Washington Medicare Advantage Companies for 2021 (Full List of Plans)

There are a lot of Medicare Advantage companies in Washington to choose from, and each has a different selection of plans available. Washington Medicare Advantage plans vary by county and even sometimes by ZIP code. You may be able to get Medicare Advantage coverage in Washington without paying anything more than your original Medicare Part B cost.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Sep 23, 2021

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The Highlights

  • You’ll still need to pay your Washington original Medicare premium if you choose Medicare Advantage
  • Standalone Medicare Part D Plans in Washington can help cover prescription drugs
  • You can choose from Washington PPO and HMO Medicare Advantage plans

If you’re shopping for a Medicare Advantage plan in Washington, there are a lot of options to choose from. 19 companies offer Medicare Advantage (Part C) coverage in Washington. Plans vary by county and include HMO, PPO, and POS options.

Finding the best Medicare company can be a challenge. To choose the right WA Medicare company and plan for your needs, compare rates as well as out-of-pocket costs to find the best combination of cost and coverage.

Ready to compare Medicare plans from top companies in Washington? Enter your ZIP code for fast, free Washington Medicare quotes today.

The Complete List of Medicare Advantage Companies in Washington

You have a lot of companies to choose from for Part C Medicare Advantage in WA. Take a look at the complete listing of health insurance companies that offer Medicare Advantage plans in Washington, which counties the plans are offered in, and how many plans each company offers.

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Medicare Advantage Companies in Washington

Company Number of Plans Counties
AMERIGROUP 1 Pierce, Kitsap, Spokane, King, Thurston, Snohomish
Aetna Medicare 8 Skagit, Pierce, Kitsap, Mason, Clark, Cowlitz, King, Thurston, Snohomish, Spokane
Amerigroup 1 Pierce, Kitsap, Spokane, King, Thurston, Snohomish
Asuris Northwest Health 4 Chelan, Spokane
Community Health Plan of WA 1 Lewis, Skagit, Pierce, Stevens, Kitsap, Douglas, Benton, Walla Walla, Okanogan, Chelan, Adams, Yakima, Whatcom, Franklin, Spokane, Clark, Cowlitz, King, Thurston, Grant, Snohomish
Community Health Plan of WA Medicare Advantage 5 Lewis, Skagit, Douglas, Walla Walla, Okanogan, Chelan, Adams, Yakima, Whatcom, Grant, Pierce, Stevens, Kitsap, Benton, Franklin, Spokane, Clark, Cowlitz, King, Thurston, Snohomish
Health Alliance Northwest 12 Douglas, Okanogan, Chelan, Grant, Yakima
Health Net Life Insurance Company 4 Clark
Humana 24 Skagit, Whatcom, Pierce, Spokane, Clark, King, Kitsap, Benton, Walla Walla, Franklin, Island, Cowlitz, Thurston, Snohomish, Kittitas
Kaiser Foundation Health Plan of Washington 9 Lewis, Pierce, Kitsap, Mason, Grays Harbor, King, Thurston, Snohomish, Skagit, Whatcom, Spokane, Island
Kaiser Permanente 3 Wahkiakum, Clark, Cowlitz
Molina Healthcare 1 Lewis, Skagit, Pierce, Stevens, Kitsap, Walla Walla, Whitman, Mason, Adams, Yakima, Whatcom, Spokane, Clark, Cowlitz, King, Thurston, Snohomish
PacificSource Medicare 5 Pierce, Spokane, Clark
Premera Blue Cross Medicare Advantage 10 Lewis, Pierce, Kitsap, Whatcom, Cowlitz, King, Thurston, Snohomish, Spokane, Skagit, Walla Walla, San Juan, Island, Stevens
Providence Medicare Advantage Plans 10 Spokane, Clark, Snohomish
Regence BlueShield 9 Lewis, Pierce, Clallam, Asotin, Wahkiakum, Jefferson, Kitsap, Walla Walla, Columbia, Mason, Yakima, Grays Harbor, Clark, Island, Cowlitz, King, Thurston, Snohomish, Skagit, Whatcom
UnitedHealthCare 2 Lewis, Pierce, Kitsap, Clark, Island, Cowlitz, King, Thurston, Snohomish, Skagit, Yakima, Whatcom, Spokane
UnitedHealthcare 12 Lewis, Skagit, Pierce, Kitsap, Yakima, Whatcom, Clark, Island, Cowlitz, King, Thurston, Snohomish, Benton, Walla Walla, Franklin, Spokane
WellCare 7 Pierce, King, Snohomish

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Medicare Advantage Plans by Company in Washington

To compare Medicare Advantage plans by company in Washington, we’ve gathered a list of all the plans available from each WA Medicare company.

Take a look at the WA Medicare plans by company here, and bear in mind that plan availability and details vary by county.

