Providence Medicare Advantage Plans 2027: Coverage, Costs & Star Ratings

Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated September 28, 2026

Providence Health Assurance is the Medicare arm of Providence Health Plan, a division of the nonprofit Providence health system. It is deliberately small. Rather than chase counties, Providence sells only where its own hospitals and physician groups are strongest, which is why it covers thirteen counties across three states and nothing beyond them.

That focus shows up in the quality scores: 4 out of 5 stars from CMS, held even in a year when performance thresholds rose across most measures. It also means the plan sold in your county may look nothing like the one sold two hundred miles away. Below is every plan, every number, and how to tell which is right for you when 2027 details publish on October 1, 2026.

Providence does not run one lineup across its footprint. Each named plan serves a different set of counties, and the numbers behind them are nothing alike.

At the other end, Pine + Rx also costs $0 a month and pays back $24 of your Part B premium, but its cap is $6,750 and its Part D deductible is $195, waived on tiers 1 and 2. Extra + Rx charges $161 a month and buys the middle ground: a $4,200 cap, no drug deductible and the richest extras of the three.

Providence also runs a dual-eligible special needs plan for members in Portland and surrounding areas, with enhanced care coordination, hearing aid coverage, reduced chiropractic costs, rollover over-the-counter benefits, waived blood service deductibles and up to 24 one-way trips a year in transportation. That transportation benefit is limited to members with qualifying chronic conditions, and eligibility requirements apply. Our guide to Medicare Advantage special needs plans explains how these work.

CMS rated Providence 4 out of 5 stars on contract H9047, above the average for the industry and better than most national carriers. It held that rating in a year when CMS raised performance thresholds across most of the forty-plus measures the score is built from.

The standouts were a perfect 5 stars for Part D call centre language and accessibility services, plus high marks for controlling blood pressure and monitoring physical activity. Those last two are exactly the measures a health system that owns its own clinics can move, which is the recurring pattern behind provider-owned plans outscoring national ones. Our guide to the 2027 Medicare Advantage star ratings explains what the score does and does not measure.

Against the national carriers, this is the standard regional trade: Providence gives you a higher star rating and a tighter local network, while a national plan gives you coverage that travels and a PPO option Providence does not sell. If you want the field ranked, our comparison of the best Medicare Advantage plans 2027 scores every major carrier on ratings, stability and availability.

If you need a network that follows you out of state, look at UnitedHealthcare Medicare Advantage plans 2027 or Aetna Medicare Advantage plans 2027, both of which sell PPOs across most of the country. If price is the deciding factor, Wellcare Medicare Advantage plans 2027 run about 47% $0-premium, though at lower star ratings.