Regence Medicare Advantage Plans 2025

Exploring Medicare Advantage Plans in 2025? Our guide dives straight into what these plans offer, how they differ from previous years, and the benefits they provide.

This year, Regence tailors coverage to meet diverse healthcare needs through both HMO and PPO plans, with features like prescription drug coverage, zero-dollar fitness programs, and enhanced dental, vision, and hearing benefits.

We’ll also examine the cost-effectiveness of Regence Medicare Advantage Plans 2025 compared to other Medicare options, ensuring you can select the best coverage without unnecessary expense. Read on to make an informed choice for your health in 2025.


Key Takeaways

  • Regence Medicare Advantage Plans for 2025 provide options between HMO and PPO plans, offering comprehensive coverage including prescription drugs, routine dental, vision, and hearing care, fitness programs, and out-of-network service choices.


  • The plans are structured to minimize out-of-pocket costs through $0 deductibles, copays as low as $0 for primary care, $0 cost-sharing for skilled nursing for up to 100 days, and various wellness benefits that emphasize overall health and preventive care.


  • Enrollment and plan comparison processes are streamlined with user-friendly online tools, dedicated customer service, expansive provider networks, and resources for members to effectively manage their accounts and healthcare online.

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Understanding Regence Medicare Advantage Plans 2025


Regence Medicare Advantage Plans 2025 Understanding Regence Medicare Advantage Plans 2025


Regence Medicare Advantage Plans 2025 could be a top choice if you’re contemplating a Medicare Advantage Plan. They offer a selection between HMO and PPO options.

Each plan type boasts a distinctive network, so you can select a plan tailored to your specific needs and preferences.

The HMO plans offer comprehensive coverage and additional benefits such as routine dental, vision, and hearing benefits. In addition, Regence members can enjoy an OTC benefit card for health and wellness products and a $0 fitness program.

On the other hand, PPO plans offer similar advantages, including a $0 fitness program and routine dental, vision, and hearing benefits. An additional convenience is the mail order option for prescription drugs.


HMO Plans

An HMO plan under the Regence Medicare Advantage is a comprehensive plan that includes the benefits of Medicare Part A and B, along with additional coverage for prescription drugs in most HMO plans.

These plans offer coordinated care within a local provider network, motivating providers to prioritize patient-centered care. So, whether you’re in need of routine checkups or specialized treatment, you can lean on the extensive HMO network for quality care.

The benefits of this plan include a $0 fitness program, routine dental, vision, and hearing benefits, along with supplemental benefits like dental, hearing, and vision coverage.


PPO Plans

If you value flexibility in your healthcare plan, a PPO plan from Regence Medicare Advantage 2025 might be your perfect match.

In a PPO plan, in-network providers refer to healthcare professionals and services that have a contractual agreement with Regence. You can also seek services from out-of-network providers, although you might have to bear a higher share of the costs.

The Regence Medicare Advantage PPO plans offer the following benefits:

  • Coverage for eyewear and hearing aids


  • $0 fitness program


  • Routine dental, vision, and hearing benefits


  • No limitations on accessing specialists


  • Coverage for emergency and urgent care



Comprehensive Coverage for Your Health Needs


Regence Medicare Advantage Plans 2025 Comprehensive Coverage for Your Health Needs


Selecting a healthcare plan goes beyond merely scheduling doctor’s visits. It involves identifying a plan that provides holistic coverage for all your health needs.

Regence Medicare Advantage plans are designed to do just that.

These plans offer a range of benefits, including:

  • Prescription drug coverage as detailed in their provided drug formulary


  • Coverage for up to 100 days per benefit period at $0 cost-sharing for skilled nursing facility care


  • Supplementary benefits like dental care, gym memberships, and vision care to enhance overall health and wellness



Prescription Drug Coverage

Prescription drugs are often necessary for managing chronic conditions, addressing sudden illnesses, and conducting general wellness checks. The good news is, prescription drug coverage is included in most Regence Medicare Advantage Plans 2025.

The coverage delivers cost savings on medications through a discount program for medications not covered by Medicare, lower-cost preferred pharmacies, and online cost-comparison tools. However, it’s important to note that drugs not included in the Drug List are not covered unless an exception is approved.

While other Medicare Advantage plans may offer drug coverage, the extent of coverage varies by plan.


Skilled Nursing Facility Care

Recovering from an illness or surgery occasionally necessitates services beyond standard hospital care. That’s where skilled nursing facility care comes in, providing necessary services for recovery and rehabilitation.

Skilled nursing facility care is included in Part A of Regence Medicare Advantage plans, encompassing inpatient stays in the majority of skilled-nursing facilities.

Coverage lasts for up to 100 days per benefit period, offering substantial peace of mind for beneficiaries. To access these services, there are specific criteria outlined in the Medicare Advantage Policy Criteria.


