Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
ATRIO Choice Rx, 2027
H7006Contract018Plan
PPO · 5 counties in Oregon
Run by Atrio Health Plans (contract H7006), sold as ATRIO Health Plans, owned by ATRIO Health Plans
ATRIO Choice Rx (H7006-018) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $5,900 ($5,500 in 2026).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit | $5,500 | $5,900 | ▲up $400 |
| Specialist visit | $35 copay | $45 copay | ▲up $10 |
| Hospital stay, in network | $450 a day for days 1–4, then $0 a day for days 5–90 | $585 a day for days 1–4, then $0 a day for days 5–90 | ▲up $540for a 5-day stay |
| Eyewear, yearly limit | not offered | $150 a year | ▲added |
| Hearing aids, yearly limit for both ears | $1,500 a year | not offered | ▼dropped |
| Over-the-counter items, yearly | $200 a year | $120 a year | ▼down $80 |
| 16 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Drug deductible | $400 | $400 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Emergency room | $130 copay | $130 copay | no change |
| Medical deductible, in network | none | none | no change |
| Skilled nursing facility, in network | $10 a day for days 1–20, then $200 a day for days 21–100 | $10 a day for days 1–20, then $200 a day for days 21–100 | no change |
| Ground ambulance, in network | $250 copay | $250 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Counties served | 5 | 5 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $0 | $0 | no change |
| Drug tier 3, preferred brand | $47 | $47 | no change |
| Drug tier 4, non-preferred drug | $100 | $100 | no change |
| Drug tier 5, specialty tier | 28% of the cost | 28% of the cost | no change |
| Drug tier 6, select care drugs | $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 | $0 | $0 |
| Tier 3 | Preferred Brand | $47 | $47 |
| Tier 4 | Non-Preferred Drug | $100 | $100 |
| Tier 5 | Specialty Tier | 28% of the cost | 28% of the cost |
| Tier 6 | Select Care Drugs | $0 | $0 |
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, 41 plans open to everyone are sold for 2027, this one included. Against the others, 8 plans have a lower out-of-pocket limit, 3 the same, 29 a higher one. On the premium, 24 the same, 16 a higher one.
Out-of-pocket limits of the 41 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 5 counties: $0 a month and $5,900.
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
- H7006-018
- Legal name of the contract
- Atrio Health Plans
- Sold as
- ATRIO Health Plans
- Parent company
- ATRIO Health Plans
- Plan type
- PPO
- 2026 star rating of the contract
- 2 of 5 overall; health plan 2 of 5, drug plan 3 of 5
- Members, September 2026
- 4,357
- Plan website, as filed with CMS
- atriohp.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 Lane, ORWhere most of its members live; premiums and limits side by side
- Every ATRIO Health Plans plan for 2027Its contracts, counties and plans that end
- The other 3 plans of contract H7006Same 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.