ATRIO Health Plans

What ATRIO Health Plans does

ATRIO Health Plans is a privately held Medicare Advantage insurer founded in 2004 by Oregon physicians and headquartered in Salem, Oregon. The company offers Medicare Advantage health insurance plans — including PPO, HMO, Chronic Condition Special Needs Plans (C-SNP), and Dual-Eligible Special Needs Plans (D-SNP) — across 11 Oregon counties: Clackamas, Douglas, Jackson, Josephine, Klamath, Lane, Marion, Multnomah, Polk, Washington, and Yamhill. ATRIO operates under a Medicare contract with CMS as a Medicare-approved Part D plan sponsor and holds NCQA approval to operate its D-SNP, serving Medicare-eligible individuals age 65+, persons with certain disabilities, and persons with End-Stage Renal Disease, as well as dual-eligible and chronically ill subpopulations through specialized plan variants.

The company's product portfolio includes the Choice Rx, Prime Rx, Select Rx, Freedom, Support Rx (PPO C-SNP), and Dual-Eligible HMO SNP plans, supplemented by a Flex Card benefit covering over-the-counter items, dental, fitness, and alternative therapies, plus vision (via VSP), hearing (via Amplifon), and Personal Emergency Response System benefits (via LifeStation). ATRIO runs a physician-founded, community-based operating model with two Oregon offices (Salem for Marion/Polk counties; Roseburg for Douglas County), dedicated market managers per region, and a contracted insurance agent channel supported by the GrowATRIO portal. Member and provider engagement is delivered through MyATRIO portals and the prov360 provider portal, with claims processed via Availity clearinghouse and pharmacy benefits managed through MedImpact and CoverMyMeds.

ATRIO generates revenue through CMS capitation payments for Medicare Advantage premiums and Part D prescription drug plan premiums across its enrolled members. It distributes plans through a hybrid channel combining contracted local agents and direct-to-consumer enrollment (website, phone, prospective member meetings). The company is independently held with no identified parent, VC, or PE backing, and operates with 101-250 employees primarily based in Oregon.

Name

ATRIO Health Plans

Legal name

ATRIO Health Plans

Website

https://atriohp.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

101–250 employees

Short description

ATRIO Health Plans is a privately held, physician-founded Medicare Advantage insurer offering PPO, HMO, C-SNP, and D-SNP plans across 11 Oregon counties, serving Medicare-eligible seniors, dual-eligible beneficiaries, and chronically ill members through CMS-regulated capitation revenue.

Ownership category

akta.pro rank

Product category

Medicare Advantage Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)

SIC

Accident & Health Insurance (6321), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Medicare Advantage (MA) Plans (FSAIAGAA)

akta.pro secondary industries

MA PPO Plans (Local/Regional PPO) (HLAEACAB), MA HMO Plans (HLAEACAA), MA Prescription Drug Plans (MA-PD) (HLAEACAF), Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH), MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG)

Keywords

• Medicare Advantage plans
• Medicare health insurance
• Prescription drug coverage
• Special needs plans
• Supplemental health benefits

Headquarters

HQ city

Salem

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Operations, Marketing or Sales, Personnel, Technology or R&D, Infrastructure, Others

Revenue model

1. Medicare Advantage Premiums: ATRIO Health Plans generates revenue through Medicare Advantage plan premiums paid by the federal government (CMS) for providing health insurance coverage to Medicare-eligible beneficiaries, including persons age 65+, persons with certain disabilities, and persons with kidney failure requiring dialysis or transplant.
2. Medicare Part D Prescription Drug Plans: Revenue from Medicare Part D prescription drug plan premiums for covering outpatient prescription drugs for Medicare beneficiaries. The company offers Medicare Advantage Prescription Drug (MAPD) plans.

Go-to-market motion2 records

Distribution channels2 records

Marketing channels4 records

Core offering

ATRIO Health Plans is a Medicare Advantage organization that sells PPO and HMO health insurance plans to Medicare-eligible individuals across 11 Oregon counties. Its portfolio includes Medicare Advantage plans with integrated Part D prescription drug coverage, Chronic Condition Special Needs Plans (C-SNP) for diabetes, heart failure, and cardiovascular disorders, and Dual-Eligible Special Needs Plans (D-SNP) for Medicare/Medicaid beneficiaries, supplemented by extra benefits such as a Flex Card, vision, hearing, and personal emergency response.

