2026 Medicare Advantage Plans in Clackamas County, OR
Last update: . Enrollment data updated: June 13, 2026
For 2026, Clackamas County, OR includes 43 Medicare Advantage plans. Enrollment across these plans totals approximately 51,206, with 29 $0 premium options and 35% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Clackamas County, OR are summarized separately. Visit Medicare Options in Clackamas County, OR to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 22
- Average Monthly Premium
- $36.18/mo
- Total PPO Enrollment
- 11,319
- $0 Premium PPO Plans
- 14
- Average MOOP
- $6,518
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC OR-0001 (PPO) — 1,854 enrollees
- PPO Plans Without Drug Coverage
- 7
What is the average monthly premium for PPO plans in Clackamas?
PPO plans in Clackamas cost $36.18 per month on average.
Which PPO plan has the highest enrollment in Clackamas?
The most popular PPO plan in Clackamas is AARP Medicare Advantage from UHC OR-0001 (PPO), with 1,854 enrollees.
How many PPO plans in Clackamas do not include prescription drug coverage?
7 PPO plans in Clackamas do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 10
- Average Monthly Premium $20.42/mo
- Total HMO Enrollment 13,427
- $0 Premium HMO Plans 8
- Average MOOP $6,015
- Top HMO by Enrollment Providence Medicare Prime + Rx (HMO) — 7,787 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H1036-323 | $0 | $8,800 | $615 | H1036-323-0 | |
| Humana Gold Plus H1036-153 | $0 | $4,750 | $615 | H1036-153-0 | |
| HealthSpring Preferred | $0 | $5,000 | $200 | H4407-035-0 | |
| Providence Medicare Extra + Rx | $161 | $4,200 | $0 | H9047-064-0 | |
| Providence Medicare Focus Medical | $0 | $4,200 | N/A | H9047-033-0 | |
| Providence Medicare Prime + Rx | $0 | $6,750 | $250 | H9047-037-0 | |
| DEVOTED CORE 001 OR | $0 | $5,900 | $375 | H2923-001-0 | |
| DEVOTED GIVEBACK 004 OR | $0 | $7,900 | $605 | H2923-004-0 | |
| DEVOTED PREMIUM 005 OR | $43 | $5,900 | $615 | H2923-005-0 | |
| PacificSource Medicare MyCare Rx 40 | $0 | $6,750 | $399 | H3864-040-0 |
What is the top HMO by enrollment in Clackamas?
Providence Medicare Prime + Rx (HMO) is the top HMO in Clackamas, with 7,787 enrollees.
What is the number of HMO plans without Part D coverage in Clackamas?
1 HMO plans in Clackamas do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 11
- Average Monthly Premium
- $23.64/mo
- Total HMO-POS Enrollment
- 26,460
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,809
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS) — 6,328 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Kaiser Permanente Senior Advantage Enhanced | $119 | $3,500 | $0 | H9003-001-0 | |
| Kaiser Permanente Senior Advantage Standard | $37 | $4,500 | $0 | H9003-006-0 | |
| Kaiser Permanente Senior Advantage Value | $0 | $5,500 | $0 | H9003-009-0 | |
| Providence Medicare Reverence | $0 | $6,750 | N/A | H9047-035-0 | |
| AARP Medicare Advantage Essentials from UHC OR-4 | $0 | $5,500 | $355 | H3805-039-1 | |
| AARP Medicare Advantage Extras from UHC OR-6 | $0 | $6,700 | $440 | H3805-041-0 | |
| AARP Medicare Advantage from UHC OR-0003 | $69 | $5,200 | $355 | H3805-001-0 | |
| PacificSource Medicare MyCare Choice 30 | $0 | $4,950 | N/A | H3864-030-0 | |
| Aetna Medicare Elite | $0 | $5,900 | $300 | H2056-003-0 | |
| Wellcare Low Premium | $35 | $7,900 | $615 | H6815-038-0 | |
| Wellcare Simple | $0 | $7,500 | $615 | H6815-039-0 |
What is the typical premium for HMO-POS plans in Clackamas?
HMO-POS plans in Clackamas cost $23.64 per month on average.
Which HMO-POS plan has the most members in Clackamas?
The most popular HMO-POS plan in Clackamas is AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS), with 6,328 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Clackamas?
There are 2 HMO-POS plans in Clackamas without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Clackamas County, OR (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 15 | 35% |
| 3 Stars | 26 | 60% |
| Below 3 Stars | 2 | 5% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.