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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.

View 2009 Premium and Benefit Information.

Monthly Premium 2008 Rates

Counties Providence Medicare Extra Plan 1 + RX Providence Medicare Extra Plan 1 Providence Medicare Choice+ RX Providence Medicare Choice
Columbia, Clackamas, Lane, Marion, Multnomah, Polk, Washington, Yamhill, (Oregon) and Clark County (Wash.) $112
Summary of Benefits (PDF 1.3MB)
$85 Summary of Benefits (PDF 734kb) $52 Summary of Benefits (PDF 1.6MB) $29 Summary of Benefits (PDF 922kb)

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 Extra Plan 1 + RX Providence Medicare Choice + RX
100% $88 $32
75% $94 $37
50% $100 $42
25% $106 $47

For more information about Providence Medicare Plans, you may contact the sales team.

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

To view Adobe Acrobat Reader PDF files, download free Adobe Acrobat Reader

Revised 11/08
H9047 UF ADV 20_09 (11/08)

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