Our Plans
Take your pick - Trillium offers the following plans for residents of Lane County:
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Trillium Advantage Rx Smart HMO
Announcing our new plan available in 2012: A more affordable option that offers
more coverage than traditional Medicare with prescription coverage!
Trillium Advantage Rx HMO
A plan with more comprehensive benefits to help stretch your health care dollar.
Get more coverage than you do with traditional Medicare and extra coverage on
your prescriptions.
Trillium Advantage HMO
A thrify option without prescription drug coverage, for individuals who don't want
or need Medicare Part D, but need additional coverage for medical and hospital costs.
Optional Supplemental Benefits
Optional supplemental vision and dental benefits available through our Trillium Advantage plans*. Just another advantage when you pick Trillium, we make it easy to customize your coverage so you can save on your health care costs.
Trillium Advantage Dual Special Needs Plan HMO
A $0 monthly premium Special Needs Plan for anyone on the Oregon Health Plan who's eligible for both Medicaid and Medicare.
Trillium Advantage TLC ISNP HMO
Offered to individuals residing in long-term care facilities or residential communities.
2012 Plan Comparison Chart
Trillium Advantage Plans
Trillium Advantage HMO (without Rx) |
|||
| Monthly Premium | $59 |
$164 |
$78 |
| Provider Office Co-pay | $15 |
$15 |
$15 |
| Specialist Office Co-pay | $20 |
$20 |
$20 |
| Preventive Screenings | $0 |
$0 |
$0 |
| Inpatient Hospital | Days 1-5: $200 Days 6-90: $0 |
Days 1-5: $200 Days 6-90: $0 |
Days 1-7: $200 Days 8-90: $0 |
| Emergency Room (worldwide) | $50 |
$50 |
$65 |
| Urgent Care (worldwide) | $30 |
$30 |
$40 |
| X-Rays, Lab Services, Radiology Services | $0 |
$0 |
$10 |
| Test Strips and Glucometers | $0 |
$0 |
$0 |
| Home Health Care | $0 |
$0 |
$0 |
| Prescription Drugs Phase I - Initial Coverage: |
|||
| Deductible | N/A |
$0 |
$0 |
| Generic Drugs (Tier I) | $9 |
$9 |
|
| Brand Name (Tier II) | $40 |
$45 |
|
| Non-Preferred (Tier III) | $60 |
$80 |
|
| Specialty Drugs (Tier IIII) | 33% |
||
| Prescription Drugs Phase II - Coverage Gap: |
Phase II begins when total drug costs reach $2,930 |
||
| Generic Drugs (Tier I) | N/A |
$9 |
$9 |
| All Others (Tier II-IIII) | 14% discount non-preferred generic 50% discount Brand name |
14% discount non-preferred generic 50% discount Brand name |
|
Phase III - Catastrophic: |
Phase III begins when out-of-pocket reaches $4,700 |
||
| Generic Drugs (Tier I) | N/A |
$2.60 or 5% |
$2.60 or 5% |
| All Others (Tier II-IIII) | $6.50 or 5% |
$6.50 or 5% |
|
2012 Supplemental Benefit Options
| Monthly Premium | $13.60 |
$10.90 |
The benefit information provided herein is a brief summary, not a comprehensive description of available benefits.
Benefits may change on January 1, 2013. For more information feel free to contact us with any questions.
*Supplemental benefits are available as additional options with Trillium Advantage HMO, Trillium Advantage Rx HMO,
Trillium Advantage Rx Smart HMO Plans. Customize your coverage and stretch your health dollar even further with our
optional supplemental benefits.
