Medicare Plans in
Yakima County, WA
30 Medicare Advantage Plans Found in Yakima County. See Plans
Yakima County, WA
Medicare Information
Have Medicare questions?
Talk to a licensed agent today to find a plan that fits your needs.
For Yakima 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, 30 private Medicare plans are available in Yakima 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 Yakima County, Washington, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare
Plans in Yakima County
Average Cost of Medicare Advantage Plans in Yakima County, Washington | |
---|---|
Average Monthly Premium | $36.12 |
Average in-network out-of-pocket spending limit | $6,158.33 |
Average drug deductible in 2024 (weighted) | $303.33 |
Percentage of plans rated 4 stars or higher | 33.3% |
Average Cost of Medicare Advantage Plans in Yakima County, Washington |
---|
Average Monthly Premium $36.12 |
Average in-network out-of-pocket spending limit $6,158.33 |
Average drug deductible in 2021 (weighted) $303.33 |
Percentage of plans rated 4 stars or higher 33.3% |
Learn More About Medicare
Prescription Drug Plans
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.
Have Medicare questions?
Talk to a licensed agent today to find a plan that fits your needs.
Medicare Advantage Plans
![Aetna Inc.](https://res.cloudinary.com/tranzact/image/upload/q_auto,f_auto,c_limit,w_2000,h_2000/MA/HelpAdvisor/prod/media/ur1oau2p/aetna.png)
Aetna Inc. Medicare Plans in Yakima County, WA
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Washington in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare SmartFit Plan (PPO) | H5521: 423 | $0 | $250 | $6,800 | Yes | 4 out of 5 |
Aetna Medicare Eagle (PPO) | H5521: 330 | $0 | N/A | $5,500 | No | 4 out of 5 |
Aetna Medicare Extra Value Plan (HMO-POS) | H3931: 149 | $12 | $150 | $6,500 | Yes | 4 out of 5 |
Aetna Medicare Choice Plan (PPO) | H5521: 379 | $19 | $150 | $6,400 | Yes | 4 out of 5 |
Aetna Medicare Value Plus Plan (HMO-POS) | H3931: 165 | $23 | $400 | $6,500 | Yes | 4 out of 5 |
Molina Healthcare, Inc.,
Molina Healthcare, Inc., Medicare Plans in Yakima County, WA
The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in Washington in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Molina Medicare Choice Care (HMO) | H5823: 012 | $0 | $0 | $7,000 | Yes | 2.5 out of 5 |
Molina Medicare Complete Care Select (HMO D-SNP) | H5823: 010 | $33 | $0 | $8,850 | Yes | 2.5 out of 5 |
Molina Medicare Complete Care (HMO D-SNP) | H5823: 006 | $33 | $0 | $8,850 | Yes | 2.5 out of 5 |
The Carle Foundation
The Carle Foundation Medicare Plans in Yakima County, WA
The following table includes cost information and other plan details for The Carle Foundation private Medicare plans available in Washington in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Health Alliance NW SignalAdvantage POS Basic Rx (HMO-POS) | H3471: 019 | $0 | $0 | $3,800 | Yes | 3 out of 5 |
Health Alliance NW SignalAdvantage HMO (HMO) | H3471: 006 | $20 | N/A | $4,900 | No | 3 out of 5 |
Health Alliance NW SignalAdvantage HMO Rx (HMO) | H3471: 004 | $32 | $0 | $3,900 | Yes | 3 out of 5 |
Health Alliance NW SignalAdvantage HMO Rx Plus (HMO) | H3471: 005 | $105 | $0 | $2,700 | Yes | 3 out of 5 |
UnitedHealthcare Medicare Plans in Yakima County, WA
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Washington in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
UHC Dual Complete WA-D002 (HMO-POS D-SNP) | H5008: 002 | $0 | $0 | $8,850 | Yes | 3.5 out of 5 |
UHC Dual Complete WA-V001 (HMO-POS D-SNP) | H5008: 015 | $0 | $0 | $5,900 | Yes | 3.5 out of 5 |
AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO) | H1278: 031 | $0 | N/A | $5,500 | No | 3.5 out of 5 |
UHC Dual Complete WA-D001 (PPO D-SNP) | H0271: 044 | $0 | $0 | $8,850 | Yes | 4 out of 5 |
AARP Medicare Advantage from UHC WA-0003 (PPO) | H1278: 030 | $25 | $0 | $6,300 | Yes | 3.5 out of 5 |
UHC Nursing Home Plan WA-F001 (PPO I-SNP) | H0710: 031 | $30 | $545 | $2,000 | Yes | 5 out of 5 |
UHC Care Advantage WA-E001 (PPO I-SNP) | H0710: 030 | $41 | $0 | $500 | Yes | 5 out of 5 |
AARP Medicare Advantage from UHC WA-0005 (HMO-POS) | H3805: 015 | $42 | $0 | $5,500 | Yes | 4 out of 5 |
AARP Medicare Advantage from UHC WA-0010 (HMO-POS) | H3805: 037 | $84 | $0 | $4,200 | Yes | 4 out of 5 |
![Wellcare Health Plans, Inc.](https://res.cloudinary.com/tranzact/image/upload/q_auto,f_auto,c_limit,w_2000,h_2000/MA/HelpAdvisor/prod/media/e2hj415i/wellcare-logo.png)
Wellcare Health Plans, Inc. Medicare Plans in Yakima County, WA
The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Washington in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare No Premium (HMO) | H1353: 005 | $0 | $150 | $6,300 | Yes | 2.5 out of 5 |
Wellcare Mutual of Omaha No Premium Open (PPO) | H5965: 002 | $0 | $100 | $6,700 | Yes | Not enough data available |
Wellcare Patriot Giveback Open (PPO) | H5965: 003 | $0 | N/A | $4,000 | No | Not enough data available |
Wellcare Dual Access Open (PPO D-SNP) | H5965: 004 | $0 | $0 | $8,850 | Yes | Not enough data available |
Wellcare Dual Access (HMO D-SNP) | H1353: 002 | $0 | $0 | $8,850 | Yes | 2.5 out of 5 |
Wellcare Dual Liberty (HMO D-SNP) | H1353: 004 | $0 | $0 | $8,850 | Yes | 2.5 out of 5 |
Wellcare Giveback (HMO) | H1353: 006 | $0 | $440 | $8,300 | Yes | 2.5 out of 5 |
Wellcare Assist (HMO) | H1353: 007 | $14 | $545 | $6,900 | Yes | 2.5 out of 5 |
Wellcare Mutual of Omaha Low Premium Open (PPO) | H5965: 005 | $29 | $0 | $6,700 | Yes | Not enough data available |