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Medicare Advantage Plans in San Juan County, Washington

Below are Medicare Advantage plans available to residents of San Juan county, Washington. 3 carriers offer 8 plans throughout the county of San Juan. Residents may choose plans from Regence BlueShield, Group Health Cooperative 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 San Juan county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of San Juan

Carrier	Plan Title	Plan Type
Regence BlueShield	Regence MedAdvantage Basic (PPO) (H5009-001)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $50 annual deductible. Contact the plan for services that apply. $79.00 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 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 $15 copay for each primary care doctor visit for Medicare-covered benefits. $15 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. $40 copay for each primary care doctor visit $40 copay for each specialist visit
Regence BlueShield	Regence MedAdvantage + Rx Classic (PPO) (H5009-002)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $100 annual deductible. Contact the plan for services that apply. $119 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 $15 copay for each primary care doctor visit for Medicare-covered benefits. $15 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. $40 copay for each primary care doctor visit $40 copay for each specialist visit
Regence BlueShield	Regence MedAdvantage + Rx Enhanced (PPO) (H5009-004)	Local Preferred Provider Organization
Premium and Other Important Information $2 800 out-of-pocket limit. All plan services included. $211 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 $30 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $30 copay for each specialist visit
Group Health Cooperative	Group Health Cooperative Clear Care Basic (HMO) (H5050-001)	HMO
Premium and Other Important Information Package: 1 - Clear Care Dental: $49 monthly premium in addition to your $35 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. $35.00 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 Doctor Office Visits Authorization rules may apply. $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.
Group Health Cooperative	Group Health Cooperative Clear Care Optimal (HMO) (H5050-004)	HMO
Premium and Other Important Information Package: 1 - Clear Care Dental: $49 monthly premium in addition to your $212 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. $1 000 out-of-pocket limit for Medicare-covered services. $212 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 Doctor Office Visits Authorization rules may apply. $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Group Health Cooperative	Group Health Cooperative Clear Care Essential (HMO) (H5050-009)	HMO
Premium and Other Important Information Package: 1 - Clear Care Dental: $49 monthly premium in addition to your $118 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. $118 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 Doctor Office Visits Authorization rules may apply. $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.
Group Health Cooperative	Group Health Cooperative Clear Care Vital (HMO) (H5050-013)	HMO
Premium and Other Important Information Package: 1 - Clear Care Dental: $49 monthly premium in addition to your $19 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. $19 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 Doctor Office Visits Authorization rules may apply. $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.
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

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