Regence Medicare Advantage Plans 2025

With so many different Medicare Advantage plans available, finding the right plan on your own to fit your needs can really be a challenge.

Which company do you choose?

Regence Medicare Advantage Plans offer a variety of options tailored to suit the diverse requirements of individuals in Oregon and Washington.

This article will help guide you through the ins and outs of Regence Medicare Advantage plans in 2025, from understanding the various plan options, enrollment process, and customization possibilities to comparing plans and saving money.


Key Takeaways

  • Regence Medicare Advantage Plans provide comprehensive coverage and tailored options to meet the individual needs of residents of Oregon and Washington.


  • Eligibility is determined by factors such as age, disability, or ESRD status with enrollment periods including the Initial Enrollment Period, Annual Election Periods, and Special Enrollment Periods.


  • Regence offers support to help customers understand their options & make informed decisions regarding healthcare coverage while utilizing in-network providers who can access quality services at a reduced rate.

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Understanding Regence Medicare Advantage Plans

Regence Medicare Advantage plans provide comprehensive coverage with options that cater to a wide range of individual needs.

They offer HMO, PPO, and PDP plan options, each with distinct characteristics and benefits. As Regence is an HMO, it focuses on providing cost-effective and coordinated care to its members.

Regence Medicare plans are available to residents of Oregon and Washington, ensuring that their services are accessible to a vast population within these states.


Regence Medicare Advantage Plans 2025

HMO, PPO, and PDP Plan Options

Each of the plan options provided by Regence Medicare Advantage has its unique features and benefits. Here are the different plan options:


  1. HMO (Health Maintenance Organization) plans require the use of in-network providers and typically have lower out-of-pocket costs. These plans are designed for those who prefer a more structured approach to their healthcare coverage.
  2. PPO (Preferred Provider Organization) plans allow for greater flexibility in provider selection, including the use of out-of-network providers, although this may result in higher out-of-pocket costs.
  3. PDP (Prescription Drug Plan) options focus on providing coverage for prescription medications and can offer valuable cost savings for individuals who require ongoing medication.


Choosing the right type of plan for your needs depends on various factors, such as your healthcare requirements, preferences, and budget.


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Analyzing the differences between HMO, PPO, and PDP plans and assessing which option suits your personal situation best is key. Comprehending the trade-offs between these plan options aids in making a sound decision, guaranteeing that your healthcare needs are met.


Service Areas: Oregon and Washington

Regence Medicare Advantage plans are available to residents of Oregon and Washington, with specific service areas within each state. The plans are offered in various counties in Oregon, such as:


  • Benton
  • Columbia
  • Coos
  • Curry
  • Douglas
  • Jackson
  • Josephine
  • Linn
  • Marion
  • Polk
  • Yamhill


The plans also extend to numerous locations throughout Washington, operating p.m Monday through Friday, in addition to their regular Monday through Friday hours.

Verifying if your location is within the service area for Regence Medicare Advantage plans is necessary. You can reach out to Regence Medicare plan advisors to affirm your eligibility based on your location.

Navigating the Enrollment Process

Enrolling in a Regence Medicare Advantage plan involves determining your eligibility and understanding the enrollment periods.

Factors such as age, disability status, and current Medicare coverage play a significant role in determining eligibility. It’s also important to understand the various enrollment periods, such as the Initial Enrollment Period, Annual Election Period, and Special Enrollment Periods, for a seamless enrollment process.


Determining Eligibility

Regence medicare advantage plans 2025 To be eligible for a Regence Medicare Advantage plan, you must meet specific criteria. Generally, individuals become eligible for Medicare upon reaching the age of 65 or qualifying for Medicare due to disability.

Regence Medicare Advantage plans, like all Medicare Advantage plans, must provide the same medical benefits as Original Medicare, ensuring that your current Medicare coverage does not impact your eligibility for these plans.

