There are 70 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 Medicare Advantage Plan Information
Click here to jump to the Chart Legend |
Plan Name |
Monthly Premium |
Part A&B Maximum Out-Of Pocket |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
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H1278 -031 -0 | | | | | |
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2024 AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
H5521 -330 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Community Health Plan of WA MA Freedom Plan (HMO)
| $0.00 |
$7,900 |
No Rx Coverage |
H5826 -006 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Community Health Plan of WA MA Freedom Plan (HMO)
| $0.00 |
$8,850 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Honor (PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
H5216 -301 -4 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$8,300 |
No Rx Coverage |
H5216 -315 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$8,850 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Regence Valiance (PPO)
| $0.00 |
$6,200 |
No Rx Coverage |
H5009 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Regence Valiance (PPO)
| $0.00 |
$6,200 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$4,000 |
No Rx Coverage |
H5965 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
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-- |
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2024 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$4,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2023 --
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H1278 -029 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC WA-0002 (PPO)
| $0.00 |
$6,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
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2023 AARP Medicare Advantage Plan 2 (HMO-POS)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H3805 -017 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC WA-0006 (HMO-POS)
| $0.00 |
$6,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Walgreens (HMO-POS)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H3805 -032 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC WA-0007 (HMO-POS)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Elite Plan (HMO-POS)
| $0.00 |
$5,700 |
$0 | Yes, some additional gap coverage. |
H3748 -009 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Elite Plan (HMO-POS)
| $0.00 |
$5,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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2023 Aetna Medicare Value Plus Plan (HMO-POS)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. |
H3748 -003 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Extra Value Plan (HMO-POS)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Preferred Plan (PPO)
| $0.00 |
$6,900 |
$200 | Yes, some additional gap coverage. |
H5521 -380 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Preferred Plan (PPO)
| $0.00 |
$6,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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-- This plan not offered in 2023 --
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H5521 -431 -0 | | | | | |
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2024 Aetna Medicare SmartFit Plan (PPO)
| $0.00 |
$6,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
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2023 Aetna Medicare Value Plan (HMO-POS)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H3931 -126 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plan (HMO-POS)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Community Health Plan of WA MA Plan 1 (HMO)
| $0.00 |
$7,900 |
$230 | No additional gap coverage, only the Donut Hole Discount |
H5826 -016 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,178
2023 Formulary |
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2024 Community Health Plan of WA MA Plan 1 (HMO)
| $0.00 |
$8,850 |
$230 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $37.00 | $37.00 | 3,204 2024 Formulary |
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-- This plan not offered in 2023 --
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H5619 -100 -0 | | | | | |
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2024 Humana Gold Plus H5619-100 (HMO)
| $0.00 |
$6,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 HumanaChoice H5216-247 (PPO)
| $0.00 |
$6,500 |
$175 | Yes, some additional gap coverage. |
H5216 -247 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-247 (PPO)
| $0.00 |
$6,500 |
$125 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Kaiser Permanente Medicare Advantage Key (HMO)
| $0.00 |
$6,600 |
$100 | Yes, some additional gap coverage. |
H5050 -022 -0 | $3.00 | $10.00 | $47.00 | $47.00 | 3,388
2023 Formulary |
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2024 Kaiser Permanente Medicare Advantage Key (HMO)
| $0.00 |
$6,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $47.00 | $47.00 | 3,403 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5823 -012 -1 | | | | | |
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-- |
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2024 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,248 2024 Formulary |
|
2023 Premera Blue Cross Medicare Advantage (HMO)
| $0.00 |
$6,500 |
$160 | No additional gap coverage, only the Donut Hole Discount |
H7245 -001 -0 | $4.00 | $12.00 | $42.00 | $42.00 | 4,230
2023 Formulary |
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2024 Premera Blue Cross Medicare Advantage (HMO)
| $0.00 |
$6,500 |
$160 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $42.00 | $42.00 | 3,401 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H5009 -010 -0 | | | | | |
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2024 Regence MedAdvantage + Rx Core (PPO)
| $0.00 |
$7,200 |
$375 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $13.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H1353 -006 -0 | $0.00 | $10.00 | $35.00 | $35.00 | 3,392
2023 Formulary |
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-- |
|
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2024 Wellcare Giveback (HMO)
| $0.00 |
$8,300 |
$440 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5965 -002 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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-- |
