Best Medicare Advantage Plans in Washington (2026)


Best Medicare Advantage Companies in Washington

HealthSpring is the best Medicare Advantage company in Washington, with a $5,000 median cost ceiling that is $1,575 below the state median of $6,575 and the lowest among carriers with a 4-star or higher rating on CMS's 5-star quality scale. But HealthSpring's three plans are available in only three counties.

Aetna Medicare has Washington's highest CMS rating at 4.5 stars, while Kaiser Permanente provides 20 plans across 15 counties at $5,778, $797 below the $6,575 state median. Providence Medicare Advantage Plans serves six counties at $6,750, $175 above the state median, with five plans.

Humana reaches 34 of Washington's 39 counties at $5,900, $675 below the state median. UnitedHealthcare covers 22 counties at $6,700 with 18 plans.

HealthSpring
4.3
$5,000
4
3
3
Kaiser Permanente
4.2
$5,778
4
15
20
Aetna Medicare
4.1
$6,750
4.5
7
7
Providence Medicare Advantage Plans
4.1
$6,750
4
6
5
Humana
4
$5,900
3.5
34
18
UnitedHealthcare
4
$6,700
3.5
22
18

Washington Medicare Advantage Market Overview

Washington has 88 Medicare Advantage plans (excluding Special Needs Plans) from 11 carriers for 2026. Medicare Advantage is a private alternative to Original Medicare that covers the same hospital and doctor benefits, often with dental, vision and drug coverage added. Plans cap your annual costs through an out-of-pocket maximum, a structure Medicare Supplement doesn't use.

Two-thirds of Washington plans charge no monthly premium, but the out-of-pocket maximum determines your worst-case annual cost. Washington's median maximum out-of-pocket is $6,575, with plans ranging from $3,000 to $9,250. A plan at $3,000 saves more than $6,000 per year compared with the $9,250 maximum.

Non-SNP Medicare Advantage plans
88
Washington's 88 non-SNP plans give residents a large market to compare before enrolling.
Carriers
11

Washington's 11-carrier Medicare Advantage market gives residents a wide pool of plans to compare.

CMS contracts
24

24 CMS contracts mean plan quality can vary widely even within the same insurer.

Median plans per county
12
County-level access averages 12 plans despite 88 available statewide, so location matters in Washington.
Medicare Advantage enrollment in non-SNP plans
642,881

More than 642,000 Washington enrollees mean plan performance data draws from real statewide experience.

Plans with a $0 premium
67%
Most Washington plans charge nothing beyond Part B, though about 1 in 3 do.
Median max out-of-pocket (MOOP)
$6,575
Washington's $6,575 median MOOP tells you what to budget for annual in-network care.
MOOP range
$3,000–$9,250
Your Washington plan choice sets your annual cost ceiling anywhere from $3,000 to $9,250.
Average CMS star rating
3.71 out of 5
Washington's 3.71 average CMS rating puts most plans below the four-star quality threshold.
Contracts rated 4+ stars
38%
38% of Washington contracts carry four or more CMS stars. Verify your plan's rating individually.
HealthSpring

HealthSpring

MoneyGeek Rating
4.3/ 5
4.6/5Affordability
4.2/5Quality & Member Experience
3.9/5Benefits & Access
  • Median Max Annual Cost Exposure

    $5,000
  • Median CMS Star Rating

    4
  • Counties Served

    3
  • Plans Available

    3
Kaiser Permanente

Kaiser Permanente

MoneyGeek Rating
4.2/ 5
4.6/5Affordability
4.1/5Quality & Member Experience
3.8/5Benefits & Access
  • Median Max Annual Cost Exposure

    $5,778
  • Median CMS Star Rating

    4
  • Counties Served

    15
  • Plans Available

    20
Aetna Medicare

Aetna Medicare

MoneyGeek Rating
4.1/ 5
3.9/5Affordability
4.5/5Quality & Member Experience
3.9/5Benefits & Access
  • Median Max Annual Cost Exposure

    $6,750
  • Median CMS Star Rating

    4.5
  • Counties Served

    7
  • Plans Available

    7
Providence Medicare Advantage Plans

Providence Medicare Advantage Plans

MoneyGeek Rating
4.1/ 5
4.3/5Affordability
4.1/5Quality & Member Experience
3.7/5Benefits & Access
  • Median Max Annual Cost Exposure

    $6,750
  • Median CMS Star Rating

    4
  • Counties Served

    6
  • Plans Available

    5
Humana

Humana

MoneyGeek Rating
4/ 5
4.1/5Affordability
3.8/5Quality & Member Experience
4.4/5Benefits & Access
  • Median Max Annual Cost Exposure

    $5,900
  • Median CMS Star Rating

    3.5
  • Counties Served

    34
  • Plans Available

    18
UnitedHealthcare

UnitedHealthcare

MoneyGeek Rating
4/ 5
4.1/5Affordability
3.8/5Quality & Member Experience
4.2/5Benefits & Access
  • Median Max Annual Cost Exposure

    $6,700
  • Median CMS Star Rating

    3.5
  • Counties Served

    22
  • Plans Available

    18

How to Choose the Best Washington Medicare Advantage Plan

Washington offers dozens of Medicare Advantage plans with different costs, networks and benefits. Your choice depends on how you use healthcare.