Kaiser Foundation Health Plan of Washington Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Kaiser Permanente Medicare Advantage Essential (HMO) H5050-009 Lewis, Pierce, Kitsap, Mason, Grays Harbor, King, Thurston, Snohomish Local HMO $99.00
Kaiser Permanente Medicare Advantage Optimal (HMO) H5050-004 Lewis, Pierce, Kitsap, Mason, Grays Harbor, King, Thurston, Snohomish Local HMO $295.00
Kaiser Permanente Medicare Advantage Vital (HMO) H5050-013 Lewis, Pierce, Kitsap, Mason, Grays Harbor, King, Thurston, Snohomish Local HMO $28.00
Kaiser Permanente Medicare Advantage Basic (HMO) H5050-001 Lewis, Skagit, Pierce, Kitsap, Mason, Whatcom, Grays Harbor, Spokane, Island, King, Thurston, Snohomish Local HMO * $0.00
Kaiser Permanente Medicare Advantage Anchor (HMO) H5050-023 Skagit, Whatcom Local HMO $0.00
Kaiser Permanente Medicare Advantage Harbor (HMO) H5050-017 Skagit, Whatcom, Island Local HMO $48.00
Kaiser Permanente Medicare Advantage Key (HMO) H5050-022 Pierce, Island, King, Thurston, Snohomish Local HMO $0.00
Kaiser Permanente Medicare Advantage Centennial (HMO) H5050-021 Spokane Local HMO $0.00
Kaiser Permanente Medicare Advantage Columbia (HMO) H5050-019 Spokane Local HMO $48.00

Community Health Plan of WA Medicare Advantage Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Community Health Plan of WA MA Plan 4 (HMO) H5826-009 Lewis, Skagit, Douglas, Walla Walla, Okanogan, Chelan, Adams, Yakima, Whatcom, Grant Local HMO $94.00
Community Health Plan of WA MA Plan 2 (HMO) H5826-010 Skagit, Pierce, Stevens, Kitsap, Douglas, Benton, Walla Walla, Chelan, Adams, Yakima, Whatcom, Franklin, Spokane, Clark, Cowlitz, King, Thurston, Grant, Snohomish Local HMO $26.50
Community Health Plan of WA MA No Rx Plan (HMO) H5826-006 Pierce, Kitsap, Spokane, Clark, Cowlitz, King, Thurston, Snohomish Local HMO * $0.00
Community Health Plan of WA MA Plan 1 (HMO) H5826-016 Pierce, Kitsap, Walla Walla, Yakima, Whatcom, Spokane, Clark, Cowlitz, King, Thurston, Snohomish Local HMO $0.00
Community Health Plan of WA MA Plan 3 (HMO) H5826-008 Pierce, Kitsap, Spokane, Clark, Cowlitz, King, Thurston, Snohomish Local HMO $68.00

Molina Healthcare Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Molina Medicare Complete Care (HMO D-SNP) H5823-006 Lewis, Skagit, Pierce, Stevens, Kitsap, Walla Walla, Whitman, Mason, Adams, Yakima, Whatcom, Spokane, Clark, Cowlitz, King, Thurston, Snohomish Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

UnitedHealthcare Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
AARP Medicare Advantage Plan 3 (HMO) H3805-015 Lewis, Skagit, Pierce, Kitsap, Yakima, Whatcom, Clark, Island, Cowlitz, King, Thurston, Snohomish Local HMO $45.00
UnitedHealthcare Dual Complete (HMO D-SNP) H5008-002 Lewis, Skagit, Pierce, Kitsap, Benton, Walla Walla, Yakima, Whatcom, Franklin, Spokane, Clark, Cowlitz, King, Thurston, Snohomish Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
AARP Medicare Advantage Plan 1 (HMO) H3805-037 Lewis, Skagit, Pierce, Kitsap, Yakima, Whatcom, Clark, Island, Cowlitz, King, Thurston, Snohomish Local HMO $88.00
AARP Medicare Advantage (HMO) H3805-021 Skagit, Yakima, Whatcom Local HMO $24.00
UnitedHealthcare Nursing Home Plan (PPO I-SNP) H0710-031 Skagit, Pierce, Kitsap, Benton, Yakima, Whatcom, Franklin, Spokane, Clark, King, Thurston, Snohomish Local PPO $36.00
UnitedHealthcare Assisted Living Plan (PPO I-SNP) H0710-030 Pierce, Kitsap, Spokane, Clark, King, Thurston, Snohomish Local PPO $36.00
AARP Medicare Advantage Walgreens (HMO-POS) H3805-032 Pierce, King, Thurston, Snohomish Local HMO $0.00
UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) H5008-001 Pierce, Kitsap, King, Snohomish Local HMO $30.70
AARP Medicare Advantage Plan 2 (HMO-POS) H3805-034 Spokane Local HMO $54.00
AARP Medicare Advantage Patriot (HMO-POS) H3805-035 Spokane Local HMO * $0.00
AARP Medicare Advantage Plan 1 (HMO-POS) H3805-033 Spokane Local HMO $0.00
AARP Medicare Advantage Walgreens (HMO) H3805-030 Clark Local HMO $0.00