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2024 Wellcare Mutual of Omaha No Premium Open (PPO)
| $0.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare No Premium (HMO)
| $0.00 |
$6,300 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1353 -005 -0 | $0.00 | $4.00 | $35.00 | $35.00 | 3,392
2023 Formulary |
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-- |
|
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2024 Wellcare No Premium (HMO)
| $0.00 |
$6,300 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Amerivantage ESRD Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1894 -008 -0 | $5.00 | $15.00 | $42.00 | $42.00 | 3,579
2023 Formulary |
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2024 Wellpoint Kidney Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $5.00 | $15.00 | $42.00 | $42.00 | 3,562 2024 Formulary |
|
2023 Wellcare Assist (HMO)
| $12.00 |
$5,900 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1353 -007 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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-- |
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2024 Wellcare Assist (HMO)
| $14.20 |
$6,900 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Dual Access (HMO D-SNP)
| $23.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1353 -002 -0 | | | | | 3,394
2023 Formulary |
|
-- |
|
|
2024 Wellcare Dual Access (HMO D-SNP)
| $20.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $22.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1353 -004 -0 | | | | | 3,394
2023 Formulary |
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-- |
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2024 Wellcare Dual Liberty (HMO D-SNP)
| $24.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5965 -005 -0 | | | | | |
|
-- |
|
|
2024 Wellcare Mutual of Omaha Low Premium Open (PPO)
| $29.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Amerivantage Dual Coordination (HMO D-SNP)
| $19.40 |
n/a |
$410 | No additional gap coverage, only the Donut Hole Discount |
H1894 -002 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
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|
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2024 Wellpoint Dual Advantage (HMO D-SNP)
| $29.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
2023 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $41.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -031 -0 | | | | | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Nursing Home Plan WA-F001 (PPO I-SNP)
| $29.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Molina Medicare Complete Care Select (HMO D-SNP)
| $41.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5823 -010 -0 | $0.00 | $0.00 | $29.00 | $29.00 | 3,270
2023 Formulary |
|
-- |
|
|
2024 Molina Medicare Complete Care Select (HMO D-SNP)
| $33.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Molina Medicare Complete Care (HMO D-SNP)
| $41.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5823 -006 -0 | $0.00 | $0.00 | $29.00 | $29.00 | 3,270
2023 Formulary |
|
-- |
|
|
2024 Molina Medicare Complete Care (HMO D-SNP)
| $33.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
2023 Humana Value Plus H5619-134 (HMO)
| $31.00 |
$6,700 |
$450 | No additional gap coverage, only the Donut Hole Discount |
H5619 -134 -0 | $1.00 | $15.00 | 25% | 25% | 3,409
2023 Formulary |
|
|
|
|
2024 Humana Value Plus H5619-134 (HMO)
| $34.00 |
$8,850 |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Kaiser Permanente Medicare Advantage Vital (HMO)
| $29.00 |
$5,600 |
$0 | Yes, some additional gap coverage. |
H5050 -013 -0 | $3.00 | $7.00 | $47.00 | $47.00 | 3,388
2023 Formulary |
|
|
|
|
2024 Kaiser Permanente Medicare Advantage Vital (HMO)
| $34.00 |
$5,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,403 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP)
| $23.90 |
n/a |
$450 | No additional gap coverage, only the Donut Hole Discount |
H5619 -136 -4 | $2.00 | $19.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP)
| $35.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5009 -011 -1 | | | | | |
|
|
|
|
2024 Regence MedAdvantage + Rx Primary PPO (PPO)
| $35.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $13.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $21.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5965 -004 -0 | | | | | 3,394
2023 Formulary |
|
-- |
|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $36.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Community Health Plan of WA MA Plan 2 (HMO)
| $41.00 |
$7,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5826 -010 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,178
2023 Formulary |
|
|
|
|
2024 Community Health Plan of WA MA Plan 2 (HMO)
| $38.40 |
$8,850 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $37.00 | $37.00 | 3,204 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1278 -032 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC WA-0004 (PPO)
| $39.00 |
$6,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Choice Plan (PPO)
| $49.00 |
$6,200 |
$0 | Yes, some additional gap coverage. |
H5521 -127 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Choice Plan (PPO)
| $39.00 |
$6,200 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Community Health Plan of WA Dual Plan (HMO D-SNP)
| $41.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5826 -014 -0 | | | | | 3,178
2023 Formulary |
|
|
|
|
2024 Community Health Plan of WA Dual Complete (HMO D-SNP)
| $40.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,204 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5826 -017 -0 | | | | | |
|
|
|
|
2024 Community Health Plan of WA Dual Select (HMO D-SNP)
| $40.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,204 2024 Formulary |
|
2023 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $41.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0710 -030 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Care Advantage WA-E001 (PPO I-SNP)
| $40.60 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $41.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0271 -044 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete WA-D001 (PPO D-SNP)
