2012 Plans
Providence Medicare Open + RX (PPO)
Providence Medicare Extra + RX (HMO)
Providence Medicare Choice + RX (HMO-POS)
Providence Medicare Open (PPO)
Providence Medicare Extra (HMO)
Providence Medicare Choice (HMO-POS)

Benefit Summaries
Providence Medicare Open + RX (PPO)
Providence Medicare Extra + RX (HMO)
Providence Medicare Choice + RX (HMO-POS)
Providence Medicare Open (PPO)
Providence Medicare Extra (HMO)
Providence Medicare Choice (HMO-POS)

Evidence of Coverage
Providence Medicare Open + RX (PPO)
Providence Medicare Extra + RX (HMO)
Providence Medicare Choice + RX (HMO-POS)
Providence Medicare Open (PPO)
Providence Medicare Extra (HMO)
Providence Medicare Choice (HMO-POS)

Coverage Area
Providence Medicare Open + RX (PPO MAPD)
(Clackamas, Multnomah and Washington counties, as well as in Clark County, Washington.)

Providence Medicare Open (PPO MA)
(Clackamas, Multnomah and Washington counties, as well as in Clark County, Washington.)

Enrollment Forms
Enrollment Form (PDF)

Providers, Pharmacies & Drugs
Pharmacy / Provider Directory
2012 Formulary (PDF)

Key Features of Providence Medicare Advantage Plans

• Worldwide emergency coverage
• No health screenings and no exclusions for age
• Coverage for routine vision exam
• 24-hour telephone medical advice from our Providence RN nurses
• Routine physicals and preventive services
• Wellness and value-added programs at no additional charge
• Virtually no paperwork
• SilverSneakers

503-574-8000 or 800-603-2340
TTY 503-574-8702 or 888-244-6642
8 a.m. and 8 p.m., seven days a week (Pacific time).