2012 Plans
Premier RX 7 (HMO-POS MAPD)
Essentials RX 6 (HMO MAPD)
Premier 1 (HMO-POS MAPD)
Essentials 2 (HMO MA)
Explorer RX 1 (PPO MAPD)
Essentials RX 15 (HMO MAPD)
Explorer RX 4 (HMO MAPD)
Explorer 5 (PPO MA)
Benefit Summaries
Premier RX 7 Benefit Summary (PDF)
Essentials RX 6 Benefit Summary (PDF)
Essentials RX 14 Benefit Summary (PDF)
Premier 1 Benefit Summary (PDF)
Essentials 2 Benefit Summary (PDF)
Explorer RX 1 Benefit Summary (PDF)
Essentials RX 15 Benefit Summary (PDF)
Explorer RX 4 Benefit Summary (PDF)
Explorer 5 Benefit Summary (PDF)
Evidence of Coverage
Premier RX 7 (PDF)
Essentials RX 6 (PDF)
Essentials RX 14 (PDF)
Premier 1 (PDF)
Essentials 2 (PDF)
Explorer RX 1 (PDF)
Essentials RX 15 (PDF)
Explorer RX 4 (PDF)
Explorer 5 (PDF)
Enrollment Forms & Additional Information
Electronic
Application
Enrollment
Form - Lane County (PDF)
Enrollment
Form - Central Oregon (PDF)
Credit Card Authorization (PDF)
Quick Start Guide - Central Oregon (PDF)
Quick Start Guide - Lane (PDF)
Providers, Pharmacies & Drugs
Provider Directory (Search)
Provider Directory (PPO)
Provider Directory (HMO)
Pharmacy
Directory
Drug Search
Drug Formulary
Plans & Coverage Areas
Premier RX 7 (HMO-POS MAPD) The service area for this plan includes the following counties: Deschutes, Grant, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath* and Lake* counties, OR. You must live in one of these areas to join the plan.
Essentials RX 6 (HMO MAPD) The service area for this plan includes the following counties: Crook, Deschutes, Grant, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath* and Lake* counties, OR. You must live in one of these areas to join the plan.
Premier 1 (HMO-POS MAPD) The service area for this plan includes the following counties: Crook, Deschutes, Grant, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath* and Lake* counties, OR. You must live in one of these areas to join the plan.
Essentials 2 (HMO MA) The service area for this plan includes the following counties: Crook, Deschutes, Grant, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath* and Lake* counties, OR. You
must live in one of these areas to join the plan.
Explorer RX 1 (PPO MAPD) The service area for this plan includes the following counties: Crook and Deschutes Counties, OR. You must live in one of these areas to join the plan.
Essentials RX 15 (HMO MAPD) The service area for this plan is Lane County, OR. You
must live in one of these areas to join the plan.
Explorer RX 4 (PPO MAPD) The service area for this plan is Lane County, OR. You
must live in one of these areas to join the plan.
Explorer RX 5 (PPO MA) The service area for this plan is Lane County, OR. You
must live in one of these areas to join the plan. You
must live in one of these areas to join the plan.
* denotes partial county. Klamath County includes zip codes 97731, 97733, 97737 and 97425. Lake County includes zip codes 97735, 97638 and 97641. |