Extra Benefits


Regence Medicare Advantage Plans 2025 Extra Benefits


In the realm of healthcare, minor extras can have a significant impact. That’s why Regence Medicare Advantage Plans offer additional benefits that provide a well-rounded healthcare experience.

The plans offer an extensive dental package that covers routine exams, cleanings, fillings, and crown services. Plus, members can enjoy discounted dental services.

Vision coverage includes regular eye exams and an annual allowance for eyewear. Support for hearing health includes routine exams and coverage options to make hearing aids more affordable.

To top it all off, the Silver&Fit® program is included in the fitness benefits, offering access to a broad network of fitness centers and YMCAs.

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Cost Savings with Regence Medicare Advantage


Regence Medicare Advantage Plans 2025 Cost Savings with Regence Medicare Advantage


The potential for cost savings is one of the major advantages of opting for Regence Medicare Advantage Plans. The plans are designed to provide comprehensive coverage without breaking the bank.

This is achieved through lower premiums, reduced out-of-pocket expenses, and $0 copays for select services.

With a focus on affordability, the 2025 premium rates for Regence Medicare Advantage plans provide cost-efficient healthcare coverage. The plans offer:

  • Budget-friendly HMO plans with predictable costs


  • $0 deductibles


  • Primary care copays as low as $0


  • $0 copay offering includes preventive dental, routine vision and hearing exams, lab services, and outpatient X-rays.


As a result, seniors can save nearly $2000 per year when enrolled in a Regence Medicare Advantage plan as opposed to fee-for-service Medicare.


Lower Premiums

Reduced premiums can significantly enhance the affordability of your healthcare plan. That’s why Regence Medicare Advantage plans are designed with affordability in mind.

The premium rates for these plans are influenced by the type of plan and the availability of $0 premium options. In contrast to traditional Medicare, which has separate premiums for Part A and Part B, Regence Medicare Advantage plans offer premiums as low as $0.

These lower premiums are maintained through the provision of $0 deductibles, $0 premiums for routine dental, vision, and hearing coverage, and offering multiple plan types with premiums as low as $0.


Reduced Out-of-Pocket Expenses

Although premiums constitute a substantial portion of a healthcare plan’s cost, they’re not the sole factor to consider. Out-of-pocket expenses can add up, which is why Regence Medicare Advantage plans are designed to keep these costs low.

These plans offer cost-effective HMO plans with predictable out-of-pocket expenses. The plan structure is crafted to empower beneficiaries in managing their healthcare budgets effectively.

The plans cover pre-deductible expenses and other covered health care expenses, providing a safety net for beneficiaries. Furthermore, they establish an out-of-pocket maximum of $8,800 for individuals and $17,600 for families annually, ensuring a ceiling on costs for enrollees.


$0 Copays for Select Services

$0 copays can markedly reduce your healthcare costs. That’s why Regence Medicare Advantage plans offer $0 copays for select services.

The $0 copay offering includes:

  • Preventive dental, routine vision, and hearing exams, encompassing preventive services, corrective eyeglasses, and hearing aid devices.


  • Dental services, covering preventive, basic, and major dental procedures, such as cleanings, exams, X-rays, and more complex dental work.


  • Enhanced benefits through the inclusion of preferred generic drugs.


  • $0 memberships to wellness programs like Silver&Fit.


  • Low or $0 deductibles and primary care copays.



Easy Enrollment and Plan Comparison


Regence Medicare Advantage Plans 2025 Easy Enrollment and Plan Comparison


Selecting a healthcare plan is merely the initial step. What follows is the process of enrolling and comparing various plans.

With Regence Medicare Advantage plans, it’s made easy.

The enrollment process is simple, and the plan comparison features allow for a seamless transition to a Regence Medicare Advantage plan. Whether you’re enrolling for the first time or switching from another plan, the process is designed to be straightforward and hassle-free.

A range of resources and support are available to streamline the online enrollment process, including a Self-Service Tool available on the Regence website.

When evaluating various plans, it’s important to consider factors such as the plan’s cost, coverage for urgent and emergency care, and any additional benefits that may be available.


Enrollment Process

The enrollment process for Regence Medicare Advantage plans is designed to be as straightforward as possible. To enroll, individuals first need to select a plan, proceed with the application process, and make a final selection.

Eligibility for Medicare through age or disability grants a seven-month window for enrollment in Regence Medicare Advantage and Part D plans.

For assistance, advisors can be contacted at 1-844-REGENCE (734-3623), where they can provide guidance throughout the selection process and assist in determining the most appropriate plan for your individual needs.

All necessary forms and documents for enrollment are available for access and download on the Regence website.


Comparing Plans

Comparing different Medicare Advantage Plans can seem daunting. But with Regence’s comprehensive online tools, it’s easier than ever.