Product overview

ATRIO Health Plans offers a unified Medicare Advantage insurance platform with multiple plan types and integrated member services. The core offerings include Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans (MAPD), and Special Needs Plans (SNP) across PPO and HMO structures. Plan variants include Choice Rx, Prime Rx, Select Rx, Freedom, Support Rx (C-SNP for chronic conditions), and Dual-Eligible SNP. The Flex Card serves as a unified benefit delivery mechanism for OTC items, dental, fitness, and alternative therapies. Member and provider engagement is delivered through MyATRIO portals (separate member and provider platforms) and the GrowATRIO agent portal. Vision, hearing, and emergency response services are delivered through partnerships with VSP, Amplifon, and LifeStation respectively.

Differentiator

Problem solved

Functional benefit

Brands

• MyATRIO: Member and provider portal platform for accessing member resources, benefit platforms, and provider tools.

Products and services

• ATRIO Medicare Advantage Plans Medicare Advantage health insurance plans (PPO and HMO) providing medical coverage for persons age 65 and older, persons with certain disabilities, and persons with kidney failure requiring dialysis or transplant, available across 11 Oregon counties.
• ATRIO Medicare Advantage Prescription Drug Plans (MAPD) Combined Medicare Advantage and Medicare Part D prescription drug coverage plans that bundle medical and pharmacy benefits under a single plan.
• ATRIO Special Needs Plans (SNP) Specialized Medicare Advantage plans for beneficiaries with specific health needs, including Dual-Eligible Special Needs Plans (D-SNP) and Chronic Condition Special Needs Plans (C-SNP).
• ATRIO Choice Rx (PPO) Medicare Advantage PPO plan with prescription drug coverage available in multiple Oregon counties including Clackamas and Klamath.
• ATRIO Prime Rx (PPO/HMO) Medicare Advantage plan option with prescription drug coverage, available in Douglas County, Klamath County, and Marion County.
• ATRIO Select Rx (PPO) Medicare Advantage PPO plan with prescription drug coverage available in Clackamas County area.
• ATRIO Freedom (PPO) Medical-only PPO plan without prescription drug coverage, available in Douglas County and Klamath County.
• ATRIO Support Rx (PPO C-SNP) Chronic Condition Special Needs Plan designed for people with diabetes, chronic heart failure, and certain cardiovascular disorders, including a preenrollment qualification assessment tool.
• ATRIO Dual Eligible HMO Special Needs Plan (D-SNP) Special Needs Plan for individuals eligible for both Medicare and Medicaid, available in Douglas County and Klamath County.
• ATRIO Flex Card Prepaid debit card benefit providing allowances for over-the-counter items, dental services, fitness memberships, and alternative therapies (chiropractic, acupuncture, naturopathy); activated online, by phone, or via text message.
• Vision Benefits Vision coverage delivered through VSP (Vision Service Plan), including routine eye exams and eyewear credits for ATRIO members.
• Hearing Benefits Hearing services delivered through Amplifon partnership, including routine hearing exams, hearing aid evaluations, fittings, and access to discounted hearing aids.
• Personal Emergency Response System (PERS) LifeStation-powered medical alert system providing 24/7 emergency response at the push of a button, with multiple style options including a watch with step tracker and heart rate monitor.
• Medicare Prescription Payment Plan Voluntary payment option that spreads Part D drug costs across the calendar year to help members manage out-of-pocket drug expenses.

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration10 records

Partnerships

Six partnerships are on record, tiered minor and core.