Notably, individuals with end-stage renal disease (ESRD) also qualify to enroll in Regence Medicare Advantage plans. Knowing your eligibility status is the first step in the enrollment process and finding a plan that meets your healthcare needs.


Enrollment Periods

There are three enrollment periods available for Regence Medicare Advantage plans: the Initial Enrollment Period, the Annual Election Period, and Special Enrollment Periods.

The Initial Enrollment Period is a seven-month window for those who become newly eligible for Medicare, allowing them to enroll in Original Medicare Part A.

The Annual Election Period, which occurs between October 1st and December 7th, is the time when you can enroll in or make changes to your Medicare Advantage plan.

Special Enrollment Periods are available for individuals who become eligible for Medicare due to age or disability, or for those who experience a qualifying event that grants them access to a Special Enrollment Period.

These periods offer a chance for eligible individuals to enroll or make changes to their Medicare Advantage plans outside of the standard enrollment windows, which sometimes depends on contract renewal.

Knowledge of these enrollment periods is key to a successful enrollment experience.

Customizing Your Coverage: Additional Benefits and Services

Regence Medicare Advantage plans can be customized to include additional benefits and services, enhancing the overall value and coverage of your plan. Some of the added benefits available with Regence plans include:


  • Dental care
  • Vision care
  • Hearing care
  • Virtual care
  • Well-being programs


These supplementary services provide a comprehensive healthcare experience and cater to a wide range of individual needs.

Dental, Vision, and Hearing Care

Dental, vision, and hearing care benefits can significantly enhance the coverage provided by your Regence Medicare Advantage plan.


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Regence offers comprehensive dental coverage, including preventive, basic, and major dental services.

Vision care is typically included as part of the plan benefits, covering routine vision services like eye exams, prescription glasses, or contact lenses, and other vision-related expenses.

Additionally, Regence Medicare Advantage plans offer annual vision and hearing exams at no cost, as well as an annual vision hardware allowance and coverage for hearing aids.

Incorporating dental, vision, and hearing care benefits into your Regence Medicare Advantage plan guarantees broad healthcare coverage.

To avail of these additional benefits, explore the 2024 Medicare Advantage plans offered by Regence, which may include coverage for these services. For more information on their Medicare Advantage plans and any available add-on benefits, visit the Regence website.


Virtual Care and Well-being Programs

Virtual care and well-being programs provided by Regence Medicare Advantage plans offer additional support and resources for maintaining overall health and wellness.

Regence provides a range of virtual care services such as telehealth visits, virtual doctor consultations, and remote monitoring programs.


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These services allow you to access healthcare remotely, providing greater convenience and flexibility in managing your health.

Moreover, Regence offers various well-being programs that cater to different aspects of your health, such as:


  • Wellness Rewards
  • Disease Management
  • Care Coordination
  • Telehealth Services
  • Behavioral Health Support


Please note that the availability of these programs under Regence depends on contract specifics.

These programs can help you manage your healthcare needs more effectively and promote overall wellness.

Utilizing these additional services can significantly enhance your Medicare Advantage plan and provide you with the support and resources you need to maintain good health.

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Comparing Regence Medicare Plans

Comparing Regence Medicare plans is an essential step in finding the best coverage for your individual needs.

The online comparison tool provided by Regence allows you to evaluate plans based on factors such as cost, coverage, and additional benefits.

This tool can help you make an informed decision and ensure that you select a plan that meets your unique healthcare requirements.


Using the Online Comparison Tool

The online comparison tool provided by Regence is a valuable resource for individuals looking to compare Medicare plans. To utilize the tool, follow these steps:


  1. Visit the Regence Medicare website.
  2. Access the “Medicare Plans Comparison” section.
  3. Input your location and other pertinent information.
  4. Choose the Medicare plans you wish to compare.
  5. The tool will provide side-by-side comparisons of plan details, including coverage, costs, and benefits.
  6. This process allows you to easily evaluate the different plans and determine the best fit for your healthcare needs.


