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The 2023 Medicare Advantage Plans in Lewis County WA.



2022 Lewis County Washington
Medicare Advantage Plans

There are 23 Medicare Advantage Plans available in Lewis County WA from 7 different health insurance providers. 7 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3450 and the highest out of pocket is $7550. Lewis County Washington residents can also pick from 9 Medicare Special Needs Plans. The best Medicare Advantage plan in Lewis County Washington received a 5 overall star rating from CMS and the lowest rated plan is 3.5 stars.



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

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage Choice (PPO)
(H1821-003)

$19.00$225.00$6,500YesToo NewBrowse
Formulary
AARP Medicare Advantage Plan 1 (HMO)
(H3805-037)

$88.00$185.00$4,200YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO)
(H3805-025)

$19.00$195.00$6,700YesBrowse
Formulary
AARP Medicare Advantage Plan 3 (HMO)
(H3805-015)

$45.00$225.00$5,900YesBrowse
Formulary
Community Health Plan of WA MA Plan 4 (HMO)
(H5826-009)

$94.00$0$6,700NoBrowse
Formulary
Kaiser Permanente Medicare Advantage Essential (HMO)
(H5050-009)

$99.00$0$4,800YesBrowse
Formulary
Kaiser Permanente Medicare Advantage Optimal (HMO)
(H5050-004)

$296.00$0$3,450YesBrowse
Formulary
Kaiser Permanente Medicare Advantage Vital (HMO)
(H5050-013)

$29.00$0$5,800YesBrowse
Formulary
Molina Medicare Choice Care (HMO)
(H5823-011)

$0$125.00$7,550NoBrowse
Formulary
Premera Blue Cross Medicare Advantage (HMO)
(H7245-001)

$0$160.00$6,500NoBrowse
Formulary
Premera Blue Cross Medicare Advantage Classic (HMO)
(H7245-002)

$55.00$0$5,000NoBrowse
Formulary
Regence MedAdvantage + Rx Classic (PPO)
(H5009-008)

$78.00$250.00$6,200NoBrowse
Formulary
Regence MedAdvantage + Rx Enhanced (PPO)
(H5009-002)

$158.00$250.00$5,400NoBrowse
Formulary
Regence MedAdvantage + Rx Primary (PPO)
(H5009-009)

$29.00$300.00$6,700NoBrowse
Formulary
Wellcare Assist (HMO)
(H1353-007)

$29.10$480.00$5,900NoNABrowse
Formulary
Wellcare Giveback (HMO)
(H1353-006)

$0$200.00$7,550NoNABrowse
Formulary
Wellcare No Premium (HMO)
(H1353-005)

$0$0$5,900NoNABrowse
Formulary
Wellcare No Premium Open (PPO)
(H5965-002)

$0$250.00$6,700NoNABrowse
Formulary
Wellcare Premium Enhanced Open (PPO)
(H5965-001)

$65.00$100.00$6,000NoNABrowse
Formulary


Return to 2022 Medicare Advantage Plans in Washington

Mason County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
AARP Medicare Advantage Patriot (PPO)
(H1821-004)

$0Local PPO *$5,500Too New
Kaiser Permanente Medicare Advantage Basic (HMO)
(H5050-001)

$40.00Local HMO *$4,200
Regence Valiance (PPO)
(H5009-001)

$0Local PPO *$6,200
Wellcare Patriot Giveback Open (PPO)
(H5965-003)

$0Local PPO *$4,000NA





2022 Medicare Special Needs Plans in Lewis county Washington

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Community Health Plan of WA Dual Plan (HMO D-SNP) $40.40$480.0No Gap CoverageDual-Eligible
Molina Medicare Complete Care (HMO D-SNP) $40.50$250.0No Gap CoverageDual-Eligible
Molina Medicare Complete Care Select (HMO D-SNP) $40.50$250.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete (HMO D-SNP) $40.50$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete Select (HMO D-SNP) $40.50$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP) $40.50$480.0No Gap CoverageInstitutional
Wellcare Dual Access (HMO D-SNP) $40.50$480.0No Gap CoverageDual-EligibleNA
Wellcare Dual Access Open (PPO D-SNP) $33.20$480.0No Gap CoverageDual-EligibleNA
Wellcare Dual Liberty (HMO D-SNP) $38.90$480.0No Gap CoverageDual-EligibleNA



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

  • 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
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

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 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, 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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MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.