Medicare Special Needs Plans in Oregon
Every Special Needs Plan in Oregon for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.
Showing all 26 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with Oregon Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | CareOregon Advantage Plus (HMO D-SNP)CareOregon Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing5 of 26 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 2 | PacificSource Oregon Dual Rx (HMO D-SNP)PacificSource Medicare · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing8 of 26 counties | $0 | $9,250 | $9,250 | 3★ |
| 3 | Samaritan Dual Advantage (HMO D-SNP)Samaritan Advantage Health Plans · HMO D-SNPHighly integrated (HIDE)3 of 26 counties | $6.30 | $9,850 | $9,926 | 3★ |
| 4 | AllCare Advantage Redwood Rx (HMO D-SNP)AllCare Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing4 of 26 counties | $0 | $9,850 | $9,850 | 2.5★ |
| 5 | ATRIO Special Needs Plan (HMO D-SNP)ATRIO Health Plans · HMO D-SNPHighly integrated (HIDE)1 of 26 counties | $0 | $9,850 | $9,850 | 2.5★ |
| 6 | Wellcare Trillium Health Plan Dual Select Sync (HMO D-SNP)Wellcare · HMO D-SNPHighly integrated (HIDE)4 of 26 counties | $0 | $9,850 | $9,850 | 2.5★ |
| 7 | ATRIO Special Needs Plan (HMO D-SNP)ATRIO Health Plans · HMO D-SNPCoordination-only1 of 26 counties | $0 | $9,850 | $9,850 | 2.5★ |
C-SNPs: chronic conditions
Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 26 counties | $0 | $4,550 | $4,550 | 4.5★ |
| 2 | ATRIO Support Rx (PPO C-SNP)ATRIO Health Plans · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 26 counties | $0 | $5,300 | $5,300 | 2.5★ |
| 3 | DEVOTED C-SNP ENHANCED 013 OR (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 26 counties | $0 | $6,400 | $6,400 | 3★ |
| 4 | UHC Complete Care OR-5 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes11 of 26 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 5 | AgeRight Advantage Premier Health Plan (HMO C-SNP)AgeRight Advantage · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes11 of 26 counties | $69 | $6,500 | $7,328 | Not rated |
| 6 | DEVOTED C-SNP GIVEBACK EXTRAS 019 OR (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 26 counties | $0 | $7,700 | $7,700 | 3★ |
| 7 | DEVOTED C-SNP GIVEBACK EXTRAS 018 OR (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes3 of 26 counties | $0 | $7,900 | $7,900 | 3★ |
| 8 | DEVOTED C-SNP GIVEBACK EXTRAS 030 OR (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes3 of 26 counties | $0 | $7,900 | $7,900 | 3★ |
| 9 | DEVOTED C-SNP GIVEBACK EXTRAS 020 OR (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 26 counties | $0 | $7,950 | $7,950 | 3★ |
| 10 | DEVOTED C-SNP PLUS 009 OR (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 26 counties | $0 | $9,850 | $9,850 | 3★ |
| 11 | DEVOTED C-SNP PLUS 014 OR (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 26 counties | $0 | $9,850 | $9,850 | 3★ |
| 12 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 26 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 13 | UHC Complete Care Support OR-1A (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes11 of 26 counties | $0 | $9,850 | $9,850 | 4.5★ |
I-SNPs: institutional care
For people who live, or are expected to live, at least 90 days in a nursing home or similar facility, or who need that level of care at home. Sorted by worst-case year.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | UHC Care Advantage OR-E001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPInstitutional-equivalent (at home)9 of 26 counties | $6.30 | $4,000 | $4,076 | 5★ |
| 2 | Springs Advantage, a SCAN Medicare Plan (HMO-POS I-SNP)SCAN Health Plan · HMO-POS I-SNPHybrid (at home or in a facility)2 of 26 counties | $55 | $4,000 | $4,660 | Too new to rate |
| 3 | AgeRight Advantage Plus Health Plan (HMO I-SNP)AgeRight Advantage · HMO I-SNPHybrid (at home or in a facility)11 of 26 counties | $74 | $6,000 | $6,888 | Not rated |
| 4 | AgeRight Advantage Health Plan (HMO I-SNP)AgeRight Advantage · HMO I-SNPHybrid (at home or in a facility)11 of 26 counties | $0 | $9,850 | $9,850 | Not rated |
| 5 | Springs Together, a SCAN Medicare Plan (HMO-POS I-SNP)SCAN Health Plan · HMO-POS I-SNPHybrid (at home or in a facility)2 of 26 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 6 | UHC Nursing Home Plan OR-F001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based8 of 26 counties | $0 | $9,850 | $9,850 | 5★ |
Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort
Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.
Questions
How many Special Needs Plans are in Oregon for 2027?
CMS lists 26: 7 D-SNPs (Medicare and Medicaid), 13 C-SNPs (chronic conditions) and 6 I-SNPs (institutional), from 11 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Oregon are integrated with Medicaid?
6 of the 7 D-SNPs are fully integrated, highly integrated or applicable integrated plans, which cover or coordinate Medicaid benefits more closely. The rest are coordination-only plans. Integrated plans are listed first among plans with the same star rating.
Do Special Needs Plans include drug coverage?
Yes. Every Special Needs Plan must include Part D drug coverage.
Can I stay in a Special Needs Plan if I no longer qualify?
Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
- Medicare.gov, “Special Needs Plans” — medicare.gov.
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure
Keep going
- How Special Needs Plans work →
- General Medicare Advantage plans in Oregon →
- Medicare Savings Programs →
- Extra Help with drug costs →
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