Premera Blue Cross Medicare Advantage Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Premera Blue Cross Medicare Advantage Classic (HMO) H7245-002 Lewis, Pierce, Kitsap, Whatcom, Cowlitz, King, Thurston, Snohomish Local HMO $55.00
Premera Blue Cross Medicare Advantage (HMO) H7245-001 Lewis, Pierce, Kitsap, Spokane, Cowlitz, King, Thurston, Snohomish Local HMO $0.00
Premera Blue Cross Medicare Advantage Core (HMO) H7245-006 Skagit, Walla Walla, Whatcom, San Juan, Island Local HMO $12.00
Premera Blue Cross Medicare Advantage Core Plus (HMO) H7245-008 Skagit, Walla Walla, San Juan, Island Local HMO $75.00
Premera Blue Cross Medicare Advantage Alpine (HMO) H9302-004 Pierce, Whatcom, King, Thurston, Snohomish Local HMO * $0.00
Premera Blue Cross Medicare Advantage Peak + Rx (HMO) H9302-011 Pierce, Whatcom, King, Thurston, Snohomish Local HMO $0.00
Premera Blue Cross Medicare Advantage Sound + Rx (HMO) H9302-007 Pierce, Whatcom, King, Thurston, Snohomish Local HMO $40.00
Premera Blue Cross Medicare Advantage Classic Plus (HMO) H7245-003 Pierce, King, Thurston, Snohomish Local HMO $191.00
Premera Blue Cross Medicare Advantage Charter + Rx (HMO) H9302-003 Pierce, Whatcom, King, Thurston, Snohomish Local HMO $151.00
Premera Blue Cross Medicare Advantage Total Health (HMO) H7245-005 Stevens, Spokane Local HMO $24.00

Regence BlueShield Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Regence MedAdvantage + Rx Primary (PPO) H5009-009 Lewis, Pierce, Clallam, Asotin, Wahkiakum, Jefferson, Kitsap, Walla Walla, Columbia, Mason, Yakima, Grays Harbor, Clark, Island, Cowlitz, King, Thurston, Snohomish Local PPO $38.00
Regence Valiance (PPO) H5009-001 Lewis, Pierce, Clallam, Asotin, Wahkiakum, Jefferson, Kitsap, Walla Walla, Columbia, Mason, Yakima, Grays Harbor, Clark, Island, Cowlitz, King, Thurston, Snohomish Local PPO * $0.00
Regence MedAdvantage + Rx Enhanced (PPO) H5009-002 Lewis, Pierce, Asotin, Wahkiakum, Kitsap, Walla Walla, Columbia, Yakima, Clark, Island, Cowlitz, King, Thurston, Snohomish Local PPO $157.00
Regence MedAdvantage + Rx Classic (PPO) H5009-008 Lewis, Pierce, Clallam, Asotin, Wahkiakum, Jefferson, Kitsap, Walla Walla, Columbia, Mason, Yakima, Grays Harbor, Clark, Island, Cowlitz, King, Thurston, Snohomish Local PPO $78.00
Regence Align (HMO) H1997-010 Skagit, Whatcom Local HMO $0.00
Regence Valiance (HMO) H1997-008 Skagit, Pierce, Kitsap, Whatcom, Clark, King, Snohomish Local HMO * $0.00
Regence Align Plus (HMO) H1997-011 Skagit, Whatcom Local HMO $34.00
Regence BlueAdvantage HMO (HMO) H1997-009 Pierce, Kitsap, Clark, King, Snohomish Local HMO $0.00
Regence BlueAdvantage HMO Plus (HMO) H1997-002 Pierce, Kitsap, Clark, King, Snohomish Local HMO $48.00

UnitedHealthCare Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
AARP Medicare Advantage Plan 2 (HMO) H3805-025 Lewis, Pierce, Kitsap, Clark, Island, Cowlitz, King, Thurston, Snohomish Local HMO $19.00
AARP Medicare Advantage Choice (PPO) H1821-003 Lewis, Skagit, Pierce, Kitsap, Yakima, Whatcom, Spokane, Clark, Island, Cowlitz, King, Thurston, Snohomish Local PPO $19.00

