Find 2018 Medicare Plans in Washington - WA Medicare Insurance Overview

Compare every Medicare plan in your area

Washington Medicare Insurance

Medicare in Washington

Medicare offers healthcare coverage to Washington residents age 65 or older, or to those Washington residents that suffer from certain medical disabilities. In 2015, 1,190,127 people are enrolled in Medicare in Washington, accounting for 17% of the population in Washington. About $8,497 was spent per Medicare enrollee in Washington in 2009, approximately 18.02% lower than the national average of $10,365. Between 2015 to 2030 the number of seniors in Washington is expected to rise by an estimated 61.98% according to calculations based off of the 2000 Census. Thus, the number of residents enrolled in Medicare is also projected to significantly increase.

Local Medicare Resources

Medicare beneficiaries, their families, and their caregivers can receive free, one-on-one, unbiased health insurance counseling through Washington’s Statewide Health Insurance Benefits Advisors (SHIBA). Residents can also participate in Senior Medicare Patrol (SMP), a program which aims to educate and also empower Medicare beneficiaries to identify, avoid, and report potential cases of healthcare errors, waste, fraud and/or abuse.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). If you sign up for Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they qualify for financial assistance. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Many Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

Washington 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Washington is $83.35, 33.4% greater than the national average of $62.48. 15.57% of 2017 Medicare Part C insurance plans in Washington have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $400, but in Washington the average annual drug deductible for Medicare Part C insurance plans with drug components is $152. 42.7% of 2017 Medicare Part C insurance plans with a drug component in Washington have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in Washington is $69.39. 16.95% of 2017 Medicare Part C insurance plans without a drug component in Washington have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Washington is $5,327.25. 15.16% of 2017 Medicare Advantage plans in Washington had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Washington was 4 stars in 2017.
  • Among Washington's 2017 Medicare Advantage plans with CMS star ratings:
    • 3.28% earned a score of 5 stars
    • 57.38% earned a score of 4 or 4.5 stars
    • 39.34% earned a score of 3 or 3.5 stars

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

See More ▼Collapse ▲

Washington Medicare Insurance Companies

There are 28 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Washington. Of these, the companies that offer the largest variety of plans to choose from are Health Alliance Medicare, Arcadian Health Plan, and Kaiser Permanente. In Washington,. The following are all medicare insurance providers in Washington:

Providence

6 Plans

Humana

6 Plans

Aetna

5 Plans

WellCare

3 Plans

Regence BlueShield Of Idaho

3 Plans

Health Net

3 Plans

allwell

2 Plans

REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH

2 Plans

PacificSource Medicare

2 Plans

EMI Health

2 Plans

Cigna

2 Plans

MERIT HEALTH INSURANCE COMPANY

1 Plans

Amerigroup

1 Plans

2018 Best Medicare Plans in Washington

There are 112 medicare plans in Washington. The following are the 10 highest rated medicare plans in Washington based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $0Providence - Providence Medicare Harbor + RX (HMO) - King County
Remove X
Details
from $44Kaiser Permanente - Kaiser Permanente Senior Advantage Basic (HMO) - Clark County
Remove X
Details
from $45Providence - Providence Medicare Choice (HMO-POS) - Clark County
Remove X
Details
from $59Providence - Providence Medicare Summit + RX (HMO-POS) - King County
Remove X
Details
from $88Providence - Providence Medicare Choice + RX (HMO-POS) - Clark County
Remove X
Details
from $109Providence - Providence Medicare Extra (HMO) - Clark County
Remove X
Details
from $127Kaiser Permanente - Kaiser Permanente Senior Advantage (HMO) - Clark County
Remove X
Details
from $165Providence - Providence Medicare Extra + RX (HMO) - Clark County
Remove X
Details
from $0Regence BlueShield - Regence BlueAdvantage HMO (HMO) - King County
Remove X
Details
from $28Kaiser Permanente - Kaiser Permanente Medicare Advantage Vital (HMO) - Grays Harbor County
Remove X
Details
See all Medicare plans in Washington

Best Washington Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Washington based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $166Premera Blue Cross - Premera Blue Cross Medicare Advantage Classic Plus (HMO) - King County
Remove X
Details
from $75Premera Blue Cross - Premera Blue Cross Medicare Advantage Classic (HMO) - King County
Remove X
Details
from $55UnitedHealthcare - AARP MedicareComplete Plan 2 (HMO) - Spokane County
Remove X
Details
from $24Premera Blue Cross - Premera Blue Cross Medicare Advantage Total Health (HMO) - Spokane County
Remove X
Details
from $17UnitedHealthcare - AARP MedicareComplete Plan 1 (HMO) - Spokane County
Remove X
Details

Best Washington Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Washington based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $127Kaiser Permanente - Kaiser Permanente Senior Advantage (HMO) - Clark County
Remove X
Details
from $44Kaiser Permanente - Kaiser Permanente Senior Advantage Basic (HMO) - Clark County
Remove X
Details
from $116Health Net - Health Net Violet 1 (PPO) - Clark CountyNot Rated
Remove X
Details
from $45Health Net - Health Net Aqua (PPO) - Clark CountyNot Rated
Remove X
Details
from $0Health Net - Health Net Violet 2 (PPO) - Clark CountyNot Rated
Remove X
Details

Best Washington Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Washington based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $0Amerigroup - Amerivantage Classic (HMO) - King County
Remove X
Details
from $0Molina Healthcare - Molina Medicare Options (HMO) - Pierce County
Remove X
Details
from $157Regence BlueShield Of Idaho - Regence MedAdvantage + Rx Enhanced (PPO) - Asotin County
Remove X
Details
from $146Soundpath Health - Soundpath Health Charter + Rx (HMO) - Chelan County
Remove X
Details
from $97Regence BlueShield Of Idaho - Regence MedAdvantage + Rx Classic (PPO) - Asotin County
Remove X
Details

Best Washington Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Washington based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $116Health Net - Health Net Violet 1 (PPO) - Clark CountyNot Rated
Remove X
Details
from $45Health Net - Health Net Aqua (PPO) - Clark CountyNot Rated
Remove X
Details
from $0Health Net - Health Net Violet 2 (PPO) - Clark CountyNot Rated
Remove X
Details
from $32Aetna - Aetna Medicare Platinum Plan (HMO) - King County
Remove X
Details
from $0Aetna - Aetna Medicare Value Plan (HMO) - King County
Remove X
Details

Most Popular Medicare Doctors in Washington

The following are the most popular medicare doctors in Washington based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
SurgerySEATTLE, WA
RadiologyPOULSBO, WA
RadiologyBREMERTON, WA
RadiologyOLYMPIA, WA
RadiologySPOKANE, WA
DermatologyMILL CREEK, WA
RadiologySPOKANE VALLEY, WA
Orthopaedic SurgeryOLYMPIA, WA
Orthopaedic SurgeryOLYMPIA, WA
OphthalmologyTACOMA, WA
See all doctors accepting Medicare in Washington

Browse Medicare Plans by Cities

  1. Seattle, WA
  2. Spokane, WA
  3. Tacoma, WA
  4. Vancouver, WA
  5. Bellevue, WA
  6. Everett, WA
See all cities in Washington

Related Articles

Related Search

{"globalPhoneNumber":"8009316467","helpInfo":{"phone":"8009316467","analyticsInfo":{"pageType":"content","productLine":"medicare","phone":"8009316467"}}}