2019 Medicare Advantage Plans in
Snohomish County Washington

There are 33 Medicare Advantage Plans available in Snohomish County WA from 10 different health insurance providers. 8 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2000 and the highest out of pocket is $6700. Snohomish County Washington residents can also pick from 8 Medicare Special Needs Plans. The highest rated plan available in Snohomish County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars


(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Click
for
Formulary
Plan
Rating
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Up
Aetna Medicare Choice Plan (PPO)
$53.00 $0 $6,700 YesBrowse
Formulary
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Aetna Medicare Platinum Plan (HMO)
$34.00 $0 $5,600 YesBrowse
Formulary
Aetna Medicare Select Plan (PPO)
$87.00 $0 $5,900 YesBrowse
Formulary
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Aetna Medicare Value Plan (HMO)
$0 $0 $6,500 YesBrowse
Formulary
Amerivantage Classic (HMO)
$0 $0 $6,700 YesBrowse
Formulary
Community HealthFirst MA Extra Plan (HMO)
$26.00 $0 $6,700 NoBrowse
Formulary
Community HealthFirst MA Pharmacy Plan (HMO)
$68.00 $0 $6,700 NoBrowse
Formulary
Humana Gold Plus H5619-059 (HMO)
$33.00 $50.00 $5,000 NoBrowse
Formulary
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Humana Gold Plus H5619-063 (HMO)
$0 $100.00 $6,500 NoBrowse
Formulary
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HumanaChoice H5216-047 (PPO)
$102.00 $320.00 $6,700 NoBrowse
Formulary
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Kaiser Permanente Medicare Advantage Essential (HMO)
$99.00 $0 $4,300 YesBrowse
Formulary
Kaiser Permanente Medicare Advantage Optimal (HMO)
$295.00 $0 $2,000 YesBrowse
Formulary
Kaiser Permanente Medicare Advantage Vital (HMO)
$28.00 $0 $5,900 YesBrowse
Formulary
Premera Blue Cross Medicare Advantage (HMO)
$0 $300.00 $6,300 NoBrowse
Formulary
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Premera Blue Cross Medicare Advantage Classic (HMO)
$55.00 $200.00 $5,600 NoBrowse
Formulary
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Premera Blue Cross Medicare Advantage Classic Plus (HMO)
$167.00 $200.00 $5,000 NoBrowse
Formulary
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Providence Medicare Harbor + RX (HMO)
$0 $290.00 $6,700 NoBrowse
Formulary
Providence Medicare Summit + RX (HMO-POS)
$59.00 $240.00 $5,500 NoBrowse
Formulary
Regence BlueAdvantage HMO (HMO)
$0 $300.00 $6,200 NoBrowse
Formulary
Regence BlueAdvantage HMO Plus (HMO)
$47.00 $200.00 $5,900 NoBrowse
Formulary
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Regence MedAdvantage + Rx Classic (PPO)
$158.00 $300.00 $5,700 NoBrowse
Formulary
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Regence MedAdvantage + Rx Primary (PPO)
$79.00 $340.00 $6,700 NoBrowse
Formulary
Soundpath Health Charter + Rx (HMO)
$146.00 $160.00 $4,900 NoBrowse
Formulary
Soundpath Health Peak + Rx (HMO)
$0 $160.00 $6,700 NoBrowse
Formulary
Soundpath Health Sound + Rx (HMO)
$40.00 $160.00 $6,500 NoBrowse
Formulary


Return to 2019 Medicare Advantage Plans in Washington





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Sign Up
Community HealthFirst MA Plan (HMO)
$0 Local HMO * $6,700
HumanaChoice H5216-046 (PPO)
$0 Local PPO * $3,600 Enroll
Kaiser Permanente Medicare Advantage Basic (HMO)
$106.00 Local HMO * $2,000
Regence MedAdvantage Basic (PPO)
$38.00 Local PPO * $6,700 Enroll
Soundpath Health Alpine (HMO)
$42.00 Local HMO * $6,500





2019 Medicare Special Needs Plans in Snohomish county Washington

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Click
for
Formulary
Amerivantage Dual Coordination (HMO SNP)
(H1894- 002)
    $33.80 $415.0  Yes Dual-EligibleBrowse
Formulary
Community HealthFirst MA Special Needs Plan (HMO SNP)
(H5826- 014)
    $33.80 $415.0  No Dual-EligibleBrowse
Formulary
Humana Gold Plus SNP-DE H5619-067 (HMO SNP)
(H5619- 067)
    $25.60 $290.0  No Dual-EligibleBrowse
Formulary
Molina Medicare Options Plus (HMO SNP)
(H5823- 006)
    $33.80 $415.0  No Dual-EligibleBrowse
Formulary



Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

GAP

In 2019 once you and your plan provider have spent $3820 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 37% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable



Source: CMS. Data as of September 5, 2018.
Star Rating as of October 10, 2018.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2019 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2019, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.


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