Medicare Plans in
Clark County, WA

54 Medicare Advantage Plans Found in Clark County. See Plans

Clark County, WA
Medicare Information

For Clark County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 54 private Medicare plans are available in Clark County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

For Clark County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 54 private Medicare plans are available in Clark County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

Part D plans, also referred to as PDPs, cover retail prescription drugs.

Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.

Learn more about some of the Medicare plans in Clark County, Washington, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

Average Cost of Medicare
Plans in Clark County

Average Cost of Medicare Advantage Plans in Clark County, Washington
Average Monthly Premium $78.76
Average in-network out-of-pocket spending limit $6,935.65
Average drug deductible in 2025 (weighted) $378.93
Percentage of plans rated 4 stars or higher 22.2%
Average Cost of Medicare Advantage Plans in Clark County, Washington
Average Monthly Premium
$78.76
Average in-network out-of-pocket spending limit
$6,935.65
Average drug deductible in 2021 (weighted)
$378.93
Percentage of plans rated 4 stars or higher
22.2%

Learn More About Medicare
Prescription Drug Plans

Clark County Medicare beneficiaries who are interested in a private Medicare policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type and Description
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.

Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.

Medicare Advantage Plans

Centene Corporation

Centene Corporation Medicare Plans in Clark County, WA

The following table includes cost information and other plan details for Centene Corporation private Medicare plans available in Washington in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Simple (HMO-POS) H0029: 011 $0 $420 $6,000 Yes
Not enough data available
Wellcare Dual Liberty (HMO-POS D-SNP) H0029: 007 $0 $0 $9,350 Yes
Not enough data available
Wellcare Giveback (HMO-POS) H0029: 009 $0 $385 $9,350 Yes
Not enough data available
Wellcare Dual Reserve (HMO-POS D-SNP) H0029: 010 $0 $0 $5,800 Yes
Not enough data available
Wellcare Dual Access (HMO-POS D-SNP) H0029: 008 $0 $0 $9,350 Yes
Not enough data available
Cigna

Cigna Medicare Plans in Clark County, WA

The following table includes cost information and other plan details for Cigna private Medicare plans available in Washington in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna True Choice Courage Medicare (PPO) H7849: 139 $0 N/A $5,700 No
3 out of 5
Cigna Preferred Medicare (HMO) H7389: 002 $0 $0 $4,200 Yes
2.5 out of 5

Devoted Health

Devoted Health Medicare Plans in Clark County, WA

The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Washington in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Devoted CHOICE Washington (PPO) H8917: 001 $0 $590 $6,750 Yes
Plan too new to be measured
Devoted CHOICE GIVEBACK Washington (PPO) H8917: 002 $0 $590 $6,750 Yes
Plan too new to be measured
Humana Inc.

Humana Inc. Medicare Plans in Clark County, WA

The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Washington in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Dual Select H5619-165 (HMO D-SNP) H5619: 165 $0 $0 $9,350 Yes
3.5 out of 5
Humana USAA Honor Giveback (PPO) H5216: 427 $0 N/A $9,350 No
3.5 out of 5
HumanaChoice H5216-428 (PPO) H5216: 428 $0 $125 $6,750 Yes
3.5 out of 5
Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP) H5619: 167 $0 $0 $9,350 Yes
3.5 out of 5
Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP) H5619: 166 $0 $0 $9,350 Yes
3.5 out of 5
Humana USAA Honor Giveback (PPO) H5216: 301 $0 N/A $5,100 No
3.5 out of 5
Humana Gold Plus H2486-007 (HMO) H2486: 007 $0 $200 $5,900 Yes
3.5 out of 5
Humana Gold Plus H5619-056 (HMO) H5619: 056 $0 $150 $8,000 Yes
3.5 out of 5
Humana Gold Plus - Diabetes (HMO C-SNP) H5619: 154 $0 $350 $7,900 Yes
3.5 out of 5
Humana Gold Plus H5619-174 (HMO) H5619: 174 $0 $0 $5,900 Yes
3.5 out of 5
HumanaChoice H5216-426 (PPO) H5216: 426 $0 $350 $8,850 Yes
3.5 out of 5
Humana Value Plus H5619-134 (HMO) H5619: 134 $8 $590 $9,350 Yes
3.5 out of 5
Humana Gold Plus H5619-059 (HMO) H5619: 059 $65 $100 $2,900 Yes
3.5 out of 5
HumanaChoice H5216-047 (PPO) H5216: 047 $85 $400 $6,700 Yes
3.5 out of 5
HumanaChoice H5216-048 (PPO) H5216: 048 $118 $590 $6,700 Yes
3.5 out of 5

Kaiser Foundation Health Plan, Inc.