  1. 1
    Confirm Your Doctors and Hospitals Are In-Network

    Two plans from the same insurer can have different provider lists in Washington. Call your doctor's office with the specific plan name before enrolling. The insurer name alone won't tell you if your doctor participates. Switching mid-year to fix a network mismatch requires a qualifying life event.

  2. 2
    Compare Total Costs, Not Just Premiums

    A $0-premium plan isn't automatically cheapest. Your actual annual cost depends on how often you use care. Multiply specialist visits by the plan's copay and add expected hospital days. In Washington, the difference between the highest-MOOP plan ($9,250) and the lowest ($3,000) is $6,250 in worst-case annual exposure.

  3. 3
    Check Prescription Drug Coverage

    Your prescriptions determine which plan is actually cheapest. Each plan's formulary, its list of covered drugs, puts medications into cost tiers. A drug at Tier 1 on one plan can be Tier 3 on another from the same insurer, which can triple the out-of-pocket cost per refill. Use Medicare's Plan Finder to enter your medications before enrolling.

  4. 4
    Compare Different Plan Types

    HMOs have the lowest median MOOP in Washington at $5,900 and charge $20 for specialist visits. A PPO gives out-of-network access and no referral requirement, with a median MOOP of $6,725. HMO-POS plans match HMO pricing at $5,900. HMO-POS out-of-network access is more limited than a full PPO.

    Read more: Types of Health Insurance Plans

  5. 5
    Review Star Ratings and Quality Metrics

    CMS rates every Medicare Advantage plan on a 5-star scale based on member satisfaction, care quality and chronic disease management. In Washington, fewer than two in five contracts rate 4 stars or higher. When two plans have similar cost and coverage, the star rating is the clearest quality signal.

  6. 6
    Look Beyond Basic Coverage

    Many Washington Medicare Advantage plans include dental, vision, hearing and OTC benefits that Original Medicare doesn't cover. Among the six carriers we rated, only Aetna Medicare includes a hearing allowance on every plan. Dental annual maximums range from $550 to $3,500. Verify the specific benefit limit before choosing.

  7. 7
    Check Out-of-Pocket Maximums

    Your out-of-pocket maximum caps total annual spending on covered in-network care. Once you reach your out-of-pocket maximum, the plan pays all further covered costs through Dec. 31. Washington maximums range from $3,000 to $9,250. At $3,000, the plan pays all further covered costs for the year, even with $40,000 in bills.

How Much Does Medicare Advantage Cost in Washington?

Since median monthly premiums are $0 across all three plan types, out-of-pocket limits and copays are what distinguish an HMO, HMO-POS and PPO in Washington. HMO and HMO-POS plans cap annual out-of-pocket exposure at $5,900, compared with $6,725 for PPO plans. A member who chooses a PPO pays $825 more in worst-case annual costs for the right to use out-of-network providers.

HMOs charge $20 per specialist visit in Washington, compared with $35 for HMO-POS and PPO plans. A member seeing a specialist monthly pays $180 more per year in an HMO-POS or PPO plan than in an HMO. Hospital inpatient copays in HMO plans are $395 per day, compared with $475 per day in PPO plans. Over a five-day hospital stay, that difference reaches $400.

Median Monthly Premium
$0
$0
$0
Median Max Out-of-Pocket
$5,900
$5,900
$6,725
Median Inpatient Copay
$395
$450
$475
Median PCP Copay
$15
$15
$15
Median Specialist Copay
$20
$35
$35

Washington Medicare Advantage Resources

Use these state and federal resources to compare Washington Medicare Advantage plans, confirm enrollment eligibility and get help from trained counselors.

Compare Medicare Advantage Rates

Get the best insurance rate. Compare quotes from top insurance companies.

Frequently Asked Questions

Our Methodology

MoneyGeek reviewed Washington Medicare Advantage carriers using five CMS data sources for the 2026 plan year: the Medicare Plan Landscape File, Plan Benefit Package files, CMS Star Ratings, the CAHPS Report Card Master Table and the Contract/Plan Enrollment file.   

How We Score Carriers

MoneyGeek weights three categories to produce each Washington carrier's score out of five.   

  • Affordability (40%): Maximum annual cost exposure measures annual premiums, the out-of-pocket maximum and inpatient hospital, specialist and primary care costs.
  • Quality and Member Experience (40%): CMS Star Ratings contribute 60% of this category. CAHPS C26 member ratings cover the remaining 40%. MoneyGeek scores both at the contract level.
  • Benefits and Access (20%): Supplemental benefits, including dental, OTC, vision and hearing, carry 50% of this category. County coverage and plan choice per county divide the remaining half at 30% and 20%.

About Mark Fitzpatrick


Mark Fitzpatrick, Licensed P&C Insurance Expert, MoneyGeek

Mark Fitzpatrick is a licensed Property and Casualty (P&C) Insurance Producer in Connecticut and MoneyGeek's resident expert in insurance and economics. In nearly a decade covering the insurance market at LendingTree and MoneyGeek, he's analyzed hundreds of carriers and millions of rates across auto, home, renters, health and life insurance.

His work has appeared in The Washington Post, The New York Times and NPR. He draws on independent cost and consumer experience data, and no insurance company partnerships affect his recommendations.

Mark studied at Boston College and later earned a master's in economics and international relations from Johns Hopkins University. He worked in financial risk management at State Street before joining MoneyGeek. He's also a five-time “Jeopardy!” champion.