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PacificSource Medicare Advantage Plans 2012 Plans
Plans available in Central Oregon
Crook, Deschutes, Grant, Hood River, Jefferson, Klamath (97731, 97733, 97737, 97739),
Lake (97638, 97641, 97735, 97739), Sherman, Wasco and Wheeler Counties
Essentials 2 (HMO)
Premier 1 (HMO-POS)*
Essentials Rx 6 (HMO)
Essentials Rx 14 (HMO)
Premier Rx 7 (HMO-POS)*
*Excludes Crook county
Summary of Benefits Essentials Rx 6, Essentials Rx 14 and Premier Rx 7 Plans
Summary of Benefits Essentials 2 and Premier 1 Plans
Crook, Deschutes, Klamath (97731, 97733, 97737, 97739), Lake (97638, 97641, 97735, 97739) Counties
Explorer Rx 1 (PPO)
Summary of Benefits Explorer Rx 1
Plans available in Lane County, Oregon
Lane County, Oregon
Essentials Rx 15 (HMO)
Explorer 5 (PPO)
Explorer Rx 4 (PPO)
Summary of Benefits Essentials Rx 15
Summary of Benefits Explorer 5 and Explorer Rx 4 plans
Plans available in Southwest Idaho
Ada, Boise, Canyon, Twin Falls, and Owyhee Counties, ID
Summary of Benefits Essentials Rx 16
Ada, Blaine, Boise, Camas, Canyon, Cassia, Elmore, Gooding, Jerome, Lincoln, Minidoka, Owyhee, Twin Falls Counties, ID
Summary of Benefits Explorer Rx 2
Summary of Benefits Explorer 6
Enrollment Form Lane County (PDF)
Please call: 1-888-957-5001
Enrollment Form Central Oregon, Eastern Oregon and Mid-Columbia Gorge (PDF)
Please call: 1-888-957-5001
Provider Directory Essentials and Premier Plans (PDF)
Enrollment Form Idaho (PDF)
Please call: 1-888-957-5001
Provider Directory Explorer Plans (PDF)
List of Covered Drugs (PDF)
PacificSource Medicare Customer Service
Call PacificSource Medicare:
Toll-free ---------------------(888) 863-3637
Local Springfield: ---------------------(541) 225-3771
Local Bend: ---------------------(541) 385-5315
TTY: ---------------------(800) 735-2900
Customer Service hours:
Oct 15 - Feb 14:8:00 a.m. - 8:00 p.m., seven days a week
Feb 15 - Oct 14: 8:00 a.m. - 8:00 p.m., Monday – Friday
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