Kaiser Foundation Health Plan, Inc. Medicare Plans in Clark County, WA

The following table includes cost information and other plan details for Kaiser Foundation Health Plan, Inc. private Medicare plans available in Washington in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Kaiser Permanente Senior Advantage Value (HMO-POS) H9003: 009 $0 $0 $5,000 Yes
4 out of 5
Kaiser Permanente Senior Advantage Standard (HMO-POS) H9003: 006 $28 $0 $4,175 Yes
4 out of 5
Kaiser Permanente Senior Advantage Enhanced (HMO-POS) H9003: 001 $114 $0 $3,000 Yes
4 out of 5

Molina Healthcare, Inc.,

Molina Healthcare, Inc., Medicare Plans in Clark County, WA

The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in Washington in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Molina Medicare Complete Care (HMO D-SNP) H5823: 006 $0 $0 $9,350 Yes
3 out of 5
Molina Medicare Complete Care Select (HMO D-SNP) H5823: 010 $37 $0 $9,350 Yes
3 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Plans in Clark County, WA

The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Washington in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS) H3805: 017 $0 $255 $6,300 Yes
3.5 out of 5
UHC Dual Complete WA-Q1 (PPO D-SNP) H2001: 079 $0 $0 $9,350 Yes
4 out of 5
AARP Medicare Advantage from UHC WA-12 (PPO) H2001: 087 $0 $420 $6,700 Yes
4 out of 5
UHC Dual Complete WA-Q2 (HMO-POS D-SNP) H5008: 019 $0 $0 $9,350 Yes
3 out of 5
UHC Dual Complete WA-S3 (HMO-POS D-SNP) H5008: 018 $0 $0 $9,350 Yes
3 out of 5
UHC Dual Complete WA-V2 (PPO D-SNP) H2001: 080 $0 $0 $6,800 Yes
4 out of 5
AARP Medicare Advantage from UHC WA-0002 (PPO) H1278: 029 $0 $570 $7,900 Yes
4 out of 5
AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO) H1278: 031 $0 N/A $6,700 No
4 out of 5
UHC Complete Care WA-13 (HMO-POS C-SNP) H3805: 043 $0 $255 $5,900 Yes
3.5 out of 5
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) H3805: 044 $0 $340 $6,700 Yes
3.5 out of 5
AARP Medicare Advantage Essentials from UHC WA-7 (HMO-POS) H3805: 032 $0 $255 $5,900 Yes
3.5 out of 5
UHC Dual Complete WA-V001 (HMO-POS D-SNP) H5008: 015 $0 $0 $6,700 Yes
3 out of 5
UHC Dual Complete WA-S1 (PPO D-SNP) H2001: 078 $0 $0 $9,350 Yes
4 out of 5
AARP Medicare Advantage from UHC WA-0005 (HMO-POS) H3805: 015 $27 $255 $5,500 Yes
3.5 out of 5
AARP Medicare Advantage from UHC WA-16 (PPO) H2001: 136 $35 $420 $6,300 Yes
4 out of 5
AARP Medicare Advantage from UHC WA-0004 (PPO) H1278: 032 $46 $495 $6,700 Yes
4 out of 5
AARP Medicare Advantage from UHC WA-0010 (HMO-POS) H3805: 037 $69 $255 $4,200 Yes
3.5 out of 5
AARP Medicare Advantage Access from UHC WA-11 (PPO) H2001: 138 $337 $570 $3,000 Yes
4 out of 5
Wellcare Health Plans, Inc.

Wellcare Health Plans, Inc. Medicare Plans in Clark County, WA

The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Washington in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Patriot Giveback Open (PPO) H5965: 003 $0 N/A $4,000 No
2.5 out of 5
Wellcare Mutual of Omaha Simple Open (PPO) H5965: 002 $0 $420 $5,900 Yes
2.5 out of 5
Wellcare Giveback Open (PPO) H5439: 015 $0 $420 $8,850 Yes
3 out of 5
Wellcare Low Premium Open (PPO) H5439: 019 $38 $420 $6,800 Yes
3 out of 5
Wellcare Mutual of Omaha Premium Enhanced Open (PPO) H5965: 007 $96 $420 $2,000 Yes
2.5 out of 5

Wellpoint

Wellpoint Medicare Plans in Clark County, WA

The following table includes cost information and other plan details for Wellpoint private Medicare plans available in Washington in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellpoint Full Dual Advantage (HMO D-SNP) H1894: 002 $0 $0 $9,350 Yes
2.5 out of 5
Wellpoint Dual Advantage (HMO D-SNP) H1894: 011 $0 $0 $9,350 Yes
2.5 out of 5