Text Size: 
Providence Medicare Plans Premium and Benefit Information
The premiums listed do not include any Part B premium you may have to pay and the premiums listed are for both medical services and prescriptions drug benefits.
2010 Monthly Premium Rates
| Counties | Providence Medicare Extra + RX (HMO) | Providence Medicare Extra (HMO) | Providence Medicare Choice+ RX (HMOPOS) | Providence Medicare Choice (HMOPOS) |
|---|---|---|---|---|
| Columbia, Clackamas, Lane, Marion, Multnomah, Polk, Washington, Yamhill, (Oregon) and Clark County (Wash.) | $117 Summary of Benefits (PDF) |
$92 Summary of Benefits (PDF) |
$58 Summary of Benefits (PDF) |
$32 Summary of Benefits (PDF) |
You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party.
If you are eligible and receive the low-income subsidy, your premiums will generally be lower once you receive extra help from Medicare.
Low Income Subsidy (LIS) Premium Summary Table for Those Receiving Extra Help
| Your level of Extra Help | Providence Medicare + RX (HMO) | Providence Medicare Choice + RX (HMOPOS) |
|---|---|---|
| 100% | 81.40 | $25 |
| 75% | 90.30 | $33.25 |
| 50% | 99.20 | $41.50 |
| 25% | 108.10 | $49.75 |
For more information about Providence Medicare Advantage Plans, you may contact the sales team.
This information is available in a different format, including audio CDs and Spanish. Please call Customer Service, 503-574-8000 or 1-800-603-2340. if you need plan information in another format or language.
To view 
PDF files, download free Adobe Acrobat Reader
TruVision
Discounts on eye examinations, laser vision correction, and more.
