Our 2024 plans

Our plans are accepted by thousands of doctors. We offer two Medicare Advantage Plan types, Providence Medicare Align Group Plan + Rx (HMO) and Providence Medicare Flex Group Plan + Rx (HMO-POS).

To enroll in a PHIP Medicare Plan, contact PERS directly at 503-224-7377 or 1-800-768-7377.

PERS Health Insurance Plan (PHIP)

PHIP offers more enhanced benefits than Providence Medicare Advantage Plans sold directly to non-PERS members.

2024 Benefit information

Providence Medicare Align Group Plan + Rx (HMO)

• Summary of Benefits (PDF) - Updated 2/6/24
• Evidence of Coverage (PDF) - Updated 9/19/23
• Annual Notice of Change (PDF) - Updated 9/19/23

Providence Medicare Flex Group Plan + Rx (HMO-POS)

• Summary of Benefits (PDF) - Updated 2/6/24 
• Evidence of Coverage (PDF) - Updated 9/19/23 
• Annual Notice of Change (PDF) - Updated 9/19/23

Contact PERS directly at 503-224-7377 or toll free 1-800-768-7377 for premium and enrollment information.
Individuals must have both Part A and Part B to enroll. You must continue to pay your Medicare Part B premium.

Members of Providence Medicare Align Group Plan + Rx (HMO) must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor Providence Medicare Advantage Plans will be responsible for the costs.

It may cost Providence Medicare Flex Group Plan + Rx (HMO-POS) members more to get care from out-of-network providers, except in an emergency or urgent care situation.

Additional resources

• Request to have a printed Evidence of Coverage document mailed to your home
• Request to have a printed Provider and Pharmacy Directory mailed to your home
• Request to have a printed Prescription Drug Formulary mailed to your home
• Medical Appeals, Determination and Grievance Processes
• Plan star rating (PDF)
• Plan star rating - Spanish (PDF)
• Plan star rating - Vietnamese (PDF)
• Travel benefit summary (PDF)
• PHIP handbook
• Medicare.gov
• Contract information (PDF) This notice states that Providence Medicare Advantage Plans and/or CMS may choose to terminate their contract with each other at any time in the future.
• Privacy Notice

For more information about Providence Medicare Advantage Plans, you may contact the sales team at 503-574-8000 or toll free 1-800-603-2340 (TTY: 711), 8 a.m. to 8 p.m. (Pacific Time), seven days a week.

Providence Medicare Advantage Plans is an HMO, HMO‐POS and HMO SNP with Medicare and Oregon Health Plan contracts. Enrollment in Providence Medicare Advantage Plans depends on contract renewal.