name = "Atlas Commons research objects — Medicare plans in Benton, Oregon (CY2026)"
description = "CMS CY2026 Medicare Advantage and Part D plans available in Benton, Oregon: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/or/benton.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/or/benton/plan-count"
warrant = "DERIVED"
name = "31 Medicare plans are available in Benton, Oregon for contract year 2026"
text = "The CMS CY2026 Medicare Landscape Files record 31 Medicare Advantage and Part D plans available in Benton, Oregon. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/or/benton/premium-range"
warrant = "RECORDED"
name = "Monthly premiums for Medicare plans in Benton, Oregon range from $0.00/mo to $214.00/mo (CY2026)"
text = "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Benton, Oregon. Across the 31 plans with a published premium, the range is $0.00/mo to $214.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify in the CMS CY2026 Medicare Landscape Files for Benton, Oregon. Falsified if the CMS-published per-plan premium figures differ."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/or/benton/star-ratings"
warrant = "PROJECTED"
name = "CMS assigned star ratings to 28 of 31 Medicare plans in Benton, Oregon (CY2026); average overall: 3.5 stars"
text = "CMS issued Overall star ratings (1–5 stars) to 28 of 31 Medicare plans in Benton, Oregon for CY2026. The unweighted average overall star rating across rated plans is 3.5. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 3 unrated plans in this county are not rated, not unqualified."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/or/benton/boundary"
warrant = "INTERPRETATION"
name = "What these Medicare plan figures are — and are NOT — for Benton, Oregon (the epistemic boundary)"
text = "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Benton, Oregon for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/or/benton"
falsifier = "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."

[[medicarePlans]]
contract_plan_id = "H0710_036"
plan_name = "UHC Nursing Home Plan OR-F001 (PPO I-SNP)"
category = "SNP"
plan_type = "PPO I-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 10.5
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H0710_037"
plan_name = "UHC Care Advantage OR-E001 (PPO I-SNP)"
category = "SNP"
plan_type = "PPO I-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 10.5
overall_stars = 4.5
moop_in_network_usd = 4000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1372_001"
plan_name = "AgeRight Advantage Health Plan (HMO I-SNP)"
category = "SNP"
plan_type = "HMO I-SNP"
organization = "AgeRight Advantage"
monthly_premium_usd = 10.5
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1372_002"
plan_name = "AgeRight Advantage Plus Health Plan (HMO I-SNP)"
category = "SNP"
plan_type = "HMO I-SNP"
organization = "AgeRight Advantage"
monthly_premium_usd = 65
overall_stars = "Not rated"
moop_in_network_usd = 6000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1372_003"
plan_name = "AgeRight Advantage Premier Health Plan (HMO C-SNP)"
category = "SNP"
plan_type = "HMO C-SNP"
organization = "AgeRight Advantage"
monthly_premium_usd = 65
overall_stars = "Not rated"
moop_in_network_usd = 6000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_042"
plan_name = "AARP Medicare Advantage from UHC OR-0001 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = 74
overall_stars = 4
moop_in_network_usd = 5700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_070"
plan_name = "AARP Medicare Advantage from UHC OR-0002 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_073"
plan_name = "AARP Medicare Advantage Patriot No Rx OR-MA01 (PPO)"
category = "MA"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = "N/A"
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2923_003"
plan_name = "DEVOTED CORE 003 OR (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Devoted Health"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2923_004"
plan_name = "DEVOTED GIVEBACK 004 OR (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Devoted Health"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 7900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2923_006"
plan_name = "DEVOTED PREMIUM 006 OR (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Devoted Health"
monthly_premium_usd = 47.5
overall_stars = 3.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2923_009"
plan_name = "DEVOTED C-SNP PLUS 009 OR (HMO C-SNP)"
category = "SNP"
plan_type = "HMO C-SNP"
organization = "Devoted Health"
monthly_premium_usd = 10.5
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3805_001"
plan_name = "AARP Medicare Advantage from UHC OR-0003 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 69
overall_stars = 3.5
moop_in_network_usd = 5200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3805_039"
plan_name = "AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3805_040"
plan_name = "UHC Complete Care OR-5 (HMO-POS C-SNP)"
category = "SNP"
plan_type = "HMO-POS C-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3805_041"
plan_name = "AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3811_003"
plan_name = "Samaritan Dual Advantage (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Samaritan Advantage Health Plans"
monthly_premium_usd = 10.5
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3817_008"
plan_name = "Regence MedAdvantage + Rx Classic (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Regence BlueCross BlueShield of Oregon"
monthly_premium_usd = 124
overall_stars = 3
moop_in_network_usd = 6000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3817_009"
plan_name = "Regence MedAdvantage + Rx Enhanced (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Regence BlueCross BlueShield of Oregon"
monthly_premium_usd = 214
overall_stars = 3
moop_in_network_usd = 5400
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3817_010"
plan_name = "Regence Valiance (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Regence BlueCross BlueShield of Oregon"
monthly_premium_usd = "N/A"
overall_stars = 3
moop_in_network_usd = 5300
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3817_011"
plan_name = "Regence MedAdvantage + Rx Primary (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Regence BlueCross BlueShield of Oregon"
monthly_premium_usd = 34
overall_stars = 3
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5439_010"
plan_name = "Wellcare Patriot Giveback Open (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Wellcare"
monthly_premium_usd = "N/A"
overall_stars = 3
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5439_011"
plan_name = "Wellcare Premium Ultra Open (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Wellcare"
monthly_premium_usd = 160
overall_stars = 3
moop_in_network_usd = 6500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5439_015"
plan_name = "Wellcare Giveback Open (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Wellcare"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5439_019"
plan_name = "Wellcare Low Premium Open (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Wellcare"
monthly_premium_usd = 59
overall_stars = 3
moop_in_network_usd = 7000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5439_022"
plan_name = "Wellcare Simple Open (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Wellcare"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6815_038"
plan_name = "Wellcare Low Premium (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Wellcare"
monthly_premium_usd = 35
overall_stars = 3
moop_in_network_usd = 7900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6815_039"
plan_name = "Wellcare Simple (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Wellcare"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 7500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9003_001"
plan_name = "Kaiser Permanente Senior Advantage Enhanced (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Kaiser Permanente"
monthly_premium_usd = 119
overall_stars = 4
moop_in_network_usd = 3500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9003_006"
plan_name = "Kaiser Permanente Senior Advantage Standard (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Kaiser Permanente"
monthly_premium_usd = 37
overall_stars = 4
moop_in_network_usd = 4500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9003_009"
plan_name = "Kaiser Permanente Senior Advantage Value (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Kaiser Permanente"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 5500
snp = "No"
