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Oregon Medicare Coverage Guide

Find dental, vision, hearing aid, and nursing home Medicare benefits available to Oregon residents.

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Oregon Dental Coverage

Comprehensive

Oregon Health Plan (OHP) covers dental for dual-eligible beneficiaries. Oregon Health & Science University (OHSU) dental school in Portland provides excellent care.

Available Programs

  • Oregon Health Plan Dental
  • Medicare Advantage dental plans
  • OHSU School of Dentistry

Typical Out-of-Pocket Cost

$200โ€“$1,200/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Oregon Residents

  1. OHSU dental school in Portland offers quality low-cost care
  2. Oregon SHIBA (1-800-722-4134) for plan guidance
  3. Oregon has a strong commitment to oral health equity
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Oregon Vision Coverage

Comprehensive

OHP covers vision for dual-eligible members. Oregon MA plans offer competitive vision benefits.

Available Programs

  • OHP vision benefits
  • Medicare Advantage vision
  • Oregon Commission for the Blind

Typical Out-of-Pocket Cost

$0 for OHP eligible; $100โ€“$300 for others

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Oregon Residents

  1. OCB: 971-673-1588 for vision rehabilitation
  2. OHSU Casey Eye Institute offers specialized care
  3. Oregon SHIBA: 1-800-722-4134
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Oregon Hearing Aids Coverage

Moderate

OHP covers hearing aids for dual-eligible beneficiaries. Oregon has good audiology resources in Portland and Eugene.

Available Programs

  • OHP hearing aid coverage
  • Medicare Advantage hearing plans
  • Oregon School for the Deaf
  • OHSU Hearing Center

Typical Out-of-Pocket Cost

$0 for OHP eligible; $1,000โ€“$6,000 for others

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Oregon Residents

  1. OHP covers hearing aids for eligible dual-eligible members
  2. OHSU Hearing Center is a leading facility in the Pacific Northwest
  3. Oregon SHIBA: 1-800-722-4134
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Oregon Nursing Home Coverage

Not Covered

Medicare Part A covers SNF. Oregon Medicaid covers long-term care. Oregon strongly emphasizes community-based alternatives to nursing homes.

Available Programs

  • Medicare Part A SNF
  • Oregon Medicaid LTC
  • Oregon Project Independence
  • Oregon SHIBA (1-800-722-4134)

Typical Out-of-Pocket Cost

$280โ€“$360/day

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Oregon Residents

  1. Oregon Project Independence supports home-based care
  2. Oregon has lower nursing home utilization due to strong HCBS programs
  3. SHIBA: 1-800-722-4134
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๐Ÿ“Š Live CMS Data Oregon Medicare Snapshot

Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ€” public data from data.cms.gov

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945,907
Total Medicare Beneficiaries (2024)
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516,885
Enrolled in Medicare Advantage (2024) 54.6% of total
๐Ÿ“‹
429,021
Original Medicare (Parts A & B) Only
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174,302
Dual Eligible (Medicare + Medicaid)
2025 Medicare Advantage Plans
74
Plans available in Oregon
Average Monthly Premium (2025)
$8.9
Weighted avg across all MA plans
Top Medicare Advantage Insurers
  1. Kaiser Permanente
  2. Moda Health
  3. UnitedHealth
Free SHIP Counseling
Oregon SHIBA
1-800-722-4134
Free, unbiased Medicare help

Get Free Help in Oregon

SHIP Counseling

Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.

Find Oregon SHIP โ†’

1-800-MEDICARE

Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.

Medicare.gov โ†’

Medicare Plan Finder

Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Oregon by ZIP code.

Compare Plans โ†’

Nursing Home Compare

Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Oregon.

Care Compare โ†’