So much more than Original Medicare
When you enroll in a Medicare Advantage plan, you don’t give up the benefits of Original Medicare, but you gain a lot more—and pay less for it.
Original Medicare
PacificSource Medicare Advantage
Dental, vision, and hearing coverage
Not covered
Covered in many plans
Prescription drug coverage
Not available
Covered in many plans
Doctor visits
80% after met deductible
Low or no copays for your doctor and specialist visits
Hospital visits
You pay a deductible for each stay, plus a copay for long stays
You pay copays for a set number of days. After that, your plan pays the rest.
Provider network
You can use any doctor who accepts Medicare and do not need referrals
Most plans let you see any doctor who accepts Medicare, without a referral. Some plans require in-network doctors and facilities.
$0 extras (fitness program, over-the-counter spending allowance)
Not covered
Covered in many plans
Worldwide coverage for urgent/emergency care and ambulance
Not covered
Yes
Alternative care (chiropractic, acupuncture, naturopathic care)
Very limited coverage (Part B pays 80% of treatment cost only after you've met your deductible)
Covered in many plans where available
Annual out-of-pocket limit
None
Yes, both for medical and Rx coverage
$0 premium
Part A: Some qualify for $0 premiums
Part B: $0 premiums not available
Yes, $0 Part A premium options are available
Human service
Plan likely uses automated phone trees
Real people to assist you by phone or live chat
Medicare 101: Understanding your options
Feeling overwhelmed by Medicare? There’s a lot to consider, including Original Medicare, Medicare Advantage, Medicare Part D, and Medigap. Get all the information about your Medicare options to choose the best plan for you and your lifestyle.
Download
For Medicare Advantage questions, call us and talk to a person—not an automated phone tree.
Call 866-468-7491, TTY: 711 We accept all relay calls.
866-468-7491, TTY: 711 We accept all relay calls.
October 1–March 31: 8:00 a.m.–8:00 p.m., seven days a week
April 1–September 30: 8:00 a.m.–8:00 p.m., Monday - Friday
PacificSource Community Health Plans is an HMO, HMO D-SNP, and PPO plan with a Medicare contract and a contract with Oregon Health Plan (Medicaid). Enrollment in PacificSource Medicare depends on contract renewal.
Y0021_MED367_1124_M Accepted 11252024
