Best Enumclaw, Washington Medicare Companies & Plans (2024)
Enumclaw, Washington Medicare plans include Advantage plans from private health insurance companies as well as standalone Part D prescription drug coverage. For those that prefer original Medicare, Enumclaw, WA supplemental plans are also available. Medicare plans in Enumclaw, Washington are sold by both large national companies and local insurers.
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Michael earned a degree in Business Management degree with an insurance focus, which led to a successful 25-year career in insurance claims operations and support. He possesses a high-level of business acumen across multiple areas of the insurance industry. Over the course of his career, he served in multiple roles supporting claims operations including: Claims Specialist, Claims Trainer, Claim Au...
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UPDATED: Dec 4, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
UPDATED: Dec 4, 2023Fact Checked
The Highlights
- Enumclaw, WA Medicare options include Advantage, standalone Part D, and Medicare supplement
- Medicare Advantage plans are available in Enumclaw with both PPO and HMO networks
- Options for Medicare supplement in Enumclaw, Washington include Medigap Plan A and Medigap Plan G
If you’re eligible for Medicare in Enumclaw, Washington, you have a lot of choices. Major health insurance companies provide Enumclaw, Washington Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Enumclaw, WA Part D coverage or buy prescription coverage as a standalone policy.
Read More: Best Medicare Companies
Enumclaw, Washington Medicare supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that Enumclaw original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy Enumclaw, Washington Medicare coverage? Enter your ZIP code to compare Enumclaw, WA Medicare options available to you right now.
Medicare Advantage Companies in Enumclaw, Washington
Medicare Advantage in Enumclaw, Washington is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in Enumclaw, WA offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Medicare Advantage Companies in Enumclaw, Washington
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage Choice (PPO) – H1821-002-0 | $0.00 | $225 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $6,500 |
| AARP Medicare Advantage Plan 1 (HMO) – H3805-037-0 | $88.00 | $185 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $4,200 |
| AARP Medicare Advantage Plan 2 (HMO) – H3805-017-0 | $0.00 | $275 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| AARP Medicare Advantage Plan 3 (HMO) – H3805-015-0 | $45.00 | $225 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $5,900 |
| AARP Medicare Advantage Walgreens (HMO-POS) – H3805-032-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,500 |
| Aetna Medicare Choice Plan (PPO) – H5521-127-0 | $63.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Eagle Plan (PPO) – H5521-330-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| Aetna Medicare Elite Plan (HMO) – H3748-009-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,900 |
| Aetna Medicare Platinum Plus Plan (HMO) – H3748-004-0 | $37.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,000 |
| Aetna Medicare Select Plan (PPO) – H5521-128-0 | $99.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,000 |
| Aetna Medicare Value Plan (HMO) – H3931-126-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Value Plus Plan (HMO) – H3748-003-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Amerivantage Classic (HMO) – H1894-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $5,900 |
| Amerivantage Dual Coordination (HMO D-SNP) – H1894-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
| Community Health Plan of WA Dual Plan (HMO D-SNP) – H5826-014-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15% | n/a |
| Community Health Plan of WA MA No Rx Plan (HMO) – H5826-006-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Community Health Plan of WA MA Plan 1 (HMO) – H5826-016-0 | $0.00 | $230 . Tier 1, 2, 3 and 4 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 29% | $6,700 |
| Community Health Plan of WA MA Plan 2 (HMO) – H5826-010-0 | $26.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 33% | $6,700 |
| Community Health Plan of WA MA Plan 3 (HMO) – H5826-008-0 | $68.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 33% | $6,700 |
| Humana Gold Plus H5619-057 (HMO) – H5619-057-0 | $0.00 | $100 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $6,500 |
| Humana Gold Plus H5619-097 (HMO) – H5619-097-0 | $33.00 | $50 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 32% | $5,500 |
| Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP) – H5619-136-4 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | n/a |
| Humana Honor (PPO) – H5216-046-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 |
| Humana Value Plus H5619-134 (HMO) – H5619-134-0 | $25.00 | $445 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $6,700 |
| HumanaChoice H5216-047 (PPO) – H5216-047-0 | $102.00 | $320 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
| HumanaChoice H5216-247 (PPO) – H5216-247-0 | $0.00 | $400 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $7,550 |
| Kaiser Permanente Medicare Advantage Basic (HMO) – H5050-001-0 | $40.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,200 |
| Kaiser Permanente Medicare Advantage Essential (HMO) – H5050-009-0 | $99.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Brand: $99.00, Specialty Tier: 33%, Vaccines: $0.00 | $4,800 |