Community Health Plan of WA Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Community Health Plan of WA Dual Plan (HMO D-SNP) H5826-014 Lewis, Skagit, Pierce, Stevens, Kitsap, Douglas, Benton, Walla Walla, Okanogan, Chelan, Adams, Yakima, Whatcom, Franklin, Spokane, Clark, Cowlitz, King, Thurston, Grant, Snohomish Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Humana Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Humana Gold Plus H5619-115 (HMO) H5619-115 Skagit, Whatcom Local HMO $39.00
HumanaChoice H5216-247 (PPO) H5216-247 Skagit, Pierce, Whatcom, Spokane, Clark, King Local PPO $0.00
Humana Value Plus H5619-134 (HMO) H5619-134 Skagit, Pierce, Kitsap, Benton, Walla Walla, Whatcom, Franklin, Spokane, Clark, Island, Cowlitz, King, Thurston, Snohomish Local HMO $25.00
Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP) H5619-136 Skagit, Pierce, Kitsap, Whatcom, Spokane, Clark, Island, King, Thurston, Snohomish Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Humana Gold Plus H5619-114 (HMO) H5619-114 Skagit, Whatcom Local HMO $0.00
Humana Honor (PPO) H5216-046 Skagit, Pierce, Kitsap, Benton, Walla Walla, Whatcom, Franklin, Spokane, Clark, Kittitas, Island, Cowlitz, King, Thurston, Snohomish Local PPO * $0.00
HumanaChoice H5216-047 (PPO) H5216-047 Skagit, Kitsap, Benton, Walla Walla, Whatcom, Franklin, Spokane, Clark, Kittitas, Island, Cowlitz, King, Snohomish Local PPO $102.00
Humana Gold Plus H5619-061 (HMO) H5619-061 Pierce Local HMO $54.00
HumanaChoice H5216-048 (PPO) H5216-048 Pierce, Kitsap, Kittitas, Thurston Local PPO $201.00
Humana Gold Plus H5619-100 (HMO) H5619-100 Pierce Local HMO $0.00
Humana Gold Plus H5619-099 (HMO) H5619-099 Kitsap Local HMO $0.00
Humana Gold Plus H5619-133 (HMO) H5619-133 Benton, Walla Walla, Franklin Local HMO $30.00
Humana Gold Plus H5619-060 (HMO) H5619-060 Spokane Local HMO $0.00
Humana Gold Plus H5619-101 (HMO) H5619-101 Clark, Cowlitz Local HMO $38.00
Humana Gold Plus H2486-007 (HMO) H2486-007 Clark Local HMO $0.00
Humana Gold Plus H5619-056 (HMO) H5619-056 Clark, Cowlitz Local HMO $0.00
Humana Gold Plus H5619-129 (HMO) H5619-129 Island Local HMO $69.00
Humana Gold Plus H5619-097 (HMO) H5619-097 King Local HMO $33.00
Humana Gold Plus H5619-057 (HMO) H5619-057 King Local HMO $0.00
Humana Gold Plus H5619-064 (HMO) H5619-064 Thurston Local HMO $0.00
Humana Gold Plus H5619-062 (HMO) H5619-062 Thurston Local HMO $44.00
Humana Gold Plus H5619-059 (HMO) H5619-059 Snohomish Local HMO $33.00
Humana Gold Plus H5619-063 (HMO) H5619-063 Snohomish Local HMO $0.00
Humana Gold Plus H2486-006 (HMO) H2486-006 Snohomish Local HMO $0.00

Aetna Medicare Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Choice Plan (PPO) H5521-127 Skagit, Pierce, Kitsap, Mason, Clark, Cowlitz, King, Thurston, Snohomish Local PPO $63.00
Aetna Medicare Eagle Plan (PPO) H5521-330 Skagit, Pierce, Kitsap, Mason, King, Thurston, Snohomish Local PPO * $0.00
Aetna Medicare Select Plan (PPO) H5521-128 Skagit, Pierce, Kitsap, Mason, Clark, Cowlitz, King, Thurston, Snohomish Local PPO $99.00
Aetna Medicare Value Plus Plan (HMO) H3748-003 Pierce, Kitsap, Mason, King, Thurston, Snohomish Local HMO $0.00
Aetna Medicare Value Plan (HMO) H3931-126 Pierce, Kitsap, Mason, Spokane, Clark, Cowlitz, King, Thurston, Snohomish Local HMO $0.00
Aetna Medicare Platinum Plus Plan (HMO) H3748-004 Pierce, Kitsap, Mason, King, Thurston, Snohomish Local HMO $37.00
Aetna Medicare Prime Plan (HMO) H3748-008 Pierce Local HMO $0.00
Aetna Medicare Elite Plan (HMO) H3748-009 Pierce, Kitsap, Mason, Spokane, Clark, Cowlitz, King, Thurston, Snohomish Local HMO $0.00

AMERIGROUP Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Amerivantage Classic (HMO) H1894-001 Pierce, Kitsap, Spokane, King, Thurston, Snohomish Local HMO $0.00

WellCare Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
WellCare Liberty (HMO D-SNP) H1353-004 Pierce, King, Snohomish Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
WellCare Premier (PPO) H5965-002 Pierce, King, Snohomish Local PPO $0.00
WellCare Dividend (HMO) H1353-006 Pierce, King, Snohomish Local HMO $0.00
WellCare Value (HMO) H1353-005 Pierce, King, Snohomish Local HMO $0.00
WellCare Patriot (PPO) H5965-003 Pierce, King, Snohomish Local PPO * $0.00
WellCare Prime (PPO) H5965-001 Pierce, King, Snohomish Local PPO $65.00
WellCare Access (HMO D-SNP) H1353-002 Pierce, King, Snohomish Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Amerigroup Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Amerivantage Dual Coordination (HMO D-SNP) H1894-002 Pierce, Kitsap, Spokane, King, Thurston, Snohomish Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

