Explore your options
Compare options, including Medicare Advantage, Medicare Supplement, and prescription plans.




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Compare options, including Medicare Advantage, Medicare Supplement, and prescription plans.
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In Washington, both Original Medicare and Medicare Advantage are popular coverage choices. Approximately 51% of Medicare beneficiaries have Original Medicare, while the remaining 49% have a Medicare Advantage plan.
Washington state residents with Original Medicare often sign up for Medicare Supplement plans, also known as Medigap plans. These plans help reduce out-of-pocket costs that Original Medicare doesn't cover. By law, Medigap plans are standardized and assigned letters A-D, F, G, and K-N; plans with the same letter designation provide the same basic benefits, regardless of the insurer.
Washington residents with limited income or resources may qualify for programs that reduce their Medicare costs. The Qualified Medicare Beneficiary (QMB) program can help with Part A and Part B premiums and other Medicare costs; the Specified Low-Income Medicare Beneficiary (SLMB) and Qualified Individual (QI) programs can help with Part B premiums; and the Qualified Disabled Working Individual (QDWI) program can help with Part A premiums. The Extra Help program can help pay some or all of a qualifying applicant's Part D costs.
Medicare eligibility in Washington follows the same nationwide rules as everywhere else in the country. You qualify for Medicare as a US citizen if you meet one of these criteria:
If you need help with Medicare in Washington, you'll want to work with a licensed Medicare agent in Washington. Chapter's Washington Medicare agents have a deep understanding of Original Medicare, Medicare Advantage, Medigap, and prescription drug coverage options. They provide free advice and support as you decide on coverage. Call Chapter at (855) 900-2427 to get your questions answered or schedule a free consultation.
Washington residents have a lot of flexibility to change their Medigap plan throughout the year. As long as you already have a Medigap plan, you can switch to any other Medigap plan without underwriting. This means insurance carriers cannot deny your application or charge you more based on your health history.
Private insurers offering Medicare Advantage plans don't always offer the same plan options statewide. They customize their offerings county by county. Different plans will have different provider networks. In general, residents of more rural counties have fewer Medicare Advantage plans to choose from, as well.
Washington residents with Original Medicare must sign up for a Medicare Part D plan if they want prescription drug coverage. Most Medicare Advantage plans include Part D coverage. If yours does, you don't need a standalone Part D plan. When choosing a Part D plan or a Medicare Advantage plan, it's wise to check the relevant plan's formulary. A formulary tells you which drugs the plan covers and how much you should expect to pay for covered medications.