Online tools facilitate the comparison of Regence Medicare Advantage Plans by offering shopping tools that allow for the assessment of plans side-by-side, including critical aspects such as cost, coverage, and additional benefits.

There are various online resources for comparing Medicare Advantage Plans, including the plan compare tool and NerdWallet’s comparison tool.

To make a detailed analysis of plan benefits, prescription drug coverage, and costs in a comparative format, you can use the Medicare Plan Finder on or the online shopping experience provided by Regence.

When evaluating different plans, it’s crucial to consider the costs, coverage for urgent and emergency care, and the differences between HMO and PPO plans.

Local Support and Member Resources

Post-enrollment, Regence continues to back you with localized support options and a variety of member resources.

Regence Medicare Advantage plan members can access dedicated support through customer service by calling 1 (888) 675-6570 and selecting the Pharmacy option for prescription-related inquiries.

Regence offers a variety of resources to Medicare Advantage plan members, including:

  • Health insurance forms


  • Details on preventive care and coverage updates


  • Benefits for routine dental, vision, and hearing exams


  • Eyewear allowance


  • Coverage for hearing aids


The plans boast expansive provider networks, including each plan’s network encompassing a diverse range of medical, dental, vision providers, and pharmacies, offering access to numerous healthcare professionals nationwide.


Customer Service

Customer service plays a pivotal role in any healthcare plan. That’s why Regence Medicare Advantage offers dedicated, local customer service.

Customer service representatives offer personalized assistance by addressing inquiries regarding benefits, coverage, and plans, aiding members in comprehending their insurance options, obtaining benefit booklets, and exploring the Medicare options available to them.

The customer service representatives are locally based, providing a personalized and knowledgeable assistance experience.

Members have the option to access customer service by visiting the Regence website’s contact page or using the member contact page directly. Additionally, immediate assistance is available through the 24/7 pharmacy hotline, fraud or abuse hotline, and Part C & D hotline.


Provider Networks

For any healthcare plan, having a broad spectrum of healthcare professionals at your disposal is vital. That’s why Regence Medicare Advantage plans offer extensive provider networks.

The provider networks encompass a wide array of healthcare professionals, including medical, dental, and vision providers, as well as pharmacies.

To access these networks, members can utilize the ‘Find a doctor’ tool on the Regence website, which allows for searching by name, specialty, or condition, comparing providers, and reading reviews.

A diverse provider network provides access to a wide array of medical services and fosters the development of a robust professional network for healthcare professionals, ultimately leading to enhanced health outcomes for patients.

The quality of healthcare professionals within the networks is ensured through a comprehensive quality program and a commercial quality incentive program.


Online Account Management

Your healthcare plan should be designed for easy management. That’s why Regence Medicare Advantage offers online account management.

The online account management offers the ability to:

  • View benefits


  • Check claims


  • Manage the account online


  • Submit claims and pre-authorization requests


  • Enroll for electronic funds transfer


  • View reimbursement schedules


Members can access their benefits information by registering and signing into the Regence Medicare Advantage online account or through the Regence app.

Claims can be accessed and managed by logging into the online account, and members can also access provider information through the online account.


As we’ve seen, Regence Medicare Advantage Plans 2025 offer comprehensive coverage, cost savings, and an easy enrollment process.

Whether you opt for an HMO or PPO plan, you can expect to enjoy a range of benefits, including routine dental, vision, and hearing benefits, a $0 fitness program, and cost-effective healthcare coverage.

With dedicated local support and extensive provider networks, the care you need is always within reach.

So why wait?

Discover the benefits of Regence Medicare Advantage Plans today!

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Frequently Asked Questions


What is Regence Medicare Advantage?

Regence Medicare Advantage is a health plan provided through a private insurer, delivering Medicare Part A and Part B benefits, and may also include prescription drug coverage and additional benefits not covered by original Medicare. This plan is offered in the Pacific Northwest by Regence, which is part of the Blue Cross Blue Shield network.


Are Regence and Blue Cross the same?

No, Regence is a nonprofit independent licensee of the Blue Cross and Blue Shield Association, and is part of a family of companies dedicated to transforming health care.


Is there a lifetime max on Medicare Advantage plans?

No, Medicare Advantage plans do not have a lifetime maximum limit, providing better coverage than traditional Medicare.


What types of plans do Regence Medicare Advantage offer?

Regence Medicare Advantage offers both HMO and PPO plans, each with comprehensive coverage and additional benefits. You can choose the plan that best suits your needs.


How does prescription drug coverage work in Regence Medicare Advantage Plans?

In Regence Medicare Advantage Plans, prescription drug coverage is included in most plans, providing cost savings on medications, including preferred generic drugs with a $0 copay through Medicare Part D plans.

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