When using the online comparison tool, consider various factors like:

  • premiums
  • deductibles
  • copayments
  • provider networks


Weigh your healthcare needs and budget when making a decision. A thorough comparison of Regence Medicare plans helps select a plan with a Medicare that provides the most appropriate coverage and benefits for your unique needs.


Factors to Consider

When comparing Regence Medicare plans, consider several factors that can sway your decision.


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Your personal healthcare needs play a prominent role in plan selection, so analyze whether the plan includes:


  • The medical services, medications, and providers necessary for your healthcare needs
  • The plan’s network of doctors and hospitals
  • Cost-sharing requirements
  • Additional benefits


By considering these factors, you can ensure that the chosen plan meets your specific healthcare needs.

Budget is another critical factor to consider when evaluating Regence Medicare plans. Assess the cost-effectiveness of the plans by taking into account premiums, deductibles, and out-of-pocket expenses. This will help you determine if the costs associated with the plans are compatible with your financial capabilities.

Furthermore, consider the choice of preferred providers as this determines the range of doctors, hospitals, and other healthcare facilities covered by the plan.

By taking all these factors into account, you can make an informed decision and select a plan that provides the required coverage while remaining economical.

Saving Money with In-Network Providers

Utilizing in-network providers is an effective strategy to save money on healthcare costs with Regence Medicare Advantage plans. In-network providers are healthcare providers or facilities that have an agreement with Regence to offer services at a reduced rate to plan members.

This ensures that you can access quality healthcare services without incurring high out-of-pocket expenses.

To find in-network providers within your Regence Medicare Advantage plan, follow these steps:


  1. Visit the Regence website.
  2. Use their provider directory or search tool.
  3. Input your location or zip code.
  4. Select the Regence Medicare Advantage plan.
  5. See the list of in-network providers in your area.


Selecting providers within the network allows for cost savings and meets your healthcare needs without incurring high expenses.

Support and Assistance

Regence offers comprehensive support and assistance throughout the Medicare Advantage plan selection and enrollment process.

They have a dedicated team of experts who can help you understand your options, compare plans, and navigate the enrollment process.


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Furthermore, Regence provides educational resources and tools to help you make informed decisions regarding your healthcare coverage.

Whether you require help in choosing the right plan or have queries about the enrollment process, Regence is dedicated to providing the necessary support.

Making use of the resources and assistance from Regence, you can confidently pick a Medicare Advantage plan that meets your unique healthcare needs and promises a seamless enrollment experience. Keep in mind that enrollment in Regence depends on the Medicare Advantage plan you choose.


In conclusion, Regence Medicare Advantage plans offer a variety of options designed to cater to the diverse needs of individuals in Oregon and Washington.

By understanding the plan options, enrollment process, and additional benefits, you can make an informed decision and select a plan that provides comprehensive coverage tailored to your unique healthcare needs.

With the support and assistance provided by Regence, you can confidently navigate the world of Medicare Advantage plans and secure the best possible coverage for your health and well-being.

Frequently Asked Questions



What are the pitfalls of a Medicare Advantage plan?

Medicare Advantage plans come with a number of risks and restrictions, such as restrictive networks, high out-of-pocket costs, prior authorization requirements, and plans that change each year.

Additionally, sales tactics can be aggressive, making it difficult to fully understand your options and potential future needs.


What types of plans does Regence Medicare Advantage offer?

Regence Medicare Advantage offers HMO, PPO, and PDP plans to give customers a range of options to meet their individual needs.


Are individuals with end-stage renal disease eligible for Regence Medicare Advantage plans?

Yes, individuals with end-stage renal disease are eligible to enroll in Regence Medicare Advantage plans.


What additional benefits and services can be added to Regence Medicare Advantage plans?

Regence Medicare Advantage plans can be customized with additional benefits and services, including dental, vision, hearing care, virtual care, and well-being programs to meet specific needs.

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Russell Noga
( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.