PacificSource Medicare Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
PacificSource Medicare MyCare 35 (HMO) H3864-035 Pierce, Spokane Local HMO * $0.00
PacificSource Medicare MyCare Rx 34 (HMO) H3864-034 Pierce Local HMO $0.00
PacificSource Medicare MyCare Rx 33 (HMO) H3864-033 Spokane Local HMO $0.00
PacificSource Medicare MyCare Rx 37 (HMO) H3864-037 Clark Local HMO $0.00
PacificSource Medicare MyCare Rx 38 (HMO) H3864-038 Clark Local HMO $36.00

Kaiser Permanente Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Kaiser Permanente Senior Advantage Standard (HMO) H9003-006 Wahkiakum, Clark, Cowlitz Local HMO $44.00
Kaiser Permanente Senior Advantage Value (HMO) H9003-009 Wahkiakum, Clark, Cowlitz Local HMO $0.00
Kaiser Permanente Senior Advantage Enhanced (HMO) H9003-001 Wahkiakum, Clark, Cowlitz Local HMO $127.00

Health Alliance Northwest Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Health Alliance NW Companion Basic Rx (HMO) H3471-010 Douglas, Okanogan, Chelan, Grant Local HMO $31.00
Health Alliance NW Companion Basic Rx 2 (HMO) H3471-017 Douglas, Okanogan, Chelan, Grant Local HMO $0.00
Health Alliance NW Companion HMO (HMO) H3471-003 Douglas, Okanogan, Chelan, Grant Local HMO * $0.00
Health Alliance NW Companion Rx Plus (HMO) H3471-002 Douglas, Okanogan, Chelan, Grant Local HMO $109.00
Health Alliance NW Companion Rx (HMO) H3471-001 Douglas, Okanogan, Chelan, Grant Local HMO $64.00
Health Alliance NW Companion POS Rx (HMO-POS) H3471-018 Douglas, Okanogan, Chelan, Grant Local HMO $39.00
Health Alliance NW SignalAdvantage POS Rx Plus (HMO-POS) H3471-014 Yakima Local HMO $130.00
Health Alliance NW SignalAdvantage HMO (HMO) H3471-006 Yakima Local HMO * $0.00
Health Alliance NW SignalAdvantage HMO Rx (HMO) H3471-004 Yakima Local HMO $32.00
Health Alliance NW SignalAdvantage POS (HMO-POS) H3471-015 Yakima Local HMO * $0.00
Health Alliance NW SignalAdvantage POS Rx (HMO-POS) H3471-013 Yakima Local HMO $97.00
Health Alliance NW SignalAdvantage HMO Rx Plus (HMO) H3471-005 Yakima Local HMO $105.00

Asuris Northwest Health Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Asuris Esteem (PPO) H5010-001 Chelan, Spokane Local PPO * $0.00
Asuris TruAdvantage + Rx Primary (PPO) H5010-007 Chelan, Spokane Local PPO $28.00
Asuris TruAdvantage + Rx Classic (PPO) H5010-002 Chelan, Spokane Local PPO $97.00
Asuris TruAdvantage + Rx Enhanced (PPO) H5010-004 Spokane Local PPO $223.00

Providence Medicare Advantage Plans Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Providence Medicare Cottonwood + RX (HMO-POS) H9047-062 Spokane Local HMO $35.00
Providence Medicare Pine + RX (HMO) H9047-063 Spokane Local HMO $0.00
Providence Medicare Extra + RX (HMO) H9047-055 Clark Local HMO $173.00
Providence Medicare Bridge 2 + RX (HMO-POS) H9047-060 Clark Local HMO $40.00
Providence Medicare Choice + RX (HMO-POS) H9047-056 Clark Local HMO $92.00
Providence Medicare Select Medical (HMO-POS) H9047-035 Clark Local HMO * $0.00
Providence Medicare Focus Medical (HMO) H9047-033 Clark Local HMO * $0.00
Providence Medicare Timber + RX (HMO) H9047-054 Clark Local HMO $0.00
Providence Medicare Harbor + RX (HMO) H9047-049 Snohomish Local HMO $0.00
Providence Medicare Summit + RX (HMO-POS) H9047-047 Snohomish Local HMO $59.00

Health Net Life Insurance Company Medicare Plans in Washington

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Health Net Violet 2 (PPO) H5439-018 Clark Local PPO $29.00
Health Net Aqua (PPO) H5439-010 Clark Local PPO * $0.00
Health Net Violet 1 (PPO) H5439-011 Clark Local PPO $121.00
Health Net Violet 3 (PPO) H5439-015 Clark Local PPO $0.00

Washington Medicare Advantage Plans With No Additional Cost

If you choose to buy Medicare Advantage in Washington, you will still have to pay your original Medicare Part B premium. Several WA Medicare companies offer Advantage plans that don’t have any additional cost beyond your original Medicare costs. Take a look at the options.

