Medicare Advantage Plans in Jefferson County, Washington
Below are Medicare Advantage plans available to residents of Jefferson county, Washington.
2 carriers offer 6 plans throughout the county of Jefferson.
Residents may choose plans from
Group Health Options Inc. or WindsorSterling. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Jefferson county that is right for you complete the form at the top of the page.
Medicare Advantage Health Plans in the county of Jefferson
| Carrier |
Plan Title |
Plan Type |
| Group Health Options Inc. |
Group Health Options Clear Care Prestige (PPO) (H2810-001) |
Local Preferred Provider Organization |
Premium and Other Important Information - Package: 1 - Clear Care Dental:
- $49 monthly premium in addition to your $67 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
- $1 500 plan coverage limit every year for these benefits.
- $3 200 out-of-pocket limit for Medicare-covered services.
- $67 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept
Doctor Office Visits- $20 copay for each primary care doctor visit for Medicare-covered benefits.
- $20 copay for each in-area network urgent care Medicare-covered visit
- $45 copay for each specialist visit for Medicare-covered benefits.
- $35 copay for each primary care doctor visit
- $60 copay for each specialist visit
|
| Group Health Options Inc. |
Group Health Options Clear Care Elite (PPO) (H2810-002) |
Local Preferred Provider Organization |
Premium and Other Important Information - Package: 1 - Clear Care Dental:
- $49 monthly premium in addition to your $121 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
- $1 500 plan coverage limit every year for these benefits.
- $2 500 out-of-pocket limit for Medicare-covered services.
- $121 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept
Doctor Office Visits- $10 copay for each primary care doctor visit for Medicare-covered benefits.
- $10 copay for each in-area network urgent care Medicare-covered visit
- $35 copay for each specialist visit for Medicare-covered benefits.
- $25 copay for each primary care doctor visit
- $50 copay for each specialist visit
|
| WindsorSterling |
WindsorSterling Silver Connect Plan (PFFS) (H3410-002) |
Private Fee for Service |
Premium and Other Important Information - $4 000 out-of-pocket limit. All plan services included.
- $30.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- $25.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- $49.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- $35.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- $29.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- $40.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
- This plan does not allow providers to balance bill (charging more than your cost share amount).
Doctor Office Visits- You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
- $10 copay for each primary care doctor visit for Medicare-covered benefits.
- $10 copay for each in-area network urgent care Medicare-covered visit
- $30 copay for each specialist visit for Medicare-covered benefits.
- $25 copay for each primary care doctor visit
- $40 copay for each specialist visit
|
| WindsorSterling |
WindsorSterling Gold Connect Plan (PFFS) (H3410-003) |
Private Fee for Service |
Premium and Other Important Information - $4 000 out-of-pocket limit. All plan services included.
- $59 monthly plan premium in addition to your monthly Medicare Part B premium.
- $55 monthly plan premium in addition to your monthly Medicare Part B premium.
- $79 monthly plan premium in addition to your monthly Medicare Part B premium.
- $60 monthly plan premium in addition to your monthly Medicare Part B premium.
- $65 monthly plan premium in addition to your monthly Medicare Part B premium.
- $70 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- This plan does not allow providers to balance bill (charging more than your cost share amount).
Doctor Office Visits- You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
- $10 copay for each primary care doctor visit for Medicare-covered benefits.
- $10 copay for each in-area network urgent care Medicare-covered visit
- $30 copay for each specialist visit for Medicare-covered benefits.
- $25 copay for each primary care doctor visit
- $40 copay for each specialist visit
|
| WindsorSterling |
WindsorSterling Emerald Connect Plan (PFFS) (H3410-004) |
Private Fee for Service |
Premium and Other Important Information - $6 700 out-of-pocket limit. All plan services included.
- $28.5 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- This plan does not allow providers to balance bill (charging more than your cost share amount).
Doctor Office Visits- You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
- $20 copay for each primary care doctor visit for Medicare-covered benefits.
- $20 copay for each in-area network urgent care Medicare-covered visit
- $35 copay for each specialist visit for Medicare-covered benefits.
- 20% of the cost for each primary care doctor visit
- 20% of the cost for each specialist visit
|
| WindsorSterling |
WindsorSterling Gold Plus Plan (PPO) (H8558-012) |
Local Preferred Provider Organization |
Premium and Other Important Information - $4 000 out-of-pocket limit. All plan services included.
- $75 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept
Doctor Office Visits- $10 copay for each primary care doctor visit for Medicare-covered benefits.
- $30 copay for each specialist visit for Medicare-covered benefits.
- $25 copay for each primary care doctor visit
- $40 copay for each specialist visit
|
Washington Plan Data by County
- Adams, WA Medicare Advantage Plans
- Asotin, WA Medicare Advantage Plans
- Benewah, WA Medicare Advantage Plans
- Benton, WA Medicare Advantage Plans
- Chelan, WA Medicare Advantage Plans
- Clallam, WA Medicare Advantage Plans
- Clark, WA Medicare Advantage Plans
- Columbia, WA Medicare Advantage Plans
- Cowlitz, WA Medicare Advantage Plans
- Douglas, WA Medicare Advantage Plans
- Ferry, WA Medicare Advantage Plans
- Franklin, WA Medicare Advantage Plans
- Garfield, WA Medicare Advantage Plans
- Grant, WA Medicare Advantage Plans
- Grays Harbor, WA Medicare Advantage Plans
- Island, WA Medicare Advantage Plans
- Jefferson, WA Medicare Advantage Plans
- King, WA Medicare Advantage Plans
- Kitsap, WA Medicare Advantage Plans
- Kittitas, WA Medicare Advantage Plans
- Klickitat, WA Medicare Advantage Plans
- Latah, WA Medicare Advantage Plans
- Lewis, WA Medicare Advantage Plans
- Lincoln, WA Medicare Advantage Plans
- Mason, WA Medicare Advantage Plans
- Okanogan, WA Medicare Advantage Plans
- Pacific, WA Medicare Advantage Plans
- Pend Oreille, WA Medicare Advantage Plans
- Pierce, WA Medicare Advantage Plans
- San Juan, WA Medicare Advantage Plans
- Skagit, WA Medicare Advantage Plans
- Skamania, WA Medicare Advantage Plans
- Snohomish, WA Medicare Advantage Plans
- Spokane, WA Medicare Advantage Plans
- Stevens, WA Medicare Advantage Plans
- Thurston, WA Medicare Advantage Plans
- Umatilla, WA Medicare Advantage Plans
- Wahkiakum, WA Medicare Advantage Plans
- Walla Walla, WA Medicare Advantage Plans
- Whatcom, WA Medicare Advantage Plans
- Whitman, WA Medicare Advantage Plans
- Yakima, WA Medicare Advantage Plans
Washington Plan Data by City