Do you have Medicaid (OHP) and Medicare?
You may qualify for a $0 Providence Medicare Dual Plus (HMO D-SNP) plan with $1,600 for groceries, $0 prescriptions, a $1,700 allowance for dental and more.
1-503-574-8416 (TTY: 711)
D-SNP Benefits
A Dual Special Needs Plan (D-SNP) combines your Medicare, Medicaid (also known as Oregon Health Plan), and Part D benefits in a more coordinated, focused care plan. The $0 Providence Medicare D-SNP plan covers everything under Original Medicare plus many extra benefits and services, including:
See if you qualify
The following are requirements that may qualify you for a Providence Medicare D-SNP plan:
- Dual eligibility (qualify for both Medicare and Medicaid - OHP)
- Reside in the area of service (the Providence Medicare D-SNP plan is currently available in Oregon in Multnomah, Washington and Clackamas counties)
- Residency (U.S. citizen or have legal permanent residency)

When can I enroll?
If you already have both Medicare and Medicaid (OHP), or you already have a D-SNP, you can switch plans once during a Special Enrollment Period (SEP) or during the Annual Enrollment Period (AEP).
Special enrollment period 1
(January 1—March 31)
Special enrollment period 2
(April 1— June 30)
Special enrollment period 3
(July 1 — September 30)
Annual enrollment period
(October 15 — December 7)

Enroll Now
Enroll online or if you have questions, call
503-574-8416 (TTY:711) to speak with a friendly Providence Medicare Advantage expert and get help enrolling.

Explore our D-SNP benefits in detail
Download the Providence D-SNP benefit highlights guide to learn about advantages and services available to you. Just fill out the form to download.

Need more information about Providence D-SNP?
Download the Enrollment Guide for essential information, enrollment options available to you, and what to do next. Just fill out the form to download.
Frequently asked questions
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Is a D-SNP an integrated Medicare-Medicaid plan?
No, a D-SNP is a Medicare Advantage plan type that limits enrollment to dual-eligible members only. However, it only covers the Medicare and Part D benefits, and not Medicaid benefits. Medicaid benefits are still administered through the State’s Oregon Health Plan program.
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What is the Providence Medicare Dual Plus (HMO D-SNP) enrollment process, and how does it differ from the enrollment of non-SNP Providence Medicare plans?
Generally, the enrollment process is the same. However, since Providence Medicare Dual Plus (HMO D-SNP) may only enroll full- benefit dual-eligible members, an additional eligibility step is required. Our Membership Accounting team will need to verify Medicaid eligibility status in Oregon’s Medicaid Management Information System (MMIS) prior to enrollment.
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When can a member join Providence Medicare Dual Plus (HMO D-SNP)?
Full-benefit eligible dual beneficiaries may enroll and/or switch plans:
- During the annual enrollment period
- Once per quarter for the first 3 quarters of the year
- During special circumstances such as a change in the level of Extra help or Medicaid
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How can a member join Providence Medicare Dual Plus (HMO D-SNP)?
A member can join our Providence Medicare Dual Plus (HMO D-SNP) in the same ways that a member can join our other Medicare Advantage plans. For example, an individual can enroll via an agent/broker, a direct paper application, a telephonic application or any other methods we use to enroll Medicare Advantage members. Additionally, their State case worker can assist with enrollment.
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Does Providence Medicare Dual Plus (HMO D-SNP) only enroll “in-house” duals (those enrolled in PHP Medicaid as well?)
No, Providence Medicare Dual Plus (HMO D-SNP) is open to any full-benefit dual-eligible members residing in the tri-county area regardless of coordinated care organization (CCO) or health share physical health plan managing their OHP coverage.
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Are prescription drugs for Providence Medicare Dual Plus (HMO D-SNP) covered by Medicare or Medicaid?
Dual-eligible members are enrolled in limited drug plans through Medicaid. Providence Medicare Dual Plus (HMO D-SNP) includes Medicare Part D and is the primary prescription drug coverage.
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Which drugs are covered by Medicaid?
Over-the-counter drugs on the OHP formulary only.
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Can a member with Yamhill Community Care Organization (YCCO) Medicaid also be a Providence Health Assurance D-SNP Member?
Yes, if the YCCO Medicaid recipient lives in Washington County.
Legal
Disclaimers & things to know
For accommodations of persons with special needs at meetings call 1-800-457-6064 or 503-574-5551 (TTY: 711).
Providence Health Assurance is an HMO, HMO-POS and HMO SNP with Medicare and Oregon Health Plan contracts. Enrollment in Providence Health Assurance depends on contract renewal.
For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
We're here for you. If you need assistance or have questions please reach out to our customer service team at 503-574-8000 or 1-800-603-2340 TTY: 711 8 a.m. to 8 p.m. (Pacific Time), seven days a week.
To file a complaint about our marketing, you may call us at 1-800-603-2340 (TTY: 711) from 8 a.m.- 8 p.m. (Pacific Time), 7 days a week, by calling Medicare at 1-800-MEDICARE, 24/7, or by submitting an online form at www.medicare.gov. If you experienced issues with agents or brokers, please include their name in the complaint if possible.
Webpage is current as of: 10/01/2023
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