Washington Medicare Advantage Plans With No Additional Cost

Plan Name County Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
Humana Honor (PPO) – H5216-046-0 Asotin This Plan does NOT include Prescription Drug coverage. $5,000
Community Health Plan of WA Dual Plan (HMO D-SNP) – H5826-014-0 Spokane Tier 1: 15% n/a
UnitedHealthcare Dual Complete (HMO D-SNP) – H5008-002-0 Chelan, Okanogan, Douglas, Grant Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% n/a
AARP Medicare Advantage Choice (PPO) – H1821-002-0 Asotin Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% $6,500
AARP Medicare Advantage Plan 2 (HMO) – H3805-025-2 King Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,700
AARP Medicare Advantage Walgreens (HMO-POS) – H3805-032-0 Asotin Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,500
Aetna Medicare Eagle Plan (PPO) – H5521-330-0 Asotin This Plan does NOT include Prescription Drug coverage. $7,550
Aetna Medicare Elite Plan (HMO) – H3748-009-0 Spokane Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,900
Aetna Medicare Value Plan (HMO) – H3931-126-0 Chelan, Okanogan, Douglas, Grant Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Aetna Medicare Value Plus Plan (HMO) – H3748-003-0 Skagit, Snohomish, Pierce, Whatcom, King, Kitsap Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Amerivantage Classic (HMO) – H1894-001-0 Kitsap Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $5,900
Community Health Plan of WA MA No Rx Plan (HMO) – H5826-006-0 Chelan, Okanogan, Douglas, Grant This Plan does NOT include Prescription Drug coverage. $6,700
Community Health Plan of WA MA Plan 1 (HMO) – H5826-016-0 Spokane Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 29% $6,700
Humana Gold Plus H5619-064 (HMO) – H5619-064-0 King Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,500
Kaiser Permanente Medicare Advantage Key (HMO) – H5050-022-0 Island Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $99.00, Specialty Tier: 31%, Vaccines: $0.00 $6,600
Premera Blue Cross Medicare Advantage (HMO) – H7245-001-0 Pierce, Spokane Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 29% $6,300
Premera Blue Cross Medicare Advantage Peak + Rx (HMO) – H9302-011-0 Spokane Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 30% $6,700
Regence Valiance (PPO) – H5009-001-0 Clark This Plan does NOT include Prescription Drug coverage. $6,200
Amerivantage Dual Coordination (HMO D-SNP) – H1894-002-0 Spokane Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP) – H5619-136-4 Snohomish, Pierce, King, Kitsap Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% n/a
Molina Medicare Complete Care (HMO D-SNP) – H5823-006-0 King Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $29.00, Non-Preferred Drug: 44%, Specialty Tier: 25% n/a
AARP Medicare Advantage Plan 2 (HMO) – H3805-016-0 King Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,700
AARP Medicare Advantage Walgreens (HMO) – H3805-030-0 Asotin Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $5,900
Aetna Medicare Elite Plan (HMO) – H3748-006-0 Asotin Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,900
Aetna Medicare Value Plan (HMO) – H3748-005-0 Spokane Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Health Net Aqua (PPO) – H5439-010-0 Kitsap This Plan does NOT include Prescription Drug coverage. $2,500
Health Net Violet 3 (PPO) – H5439-015-0 Chelan, Okanogan, Douglas, Grant Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 29%, Select Care Drugs: $0.00 $7,550
Humana Gold Plus H2486-007 (HMO) – H2486-007-0 Spokane Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% $6,700
Humana Gold Plus H5619-056 (HMO) – H5619-056-0 King Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% $7,000
HumanaChoice H5216-247 (PPO) – H5216-247-0 Island Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $7,550
Kaiser Permanente Senior Advantage Value (HMO) – H9003-009-0 Pierce, Spokane Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Brand: $90.00, Specialty Tier: 33%, Vaccines: $0.00 $5,600
PacificSource Medicare MyCare Rx 37 (HMO) – H3864-037-0 Spokane Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $37.00, Non-Preferred Drug: 31%, Specialty Tier: 33%, Select Care Drugs: $0.00 $5,400
Providence Medicare Timber + RX (HMO) – H9047-054-0 Clark Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $5,500
Regence BlueAdvantage HMO (HMO) – H6237-007-1 Spokane Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 29% $5,500
Regence Valiance (HMO) – H6237-006-0 Snohomish, Pierce, King, Kitsap This Plan does NOT include Prescription Drug coverage. $4,900
Regence Valiance (PPO) – H3817-010-0 Spokane, Stevens This Plan does NOT include Prescription Drug coverage. $5,000
Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP) – H5619-136-1 Snohomish, Pierce, King Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% n/a
