - English
  • 2024 COA Plan Star ratings - Spanish
  • 2024 COA Plan Star ratings - Russian
  • 2024 COA Plan Star ratings - Traditional Chinese
  • 2024 COA Plan Star ratings - Simplified Chinese
  • 2024 COA Plan Star ratings - Vietnamese

COA notice of privacy practices

  • 2024 COA Notice of Privacy Practices - English
  • 2024 COA Notice of Privacy Practices - Spanish
  • 2024 COA Notice of Privacy Practices - Russian
  • 2024 COA Notice of Privacy Practices - Traditional Chinese
  • 2024 COA Notice of Privacy Practices - Simplified Chinese
  • 2024 COA Notice of Privacy Practices - Vietnamese

 

Premiums, copayments, coinsurance, and deductibles may vary based on the level of Extra Help you receive. The Part B Premium is paid for members with full Medicaid benefits. Please contact us for further details.

 

Page last updated: October 1, 2023
H5859_COAWEB_M_2024

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