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PacificSource Medicare MyCare Choice 30 (HMO-POS) (H3864-030) in 2027

We are not affiliated with PacificSource Medicare. Plan and company names are shown only to identify plans.

HMO-POS: about this plan type · Legal name: PACIFICSOURCE COMMUNITY HEALTH PLANS

Not offered in 2027 in any of the 6 counties where it was offered in 2026. CMS's 2027 plan list doesn't include this plan.

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Not Offeredin 2027
6
of 6 countiesin 2026
People inThis Plan
~190
CMS enrollment,October 2026

Not offered: CMS's 2027 plan list and plan crosswalk show the plan isn't offered in the county (for drug plans, the state) in 2027 and its members aren't moved to another plan there. Members need to pick a new plan, unless their plan's letter offers another option. If they do nothing, Medicare Advantage and Cost plan members will have Original Medicare. Members of any plan that covered drugs will have no Medicare drug coverage, unless they get Extra Help (outside U.S. territories, Medicare then puts them in a drug plan). Everyone in these plans keeps Medicare.

States

H3864-030 by state, 2026 and 2027
StateOffered AgainNot Offered
Idaho02
Montana01
Oregon03

Idaho

See the 2 counties in IdahoHide the counties
Where H3864-030 is offered in Idaho, 2026 and 2027
CountyWhat's HappeningPeople in Plan
Bonner County: what this means for you
All plans in Bonner County
Not offered: plan ending~20
Kootenai County: what this means for you
All plans in Kootenai County
Not offered: plan ending~40

Montana

See the 1 county in MontanaHide the counties
Where H3864-030 is offered in Montana, 2026 and 2027
CountyWhat's HappeningPeople in Plan
Yellowstone County: what this means for you
All plans in Yellowstone County
Not offered: plan ending~30

Oregon

See the 3 counties in OregonHide the counties
Where H3864-030 is offered in Oregon, 2026 and 2027
CountyWhat's HappeningPeople in Plan
Clackamas County: what this means for you
All plans in Clackamas County
Not offered: plan ending~40
Multnomah County: what this means for you
All plans in Multnomah County
Not offered: plan ending~40
Washington County: what this means for you
All plans in Washington County
Not offered: plan ending~20

Costs and Star Rating

Costs for H3864-030, 2026
What2026
Monthly premium (without Extra Help)$15 a month
Maximum you pay for covered medical care$4,950 (in-network)
Drug deductibleNo drug coverage
Overall star rating (from CMS)3.5 out of 5 stars

This plan may also have a limit for in- and out-of-network care combined. See Medicare Plan Finder.

CMS rates contracts, so plans under one contract share its rating. For costs with Extra Help, use the lookup.

What Happens Next

If this plan is not offered in your county in 2027, you can pick a new plan from October 15 to December 7, 2026. If your plan is ending, you also have until February 28, 2027. Check your county to see what happens if you do nothing.

These numbers come from CMS's plan files. If you're in this plan, confirm with your Annual Notice of Change or the letter from your plan.

Source: CMS CY2027 Landscape, data as of October 18, 2026 (release 202610). Enrollment: CMS Monthly Enrollment by Contract/Plan/State/County, October 2026. Plan moves: CMS 2027 Plan Crosswalk, file dated October 1, 2026. People counts add up the counties where this plan is offered. They leave out members who live outside that area. See how we get our numbers.