Atrio Health Plans Special Needs Plan Review

The Atrio Health Plans Special Needs Plan is available in Douglas and Klamath Counties in Oregon. In order to be eligible to enroll in this plan you must have both Medicare and Medicaid; and you must reside in one of these counties.  The Atrio special-needs plan is a Medicare Advantage plan (HMO – SNP).  The Medicare Advantage plan can offer several benefits over having just regular Medicare and Medicaid.  These benefits could include a larger provider network as well as extra benefits not offered by Medicare and Medicaid.  Let’s take a look at what benefits the Atrio Special Needs plan offers.

Atrio Health Plans Special Needs Plan

  • Must have both Medicare and Medicaid
  • Premium – $0/monthly
  • Maximum Out of Pocket – $6,700
  • Referral required for specialists
  • All services offered at $0 copay depending on level of Medicaid assistance
  • Drugs will be $0 – $6.50 based on level of LIS
  • Preventative dental not covered
  • Routine hearing exam and hearing aids not covered
  • Eye exam and glasses not covered
Based on the benefits listed here it does not make sense to sign up for this plan based on benefits alone.  The other option you should look at is the provider network.  With Medicaid you must go to providers that accept Medicare and Medicaid.  On the Atrio Special Needs Plan you must go to providers that are in their network.  You must also have a referral to see specialists.  You would only want to join this plan if it offer an extensive network of doctors that Medicaid does not offer.

Medicare Part D


5 Tips For Shopping Your Medicare Coverage

As your well aware by now, the Medicare AEP, Annual Election Period, is in full force.  The AEP runs from October 15 – December 7 and allows you to make changes to your current Medicare Advantage and Prescription Drug coverage.  Any changes that you make during this time will go into effect January 1st.  Making these […]

Loving, Handsome Senior Couple

Shop Your Medicare Plan During The 2015 Open Enrollment

Nobody likes change and that holds especially true when it comes to insurance.  The worst thing you can do, however is nothing!  That’s because Medicare coverage is changing every year, and that holds true in 2015 as well.  So even if you do nothing, your coverage is changing without you whether you like it or […]

2015 Medicare Annual Election Period (AEP) Underway

Every year the Medicare AEP or Annual Election Period arrives with much anticipation.  You may not know when it starts or what you can do, but you will definitely know it’s here when you start seeing the plethora of television, print ads, and billboards touting the latest and greatest coverage. 2015 Medicare AEP The 2015 […]

2015 Medicare Advantage And PDP Plans Now Available

You are now able to find every Medicare Advantage and Prescription Drug Plan available for 2015.  When I started the Medicare Plans site, my goal was to be able to bring you the ability to search and find any Medicare plan that was available.  This process was a long and difficult one, but now the […]


Formulary List Do’s and Don’ts

When it comes to Medicare, the one thing you can NOT overlook is the Formulary list that is provided by the insurance company.  Many times we find ourselves caught up in copays and provider networks that we forget to do one of the most important things.  Check the plan’s formulary list to make sure your […]