| Kaiser Permanente Medicare Advantage Key (HMO) – H5050-022-0 | $0.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $99.00, Specialty Tier: 31%, Vaccines: $0.00 | $6,600 |
| Kaiser Permanente Medicare Advantage Optimal (HMO) – H5050-004-0 | $295.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Brand: $99.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,450 |
| Kaiser Permanente Medicare Advantage Vital (HMO) – H5050-013-0 | $28.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Brand: $99.00, Specialty Tier: 33%, Vaccines: $0.00 | $5,800 |
| Molina Medicare Complete Care (HMO D-SNP) – H5823-006-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $29.00, Non-Preferred Drug: 44%, Specialty Tier: 25% | n/a |
| Premera Blue Cross Medicare Advantage (HMO) – H7245-001-0 | $0.00 | $180 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 29% | $6,300 |
| Premera Blue Cross Medicare Advantage Alpine (HMO) – H9302-004-0 | $42.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,500 |
| Premera Blue Cross Medicare Advantage Charter + Rx (HMO) – H9302-003-0 | $151.00 | $160 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 30% | $4,900 |
| Premera Blue Cross Medicare Advantage Classic (HMO) – H7245-002-0 | $55.00 | $180 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: 33%, Specialty Tier: 29% | $5,000 |
| Premera Blue Cross Medicare Advantage Classic Plus (HMO) – H7245-003-0 | $191.00 | $180 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 29% | $5,000 |
| Premera Blue Cross Medicare Advantage Peak + Rx (HMO) – H9302-011-0 | $0.00 | $160 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 30% | $6,700 |
| Premera Blue Cross Medicare Advantage Sound + Rx (HMO) – H9302-007-0 | $40.00 | $160 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 30% | $6,500 |
| Regence BlueAdvantage HMO (HMO) – H1997-009-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 28% | $6,200 |
| Regence BlueAdvantage HMO Plus (HMO) – H1997-002-0 | $48.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 31% | $5,900 |
| Regence MedAdvantage + Rx Classic (PPO) – H5009-008-0 | $78.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 28% | $6,200 |
| Regence MedAdvantage + Rx Enhanced (PPO) – H5009-002-0 | $157.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $8.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 28% | $5,400 |
| Regence MedAdvantage + Rx Primary (PPO) – H5009-009-0 | $38.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 27% | $6,700 |
| Regence Valiance (HMO) – H1997-008-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,900 |
| Regence Valiance (PPO) – H5009-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,200 |
| UnitedHealthcare Assisted Living Plan (PPO I-SNP) – H0710-030-0 | $36.00 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | n/a |
| UnitedHealthcare Dual Complete (HMO D-SNP) – H5008-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | n/a |
| UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) – H5008-001-0 | $30.70 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| UnitedHealthcare Nursing Home Plan (PPO I-SNP) – H0710-031-0 | $36.00 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| WellCare Access (HMO D-SNP) – H1353-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 25% | n/a |
| WellCare Dividend (HMO) – H1353-006-0 | $0.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $7,550 |
| WellCare Liberty (HMO D-SNP) – H1353-004-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $46.00, Non-Preferred Drug: 49%, Specialty Tier: 25% | n/a |
| WellCare Patriot (PPO) – H5965-003-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,000 |
| WellCare Premier (PPO) – H5965-002-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| WellCare Prime (PPO) – H5965-001-0 | $65.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $6,000 |
| WellCare Value (HMO) – H1353-001-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,900 |
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Medicare Supplement Companies in Enumclaw, Washington
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With a Enumclaw, Washington Medicare supplement plan, you can get coverage for some or all of those costs. Medicare supplement plans in Washington are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in Enumclaw, Washington
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Cigna Health & Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| GPM Health and Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
| Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Humana (HumanaDental Insurance Company) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Humana (HumanaDental Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Premera BlueCross BlueShield of Washington | Medigap Plan A, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Regence BlueShield | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan N |
| Sentinel Security Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F |
| State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United American Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| United World Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| United of Omaha Life Insurance | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Premera Blue Cross (HCA) | Medigap Plan G |
| Premera Blue Cross (HCA) (PEBB Retiree) | Medigap Plan G |
Enumclaw, Washington Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard Washington Medicare supplement plans? Take a look at all of the Enumclaw, Washington Medicare supplement plans with coverage details.