Humana Gold Plus H5619-114 (HMO) – H5619-114-0 King Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,700
Kaiser Permanente Medicare Advantage Anchor (HMO) – H5050-023-0 Spokane Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $99.00, Specialty Tier: 29%, Vaccines: $0.00 $6,800
Regence Align (HMO) – H1997-010-0 Chelan, Okanogan, Douglas, Grant Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 28% $6,200
Regence Valiance (HMO) – H1997-008-0 Skagit, Snohomish, Pierce, Whatcom, King, Kitsap This Plan does NOT include Prescription Drug coverage. $5,900
Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP) – H5619-136-3 King Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% n/a
AARP Medicare Advantage Plan 2 (HMO) – H3805-020-0 King Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
Humana Gold Plus H2486-006 (HMO) – H2486-006-0 King Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% $6,700
Humana Gold Plus H5619-063 (HMO) – H5619-063-0 Chelan, Okanogan, Douglas, Grant Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $7,000
Providence Medicare Harbor + RX (HMO) – H9047-049-0 Spokane Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
Regence BlueAdvantage HMO (HMO) – H1997-009-0 Snohomish, Pierce, King, Kitsap Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 28% $6,200
WellCare Dividend (HMO) – H1353-006-0 Snohomish, Pierce, King Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $7,550
WellCare Patriot (PPO) – H5965-003-0 Snohomish, Pierce, King This Plan does NOT include Prescription Drug coverage. $4,000
WellCare Premier (PPO) – H5965-002-0 King Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
WellCare Value (HMO) – H1353-005-0 Spokane Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $5,900
Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP) – H5619-136-2 Snohomish Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% n/a
WellCare Access (HMO D-SNP) – H1353-002-0 Snohomish, Pierce, King Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 25% n/a
WellCare Liberty (HMO D-SNP) – H1353-004-0 Snohomish, Pierce, King Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $46.00, Non-Preferred Drug: 49%, Specialty Tier: 25% n/a
Aetna Medicare Prime Plan (HMO) – H3748-008-0 Asotin Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Humana Gold Plus H5619-100 (HMO) – H5619-100-0 Spokane Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% $6,500
PacificSource Medicare MyCare 35 (HMO) – H3864-035-0 Pierce, Spokane This Plan does NOT include Prescription Drug coverage. $6,700
PacificSource Medicare MyCare Rx 34 (HMO) – H3864-034-0 Spokane Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $37.00, Non-Preferred Drug: 31%, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,600
Asuris Esteem (PPO) – H5010-001-0 Asotin This Plan does NOT include Prescription Drug coverage. $5,000
Health Alliance NW Companion Basic Rx 2 (HMO) – H3471-017-0 King Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 33% $7,350
AARP Medicare Advantage Choice (PPO) – H1821-001-0 Asotin Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% $6,200
AARP Medicare Advantage Patriot (HMO-POS) – H3805-035-0 King This Plan does NOT include Prescription Drug coverage. $5,500
AARP Medicare Advantage Plan 1 (HMO-POS) – H3805-033-0 Asotin Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 30% $5,500
Aetna Medicare Elite Plan (HMO) – H3748-007-0 Asotin Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,900
Aetna Medicare Value Plan (HMO) – H3748-001-0 Spokane Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,900
Humana Gold Plus H5619-060 (HMO) – H5619-060-0 Spokane Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $5,900
Kaiser Permanente Medicare Advantage Centennial (HMO) – H5050-021-0 Island Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Brand: $99.00, Specialty Tier: 30%, Vaccines: $0.00 $5,500
PacificSource Medicare MyCare Rx 33 (HMO) – H3864-033-0 Spokane Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $37.00, Non-Preferred Drug: 31%, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,000
Providence Medicare Pine + RX (HMO) – H9047-063-0 Spokane Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $5,500
Regence Valiance (PPO) – H1304-001-0 Asotin This Plan does NOT include Prescription Drug coverage. $5,900
AARP Medicare Advantage Plan 2 (HMO) – H3805-017-0 King Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $6,700
Humana Gold Plus H5619-057 (HMO) – H5619-057-0 King Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% $6,500
WellCare Value (HMO) – H1353-001-0 King Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $5,900
Humana Gold Plus H5619-099 (HMO) – H5619-099-0 Kitsap Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,700

