PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) in Deschutes County, Oregon — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) (H3864-036) is a $28-premium Medicare Advantage HMO-POS from PacificSource available in Deschutes County, Oregon in 2026, with a 3.5-star overall rating, a $6,500 in-network out-of-pocket maximum, and a $499 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationPacificSource
Plan namePacificSource Medicare Essentials Choice Rx 36 (HMO-POS)
Contract IDH3864
Plan ID036
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typeHMO-POS
SNPNo
Monthly consolidated premium$28.00
Part C premium$28.00
Part D basic premium$18.70
Part D total premium$0.00
Annual Part D deductible$499.00
Maximum out-of-pocket (in-network)$6500.00
Overall star rating3.5

How this plan is structured

  • $28 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO-POS plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $6,500 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Deschutes County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Deschutes County

The CMS CY2026 Landscape file lists 6 Medicare Advantage plans in Deschutes County, Oregon, of which 0 carry a 5.0-star overall rating and 1 have a $0 consolidated monthly premium. Consolidated premiums range from $10.50 to $223.00 per month, and in-network out-of-pocket maximums range from $5500.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Deschutes County, Oregon.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3864-036.
  2. Call the plan (PacificSource) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3864-036 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3864-036, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3864 are the contract number issued to the organization, and the three-digit 036 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) an HMO or PPO?

PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) is an HMO-POS — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) include prescription drug coverage?

Yes — PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $499.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)?

The 2026 in-network maximum out-of-pocket limit for PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) is $6500.00, per the CMS CY2026 Landscape file.

What counties offer PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) (H3864-036)?

PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) (H3864-036) is offered in eight Oregon counties: Crook County, Deschutes County, Hood River County, Jefferson County, Klamath County, Lane County, Sherman County, and Wasco County.

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