Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
PacificSource Medicare Cascade Premier Rx, 2027
H3864Contract006Plan
HMO-POS · 7 counties in Oregon
Run by PacificSource Community Health Plans (contract H3864), sold as PacificSource Medicare, owned by PacificSource
PacificSource Medicare Cascade Premier Rx (H3864-006) costs $198 a month in 2027, down $25 from 2026, with an in-network out-of-pocket limit of $7,150 ($5,500 in 2026). In 2026 it was called PacificSource Medicare Essentials Rx 6.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | PacificSource Medicare Essentials Rx 6 | PacificSource Medicare Cascade Premier Rx | renamed |
| Monthly premium | $223 | $198 | ▼down $25 |
| In-network out-of-pocket limit | $5,500 | $7,150 | ▲up $1,650 |
| Drug deductible | $99 | $700 | ▲up $601 |
| Emergency room | $120 copay | $130 copay | ▲up $10 |
| Hospital stay, in network | $350 a day for days 1–7, then $0 a day for days 8–90 | $475 a day for days 1–5, then $0 a day for days 6–90 | ▲up $625for a 5-day stay |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $203 a day for days 21–100 | $0 a day for days 1–20, then $221 a day for days 21–100 | ▲up $180for a 30-day stay |
| Ground ambulance, in network | $250 copay | $500 copay | ▲up $250 |
| Eyewear, yearly limit | $100 a year | $75 a year | ▼down $25 |
| Over-the-counter items, yearly | $100 a year | $60 a year | ▼down $40 |
| Drug tier 2, generic | $12 | $6 | ▼down $6 |
| Drug tier 3, preferred brand | 24% of the cost | 20% of the cost | ▼down 4 points |
| Drug tier 4, non-preferred drug | 28% of the cost | 26% of the cost | ▼down 2 points |
| Drug tier 5, specialty tier | 31% of the cost | 25% of the cost | ▼down 6 points |
| 8 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $0 copay | $0 copay | no change |
| Medical deductible, in network | none | none | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Counties served | 7 | 7 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
What will prescriptions cost?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | $12 | $6 |
| Tier 3 | Preferred Brand | 24% of the cost | 20% of the cost |
| Tier 4 | Non-Preferred Drug | 28% of the cost | 26% of the cost |
| Tier 5 | Specialty Tier | 31% of the cost | 25% of the cost |
Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.
How does it compare with plans sold where it is?
In the counties it serves, 21 plans open to everyone are sold for 2027, this one included. Against the others, 10 plans have a lower out-of-pocket limit, 4 the same, 6 a higher one. On the premium, 20 plans have a lower premium.
Out-of-pocket limits of the 21 plans open to everyone
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 7 counties: $198 a month and $7,150.
Oregon
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Who runs this plan?
- Plan ID
- H3864-006
- Legal name of the contract
- PacificSource Community Health Plans
- Sold as
- PacificSource Medicare
- Parent company
- PacificSource
- Plan type
- HMO-POS
- 2026 star rating of the contract
- 3.5 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
- Members, September 2026
- 450
- Plan website, as filed with CMS
- www.Medicare.PacificSource.com
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Deschutes, ORWhere most of its members live; premiums and limits side by side
- Every PacificSource Medicare plan for 2027Its contracts, counties and plans that end
- The other 6 plans of contract H3864Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.