Standalone Medicare Part D Plans in Washington

If you need to purchase Part D Medicare coverage in Washington as a standalone policy, these plans are available. Remember that plans vary by county, and make sure to check that your WA Medicare Advantage plan doesn’t already include Part D prescription drug coverage.

Standalone Medicare Part D Plans in Washington

Plan Details Tiers
SilverScript SmartRx (PDP)
S5601 – 205 – 0
by Aetna Medicare
Monthly Premium: $6.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $19.00
Tier 3: $46.00
Tier 4: 49%
Tier 5: 25%
Clear Spring Health Premier Rx (PDP)
S6946 – 054 – 0
by Clear Spring Health
Monthly Premium: $14.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $40.00
Tier 4: 45%
Tier 5: 25%
Elixir RxPlus (PDP)
S7694 – 136 – 0
by Elixir Insurance
Monthly Premium: $14.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $43.00
Tier 4: 45%
Tier 5: 25%
Humana Walmart Value Rx Plan (PDP)
S5884 – 209 – 0
by Humana
Monthly Premium: $17.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: 18%
Tier 4: 35%
Tier 5: 25%
WellCare Wellness Rx (PDP)
S4802 – 199 – 0
by WellCare
Monthly Premium: $17.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $40.00
Tier 4: 46%
Tier 5: 25%
WellCare Value Script (PDP)
S4802 – 135 – 0
by WellCare
Monthly Premium: $18.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $4.00
Tier 3: $43.00
Tier 4: 47%
Tier 5: 25%
Cigna Secure-Essential Rx (PDP)
S5617 – 309 – 0
by Cigna
Monthly Premium: $24.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 18%
Tier 4: 50%
Tier 5: 25%
WellCare Medicare Rx Select (PDP)
S5810 – 306 – 0
by WellCare
Monthly Premium: $24.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $47.00
Tier 4: 42%
Tier 5: 25%
Mutual of Omaha Rx Premier (PDP)
S7126 – 099 – 0
by Mutual of Omaha Rx
Monthly Premium: $24.90
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 23%
Tier 4: 41%
Tier 5: 25%
Express Scripts Medicare – Saver (PDP)
S5660 – 246 – 0
by Express Scripts Medicare
Monthly Premium: $29.50
Annual Deductable: $285
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $35.00
Tier 4: 50%
Tier 5: 28%
Express Scripts Medicare – Value (PDP)
S5660 – 132 – 0
by Express Scripts Medicare
Monthly Premium: $30.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $5.00
Tier 3: $35.00
Tier 4: 47%
Tier 5: 25%
WellCare Classic (PDP)
S4802 – 020 – 0
by WellCare
Monthly Premium: $30.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $1.00
Tier 3: $25.00
Tier 4: 33%
Tier 5: 25%
Clear Spring Health Value Rx (PDP)
S6946 – 025 – 0
by Clear Spring Health
Monthly Premium: $31.10
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $42.00
Tier 4: 34%
Tier 5: 25%
SilverScript Choice (PDP)
S5601 – 060 – 0
by Aetna Medicare
Monthly Premium: $31.30
Annual Deductable: $260
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $35.00
Tier 4: 43%
Tier 5: 28%
AARP MedicareRx Saver Plus (PDP)
S5921 – 374 – 0
by UnitedHealthcare
Monthly Premium: $32.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $32.00
Tier 4: 40%
Tier 5: 25%
Elixir RxSecure (PDP)
S7694 – 030 – 0
by Elixir Insurance
Monthly Premium: $32.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $7.00
Tier 3: 15%
Tier 4: 35%
Tier 5: 25%
Cigna Secure Rx (PDP)
S5617 – 148 – 0
by Cigna
Monthly Premium: $33.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $2.00
Tier 3: $36.00
Tier 4: 50%
Tier 5: 25%
WellCare Medicare Rx Saver (PDP)
S5810 – 064 – 0
by WellCare
Monthly Premium: $33.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $35.00
Tier 4: 41%
Tier 5: 25%
AARP MedicareRx Walgreens (PDP)
S5921 – 411 – 0
by UnitedHealthcare
Monthly Premium: $34.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 25%
Humana Basic Rx Plan (PDP)
S5884 – 113 – 0
by Humana
Monthly Premium: $34.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $1.00
Tier 3: 20%
Tier 4: 34%
Tier 5: 25%
Cigna Secure-Extra Rx (PDP)
S5617 – 275 – 0
by Cigna
Monthly Premium: $40.30
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $4.00
Tier 2: $10.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
Humana Premier Rx Plan (PDP)
S5884 – 176 – 0
by Humana
Monthly Premium: $65.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $45.00
Tier 4: 49%
Tier 5: 25%
Express Scripts Medicare – Choice (PDP)
S5660 – 215 – 0
by Express Scripts Medicare
Monthly Premium: $71.60
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
WellCare Medicare Rx Value Plus (PDP)
S5768 – 153 – 0
by WellCare
Monthly Premium: $71.90
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $47.00
Tier 4: 48%
Tier 5: 33%
SilverScript Plus (PDP)
S5601 – 061 – 0
by Aetna Medicare
Monthly Premium: $75.00
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $47.00
Tier 4: 50%
Tier 5: 33%
Mutual of Omaha Rx Plus (PDP)
S7126 – 029 – 0
by Mutual of Omaha Rx
Monthly Premium: $91.90
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 18%
Tier 4: 36%
Tier 5: 25%
AARP MedicareRx Preferred (PDP)
S5820 – 029 – 0
by UnitedHealthcare
Monthly Premium: $92.10
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $5.00
Tier 2: $10.00
Tier 3: $45.00
Tier 4: 40%
Tier 5: 33%
Asuris Medicare Script Basic (PDP)
S5609 – 001 – 0
by Asuris Northwest Health
Monthly Premium: $93.50
Annual Deductable: $300
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $3.00
Tier 2: $13.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 27%
Asuris Medicare Script Enhanced (PDP)
S5609 – 002 – 0
by Asuris Northwest Health
Monthly Premium: $124.50
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $3.00
Tier 2: $10.00
Tier 3: $47.00
Tier 4: 40%
Tier 5: 33%

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Medicare Advantage in Washington
Medicare Advantage in Washington