Enumclaw, Washington Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Plan A | Premiums range from $121-$307 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan B | Premiums range from $198-$459 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan C | Premiums range from $229-$423 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan D | Premiums range from $160-$365 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan F | Premiums range from $231-$428 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan F-high deductible | Premiums range from $44-$73 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G | Premiums range from $100-$321 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G-high deductible | Premiums range from $44-$66 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan K | Premiums range from $61-$121 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan L | Premiums range from $137-$147 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan M | Premiums range from $163-$163 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan N | Premiums range from $124-$210 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in Enumclaw, Washington
Prescription drug coverage for Medicare in Enumclaw, Washington is covered by a Part D plan. You can purchase Part D coverage in Enumclaw, Washington as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in Enumclaw, Washington
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 205 – 0 by Aetna Medicare |
Monthly Premium: $6.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
| Clear Spring Health Premier Rx (PDP) S6946 – 054 – 0 by Clear Spring Health |
Monthly Premium: $14.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 136 – 0 by Elixir Insurance |
Monthly Premium: $14.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 209 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 18% Tier 4: 35% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 199 – 0 by WellCare |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 135 – 0 by WellCare |
Monthly Premium: $18.70 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $4.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 309 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 50% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 306 – 0 by WellCare |
Monthly Premium: $24.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 099 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 41% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5660 – 246 – 0 by Express Scripts Medicare |
Monthly Premium: $29.50 Annual Deductable: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Express Scripts Medicare – Value (PDP) S5660 – 132 – 0 by Express Scripts Medicare |
Monthly Premium: $30.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 47% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 020 – 0 by WellCare |
Monthly Premium: $30.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: $25.00 Tier 4: 33% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 025 – 0 by Clear Spring Health |
Monthly Premium: $31.10 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 34% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 060 – 0 by Aetna Medicare |
Monthly Premium: $31.30 Annual Deductable: $260 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 43% Tier 5: 28% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 374 – 0 by UnitedHealthcare |
Monthly Premium: $32.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $32.00 Tier 4: 40% Tier 5: 25% |
| Elixir RxSecure (PDP) S7694 – 030 – 0 by Elixir Insurance |
Monthly Premium: $32.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 35% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 148 – 0 by Cigna |
Monthly Premium: $33.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $36.00 Tier 4: 50% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 064 – 0 by WellCare |
Monthly Premium: $33.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $35.00 Tier 4: 41% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 411 – 0 by UnitedHealthcare |
Monthly Premium: $34.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 113 – 0 by Humana |
Monthly Premium: $34.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 34% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 275 – 0 by Cigna |
Monthly Premium: $40.30 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Humana Premier Rx Plan (PDP) S5884 – 176 – 0 by Humana |
Monthly Premium: $65.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 215 – 0 by Express Scripts Medicare |
Monthly Premium: $71.60 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 153 – 0 by WellCare |
Monthly Premium: $71.90 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 48% Tier 5: 33% |
| SilverScript Plus (PDP) S5601 – 061 – 0 by Aetna Medicare |
Monthly Premium: $75.00 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 029 – 0 by Mutual of Omaha Rx |
Monthly Premium: $91.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 36% Tier 5: 25% |
| AARP MedicareRx Preferred (PDP) S5820 – 029 – 0 by UnitedHealthcare |
Monthly Premium: $92.10 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| Asuris Medicare Script Basic (PDP) S5609 – 001 – 0 by Asuris Northwest Health |
Monthly Premium: $93.50 Annual Deductable: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $13.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 27% |
| Asuris Medicare Script Enhanced (PDP) S5609 – 002 – 0 by Asuris Northwest Health |
Monthly Premium: $124.50 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $3.00 Tier 2: $10.00 Tier 3: $47.00 Tier 4: 40% Tier 5: 33% |
Compare Medicare Rates in Enumclaw, Washington
If you’re ready to buy Enumclaw, Washington Medicare coverage, we’re here to help. Enter your ZIP code to see Medicare rates in Enumclaw, WA and find the coverage that’s right for you.
