PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) in Sherman 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 14 (HMO-POS) (H3864-014) is a $104-premium Medicare Advantage HMO-POS from PacificSource available in Sherman County, Oregon in 2026, with a 3.5-star overall rating, a $5,950 in-network out-of-pocket maximum, and a $199 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | PacificSource |
|---|---|
| Plan name | PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) |
| Contract ID | H3864 |
| Plan ID | 014 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | HMO-POS |
| SNP | No |
| Monthly consolidated premium | $104.00 |
| Part C premium | $74.90 |
| Part D basic premium | $29.10 |
| Part D total premium | $29.10 |
| Annual Part D deductible | $199.00 |
| Maximum out-of-pocket (in-network) | $5950.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $104 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.
- $5,950 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 = Sherman 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 Sherman County
The CMS CY2026 Landscape file lists 10 Medicare Advantage plans in Sherman County, Oregon, of which 0 carry a 5.0-star overall rating and 4 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $223.00 per month, and in-network out-of-pocket maximums range from $5100.00 to $9150.00.
For the full county plan directory, see all Medicare plans in Sherman 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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3864-014.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H3864-014 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3864-014, 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 014 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 14 (HMO-POS) an HMO or PPO?
PacificSource Medicare Essentials Choice Rx 14 (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 14 (HMO-POS) include prescription drug coverage?
Yes — PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $199.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)?
The 2026 in-network maximum out-of-pocket limit for PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) is $5950.00, per the CMS CY2026 Landscape file.
What counties offer PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) (H3864-014)?
PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) (H3864-014) is offered in seven Oregon counties: Crook County, Deschutes County, Hood River County, Jefferson County, Klamath County, Sherman County, and Wasco County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.