• Isaac HealthminorStrategic or Co-development Partner · 14 November 2025Isaac Health partnered with Atrio Health Plans to enhance access to dementia care services for Atrio's Medicare Advantage members. The collaboration enables patients with dementia or cognitive issues to utilize Isaac Health's digital platform for diagnosis, treatment, and care management, including caregiver support. Published November 14, 2025.
• P3 (Practitioner Partner Program)coreStrategic or Co-development PartnerP3 is a provider partnership program with physician and clinician-led teams focused on value-based care. P3's mission is to provide patients with tools and resources to manage long-term wellness while giving providers a profitable way to spend more time with patients. ATRIO partners with P3 to increase the quality of care its members receive.
• Make-A-Wish OregonminorOthersATRIO supports Make-A-Wish Oregon through employee volunteering (including a 'wish granter' volunteer), matching gifts, and participation in the annual Wish Ball which raised over $875,000 in 2025 to grant wishes for children with critical illnesses in Oregon and southwestern Washington.
• LifeStationminorImplementation/ SI/ Consulting PartnerATRIO has partnered with LifeStation to provide Personal Emergency Response System (PERS) benefits to members. LifeStation offers different style options including a watch with step tracker and heart rate monitor. Members can access this benefit by calling LifeStation at (888) 809-3112.
• AmplifonminorStrategic or Co-development PartnerATRIO partnered with Amplifon to provide hearing services including routine exams, hearing aid evaluations and fittings, with access to top-tier hearing aids at discounted prices. Members must see an Amplifon provider to access this benefit.
• AndMore HealthminorOthersAndMore Health administers the ATRIO Flex Card. Members activate their Flex card online at andmorehealth.com to access dental, fitness, over-the-counter (OTC), and alternative therapy benefits. Activation can also be done by phone at 1-855-263-6673 or by texting 'ACTIVATE' to 53746.

Scale indicators3 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Moda Health: Moda Health is a Pacific Northwest health insurer offering Medicare Advantage plans in Oregon and Washington. It competes head-to-head with ATRIO for Oregon Medicare beneficiaries and overlapping provider networks.
• Providence Health Plan: Providence Health Plan is an Oregon-based not-for-profit health plan offering Medicare Advantage and commercial products in the same counties ATRIO serves. It is a direct regional peer competing for the same Oregon Medicare-eligible members and provider relationships.
• PacificSource Health Plans: PacificSource offers Medicare Advantage plans across Oregon, Idaho, Montana, and Washington. It is a direct regional peer with overlapping Oregon footprint and similar plan-type breadth (PPO/HMO/SNP).
• CareOregon: CareOregon is a nonprofit Medicaid and Medicare Advantage plan in Oregon, including D-SNP offerings. It overlaps ATRIO's D-SNP and dual-eligible strategy and shares the same local provider communities.
• Kaiser Permanente Northwest: Kaiser Permanente Northwest operates an integrated Medicare Advantage HMO in Oregon and Washington. It competes directly with ATRIO's HMO offerings and is a major incumbent in ATRIO's core service counties.
• Regence BlueCross BlueShield of Oregon: Regence BlueCross BlueShield of Oregon offers Medicare Advantage plans throughout Oregon with a large statewide provider network. It is a direct competitor to ATRIO for the same Oregon Medicare Advantage market.

Broad incumbents

• Humana: Humana is a top-three national Medicare Advantage carrier with broad plan offerings in Oregon. It competes with ATRIO on PPO/HMO/SNP products and has materially larger marketing and benefit budgets.
• UnitedHealthcare (AARP Medicare Advantage): UnitedHealthcare is the largest national Medicare Advantage carrier and offers plans in every Oregon county ATRIO serves. It is the dominant broad incumbent competing against ATRIO for the same Medicare-eligible population.

Emerging players

• Devoted Health: Devoted Health is a venture-backed Medicare Advantage carrier expanding into multiple states with a tech-enabled service model. It is an emerging peer with overlapping target market (senior MA members) and could expand into ATRIO's Oregon footprint.

Regional players

• Samaritan Health Plans: Samaritan Health Plans is a regional Oregon health plan offering Medicare Advantage in select Oregon counties. It is a smaller regional peer with comparable plan structures but a narrower geographic footprint than ATRIO.

Market position

Strengths5 records

Competitive moat4 records

Key highlights7 records

Customer concentration

• Xx.com/atriohp

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ATRIO Health Plans