Multnomah County, Oregon: health insurance

What Multnomah County residents should know about Medicare, marketplace plans and Medicaid.

Multnomah County at a glance

StateOregon
Population (2023 est.)789,698
Population rank in Oregon1 of 36
Land area431 square miles
Major citiesPortland, Gresham

Source: U.S. Census Bureau (Population Estimates 2023; Gazetteer 2023).

Medicare plans leaving Multnomah County for 2027

22 Medicare plans from 7 companies are listed in Multnomah County for 2026 but not for 2027, covering at least 25,958 people enrolled in the plans below today.

Stand-alone drug plans leaving all of Oregon:
  • SilverScript Choice (PDP) (S5601-060, Aetna (CVS Health))
  • HealthSpring Assurance Rx (PDP) (S5617-148, Cigna HealthSpring (HCSC))
  • HealthSpring Extra Rx (PDP) (S5617-380, Cigna HealthSpring (HCSC))
Plan going awayCompanyPeople enrolled (at least)
Providence Medicare Prime + Rx (HMO)
H9047-037
Providence St Joseph Health9,315
AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)
H3805-039
UnitedHealthcare6,492
Providence Medicare Extra + Rx (HMO)
H9047-064
Providence St Joseph Health2,435
Providence Medicare Dual Plus (HMO D-SNP)
H9047-043
Providence St Joseph Health2,027
Aetna Medicare Signature (PPO)
H5521-492
Aetna (CVS Health)1,703
AARP Medicare Advantage from UHC OR-0003 (HMO-POS)
H3805-001
UnitedHealthcare1,229
PacificSource Medicare MyCare Rx 40 (HMO)
H3864-040
PacificSource1,068
DEVOTED GIVEBACK 004 OR (HMO)
H2923-004
Devoted Health445
Wellcare Simple Open (PPO)
H5439-022
Wellcare / Ambetter (Centene)402
Wellcare Simple (HMO-POS)
H6815-039
Wellcare / Ambetter (Centene)214
HealthSpring Preferred (HMO)
H4407-035
Cigna HealthSpring (HCSC)175
Providence Medicare Reverence (HMO-POS)
H9047-035
Providence St Joseph Health150
Show 7 more plans
Plan going awayCompanyPeople enrolled (at least)
Wellcare Dual Access (HMO-POS D-SNP)
H2174-013
Wellcare / Ambetter (Centene)122
Providence Medicare Focus Medical (HMO)
H9047-033
Providence St Joseph Health47
Aetna Medicare Eagle (PPO)
H5521-493
Aetna (CVS Health)40
Wellcare Dual Reserve (HMO-POS D-SNP)
H2174-012
Wellcare / Ambetter (Centene)39
PacificSource Medicare MyCare Choice 30 (HMO-POS)
H3864-030
PacificSource35
HealthSpring True Choice (PPO)
H7849-152
Cigna HealthSpring (HCSC)20
PacificSource Dual Care Alliance (HMO D-SNP)
H3864-045
PacificSourcenot listed

A plan can be listed because it was renumbered or replaced, not only because a company is leaving the county. When the same company keeps other plans there, members are usually moved to a replacement plan. Your plan should send you a notice, and Medicare’s Annual Enrollment Period (October 15 to December 7) is when you can compare and switch. “People enrolled” is the number enrolled in that plan today (CMS hides counts of 10 or fewer). Source: CMS Medicare Advantage and Part D landscape files for 2026 and 2027, and CMS enrollment data from September 2026.

Is your plan on this list? Call 855-367-1095 and we will look at what is available where you live, with no obligation to enroll.

Why your county matters for coverage

In Oregon, the health plans you can choose depend on where you live. Medicare Advantage and Part D plans are offered by service area, usually county by county, and marketplace premiums and carriers are set by area as well. Living in Multnomah County means the options on this page apply to you, and plans in a neighboring county may differ.

  • Medicare: Oregon SHIBA (Senior Health Insurance Benefits Assistance) gives free, unbiased counseling at 800-722-4134. Ask which plans serve Multnomah County specifically.
  • Marketplace plans: shop through HealthCare.gov (federal Marketplace) -- transitioning to Explore Health November 1, 2026; enter your Multnomah County ZIP code to see what is offered.
  • Medicaid: apply through Oregon Health Plan (Oregon Health Authority).

Oregon note: Oregon is in the middle of a marketplace transition: a 2023 state law required the Oregon Health Authority to stand up its own exchange, and the new Explore Health site received federal approval and is scheduled to replace HealthCare.gov for Oregon starting November 1, 2026 -- worth double-checking which site is current if you're reading this after that date.

Questions about Multnomah County

Are the same Medicare plans offered everywhere in Oregon?

No. Plans are offered by service area. A plan available in one county may not be offered in Multnomah County, so check by county.

Where do Multnomah County residents get free Medicare counseling?

Oregon SHIBA (Senior Health Insurance Benefits Assistance) (800-722-4134) is Oregon's free SHIP program.

Do I have to enroll if I call?

No. Calling is a conversation about your options, and you are never required to enroll.

Multnomah County residents: call 855-367-1095

Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.

Call 855-367-1095

Other large counties

Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.

Do it yourself

Prefer to look and enroll yourself?

Compare plans and enroll on your own time. Or call 855-367-1095 any time you want a licensed agent’s help.

Medicare

Medicare Open Enrollment starts October 15th

Take a look at Oregon plans, or go ahead and enroll yourself. Call if you need any help with your application.

Under 65 · ACA

ACA Open Enrollment opens November 1st

Open enrollment starts November 1st. Not sure which Oregon plan is right for you? Call and we'll help you find it.

Questions along the way? Call 855-367-1095 for assistance.