| $40.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $40.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5008 -002 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete WA-D002 (HMO-POS D-SNP)
| $40.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $41.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5008 -015 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete WA-V001 (HMO-POS D-SNP)
| $40.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Plan 3 (HMO-POS)
| $43.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H3805 -015 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC WA-0005 (HMO-POS)
| $42.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Platinum Plus Plan (HMO-POS)
| $53.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H3748 -004 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Platinum Plus Plan (HMO-POS)
| $43.00 |
$7,550 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Premera Blue Cross Medicare Advantage Classic (HMO)
| $54.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7245 -002 -0 | $2.00 | $10.00 | $40.00 | $40.00 | 4,230
2023 Formulary |
|
|
|
|
2024 Premera Blue Cross Medicare Advantage Classic (HMO)
| $54.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $40.00 | $40.00 | 3,401 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Gold Plus H5619-061 (HMO)
| $57.00 |
$5,900 |
$50 | Yes, some additional gap coverage. |
H5619 -061 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus H5619-061 (HMO)
| $72.00 |
$3,850 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Kaiser Permanente Medicare Advantage Basic (HMO)
| $40.00 |
$4,200 |
No Rx Coverage |
H5050 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Kaiser Permanente Medicare Advantage Basic (HMO)
| $76.00 |
$4,200 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Community Health Plan of WA MA Plan 3 (HMO)
| $70.00 |
$7,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5826 -008 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,178
2023 Formulary |
|
|
|
|
2024 Community Health Plan of WA MA Plan 3 (HMO)
| $79.00 |
$8,850 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $37.00 | $37.00 | 3,204 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Regence MedAdvantage + Rx Classic (PPO)
| $77.00 |
$6,200 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5009 -008 -0 | $0.00 | $13.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
|
|
|
|
2024 Regence MedAdvantage + Rx Classic (PPO)
| $82.00 |
$6,200 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $13.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
2023 AARP Medicare Advantage Plan 1 (HMO-POS)
| $86.00 |
$4,200 |
$0 | Yes, some additional gap coverage. |
H3805 -037 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC WA-0010 (HMO-POS)
| $84.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Select Plan (PPO)
| $99.00 |
$6,200 |
$0 | Yes, some additional gap coverage. |
H5521 -128 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Select Plan (PPO)
| $89.00 |
$6,200 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Kaiser Permanente Medicare Advantage Essential (HMO)
| $99.00 |
$4,100 |
$0 | Yes, some additional gap coverage. |
H5050 -009 -0 | $3.00 | $7.00 | $45.00 | $45.00 | 3,388
2023 Formulary |
|
|
|
|
2024 Kaiser Permanente Medicare Advantage Essential (HMO)
| $94.00 |
$4,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,403 2024 Formulary |
|
2023 Regence MedAdvantage + Rx Enhanced (PPO)
| $153.00 |
$5,400 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5009 -002 -0 | $0.00 | $8.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
|
|
|
|
2024 Regence MedAdvantage + Rx Enhanced (PPO)
| $147.00 |
$5,400 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
2023 Kaiser Permanente Medicare Advantage Optimal (HMO)
| $296.00 |
$3,150 |
$0 | Yes, some additional gap coverage. |
H5050 -004 -0 | $3.00 | $7.00 | $45.00 | $45.00 | 3,388
2023 Formulary |
|
|
|
|
2024 Kaiser Permanente Medicare Advantage Optimal (HMO)
| $327.00 |
$3,150 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,403 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Choice Plan 1 (PPO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. |
H1821 -002 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC WA-0002 (PPO) H1278-029 --
| | | | | |
|
2023 AARP Medicare Advantage Choice Plan 2 (PPO)
| $34.00 |
$6,000 |
$0 | Yes, some additional gap coverage. |
H1821 -005 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC WA-0004 (PPO) H1278-032 --
| | | | | |
|
2023 Humana Gold Plus H5619-064 (HMO)
| $0.00 |
$6,000 |
$200 | Yes, some additional gap coverage. |
H5619 -064 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus H5619-100 (HMO) H5619-100 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H5823 -011 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,221
2023 Formulary |
|
-- |
|
|
-- Members will be assigned to Molina Medicare Choice Care (HMO) H5823-012 --
| | | | | |
|
2023 Premera Blue Cross Medicare Advantage Peak + Rx (HMO)
| $0.00 |
$6,700 |
$160 | No additional gap coverage, only the Donut Hole Discount |
H9302 -011 -0 | $3.00 | $12.00 | $42.00 | $42.00 | 4,230
2023 Formulary |
|
|
|
|
-- Members will be assigned to Premera Blue Cross Medicare Advantage (HMO) H7245-001 --
| | | | | |
|
2023 Premera Blue Cross Medicare Advantage Sound + Rx (HMO)
| $34.00 |
$6,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9302 -007 -0 | $2.00 | $12.00 | $42.00 | $42.00 | 4,230
2023 Formulary |
|
|
|
|
-- Members will be assigned to Premera Blue Cross Medicare Advantage Classic (HMO) H7245-002 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Regence MedAdvantage + Rx Primary (PPO)
| $28.00 |
$6,700 |
$325 | No additional gap coverage, only the Donut Hole Discount |
H5009 -009 -0 | $0.00 | $13.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
|
|
|
|
-- Members will be assigned to Regence MedAdvantage + Rx Primary (PPO) H5009-011 --
| | | | | |
|
2023 AARP Medicare Advantage Patriot (PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
H1821 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Amerivantage Classic (HMO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H1894 -001 -0 | $5.00 | $15.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Premera Blue Cross Medicare Advantage Alpine (HMO)
| $24.00 |
$6,500 |
No Rx Coverage |
H9302 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|