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My plan documents

CareOregon Advantage Plus member documents

Members of CareOregon Advantage Plus HMO-POS D-SNP can access all plan materials below in an electronic format.

Locate your document below and click the link to access a PDF document or an audio file.

If you need paper copies of any of these documents, or, if you have any questions about them, please call Customer Service at 503-416-4279, toll-free at 888-712-3258 or TTY 711. You can also send us a secure message through the member portal.

COA Welcome Guide

Standard/large print

Audio version

 

COA Evidence of Coverage

Standard print

Large print

Audio version

COA Summary of Benefits

Standard print

Large print

Audio version

COA Annual Notice of Changes

Standard print

Large print

Audio version

COA Formulary (Drug List)

Standard print

Large print

Audio version

COA Provider Directory

Standard print

Audio version

COA Pharmacy Directory

Standard print

Large print

Audio version

COA LIS premium summary table

Audio version

 

Premiums, copayments, coinsurance, and deductibles may vary based on the level of Extra Help you receive. The Part B Premium is paid for members with full Medicaid benefits. Please contact us for further details.

 

Page last updated: January 1, 2024
H5859_COAWEB_M_2024

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