Frequently Asked Questions
What are the best Medicare companies and plans available in Enumclaw, Washington?
Enumclaw, Washington offers several Medicare companies and plans. The best options can vary depending on individual needs and preferences. However, some well-regarded Medicare companies and plans in the area include:
- UnitedHealthcare: UnitedHealthcare offers a range of Medicare Advantage plans and Medicare Supplement Insurance plans, providing comprehensive coverage options.
- Humana: Humana is known for its Medicare Advantage plans, which often include additional benefits such as prescription drug coverage and wellness programs.
- Aetna: Aetna offers Medicare Advantage plans and Medicare Supplement Insurance plans with various coverage options and competitive pricing.
- Regence BlueShield: Regence BlueShield provides Medicare Advantage plans and Medicare Supplement Insurance plans, focusing on high-quality care and comprehensive coverage.
- Kaiser Permanente: Kaiser Permanente is a well-known provider of Medicare Advantage plans, offering coordinated care and additional benefits like prescription drug coverage and preventive services.
How can I determine the best Medicare company and plan for my needs in Enumclaw, Washington?
Selecting the best Medicare company and plan in Enumclaw, Washington requires considering several factors. Here’s a step-by-step process to help you determine the right option:
- Assess your healthcare needs: Consider your medical requirements, prescription medications, preferred doctors or specialists, and desired coverage for services like hospital stays, preventive care, and prescription drugs.
- Research available plans: Look into the Medicare companies mentioned above and explore the specific plans they offer. Review the coverage details, benefits, costs, and network of healthcare providers associated with each plan.
- Compare costs: Evaluate the monthly premiums, deductibles, copayments, and coinsurance for each plan. Factor in any additional costs for prescription drugs or specific services that are important to you.
- Check provider networks: Ensure that the plan you choose includes your preferred doctors, hospitals, and specialists within its network. This ensures you have access to the care you need.
- Consider additional benefits: Some Medicare Advantage plans offer extra benefits like dental, vision, or fitness programs. If these benefits are essential to you, compare the offerings of different plans.
- Read customer reviews and ratings: Look for feedback from current or past plan members to gain insights into the overall satisfaction and customer service provided by the Medicare companies.
- Seek expert advice: Consult with an independent insurance agent or a Medicare specialist who can provide personalized recommendations based on your specific needs.
Are there any local resources in Enumclaw, Washington, that can provide assistance with Medicare company and plan selection?
Yes, there are local resources available in Enumclaw, Washington, that can help you with Medicare company and plan selection. Consider the following options:
- Enumclaw Senior Center: The Enumclaw Senior Center may provide guidance and information on local Medicare resources, including workshops, counseling, and enrollment assistance.
- Washington State Office of the Insurance Commissioner: The Washington State Office of the Insurance Commissioner offers resources and assistance for Medicare beneficiaries, including educational materials and a helpline to answer questions and provide guidance.
- Local insurance brokers: Contacting local insurance brokers who specialize in Medicare can be beneficial. They can provide personalized advice and help you navigate the various plans and options available in Enumclaw.
Can I change my Medicare company or plan in Enumclaw, Washington, if I’m not satisfied with my current coverage?
Yes, Medicare beneficiaries in Enumclaw, Washington, have the opportunity to change their Medicare company or plan during certain enrollment periods. The two primary enrollment periods during which you can make changes are:
- Annual Enrollment Period (AEP): This period runs from October 15 to December 7 each year. During this time, you can switch from Original Medicare to a Medicare Advantage plan or vice versa. You can also change from one Medicare Advantage plan to another or switch from a Medicare Advantage plan back to Original Medicare.
- Medicare Advantage Open Enrollment Period (MA OEP): This period runs from January 1 to March 31. During the MA OEP, individuals enrolled in a Medicare Advantage plan can switch to a different Medicare Advantage plan or return to Original Medicare. This period does not allow changes from Original Medicare to a Medicare Advantage plan.
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Michael Leotta
Insurance Operations Specialist
Michael earned a degree in Business Management degree with an insurance focus, which led to a successful 25-year career in insurance claims operations and support. He possesses a high-level of business acumen across multiple areas of the insurance industry. Over the course of his career, he served in multiple roles supporting claims operations including: Claims Specialist, Claims Trainer, Claim Au...
Insurance Operations Specialist
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