Text Size: A A A

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.

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 Adobe Acrobat Reader PDF files, download free Adobe Acrobat Reader

Providence Health Plan is a health plan with a Medicare contract.

H9047_PHP14_05172010

Alternative Care

Discounts on acupuncture, chiropractic care, massage therapy and more.

Contact Us:

Customer Service
503-574-8000 or
800-603-2340

Medicare Advantage Sales
503-574-5551 or
800-457-6064

TTY: 503-574-8702 or
888-244-6642
M-Sun, 8 am to 8 pm

Mailing Address