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Medicare Advantage · HMOPOS
PacificSource Medicare
Plan year 2027

PacificSource Medicare Cascade Classic Rx (HMO-POS) H3864-046

Monthly premium
$98
+ your Part B premium
Max out-of-pocket
$9,850
in-network annual cap
Primary care
$5
per visit copay
Specialist
$60
per visit

Your costs at a glanceIn-network, for the 2027 plan year

Medical deductible
$385
Rx deductible
$700
Inpatient hospital
Days 1-5: $485/day, Days 6-90: $0/day
no limit on covered hospital days
Inpatient mental health
Days 1-4: $485/day, Days 5-90: $0/day
Outpatient surgery
$450
Emergency room
$115
Urgent care
$40

What's included, and what it's actually worth4 benefits included. Tap any card for the detail

Hearing

$599–$999copay per hearing aid
Details$599–$999 copay per hearing aid
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Dental

$500/yr preventive dental allowance
Details$500/yr preventive dental allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Vision

$145eyewear allowance per 2 years
Eyewear allowance$145 eyewear allowance per 2 years
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP$5 copay
In-network$5 copay per visit
Doctor Visits: Specialist$60 copay
In-network$60 copay per visit
Inpatient Hospital$485/day, days 1–5
In-networkDays 1-5: $485/day, Days 6-90: $0/day
Benefit limitNone — additional covered days are unlimited
Outpatient Surgery$450 copay
In-network$450 copay per procedure
Mental HealthDays 1-4: $485/day, Days 5-90: $0/day
Inpatient psychiatricDays 1-4: $485/day, Days 5-90: $0/day
Fitness$0 fitness benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Our take

Things to know before you enroll

This plan’s out-of-pocket maximum is above the national median.
The specialist copay ($60) is on the higher side — worth comparing if you see specialists often.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS)

What does PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) cover?

PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) is a Medicare Advantage plan that the current plan record identifies as including Part D prescription drug coverage. The plan record also identifies Part D prescription drug coverage. Published supplemental benefits include dental ($500/yr preventive dental allowance), vision ($145 eyewear allowance per 2 years), hearing ($599–$999 copay per hearing aid), and fitness ($0 fitness benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) cost in 2027?

The published 2027 monthly plan premium for PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) is $98. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $385. The listed Part D deductible is $700. The in-network medical out-of-pocket maximum is $9,850; it does not include Part D drug spending. Published visit costs include primary care $5 and specialist visits $60. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS)?

CMS lists PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) as a HMOPOS plan. The record also identifies point-of-service flexibility, but exact out-of-network rules can vary. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

Does PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) cover my prescriptions?

The current plan record for PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) does not include tier-level formulary costs. The listed Part D deductible is $700. A tier listing does not confirm that a specific prescription is covered. Check each medication against the plan's current formulary, restrictions, pharmacy network, and costs before enrolling.

Check your prescriptions

What dental, vision, and hearing benefits does PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) include?

The current plan record for PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) lists dental ($500/yr preventive dental allowance), vision ($145 eyewear allowance per 2 years), and hearing ($599–$999 copay per hearing aid). Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.

When can I enroll in PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS)?

PacificSource Medicare Cascade Classic Rx (HMO-POS) (HMOPOS) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

More plan options

Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in Oregon. Plan availability can vary by county.

Helpful next steps

PacificSource Medicare Cascade Classic Rx H3864-046 (HMO-POS) — 2027