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Written by David Bynon [3], Medicare Analyst since 2012.  Last updated May 24, 2025

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Medicare Advantage
 » 
Oregon
 » 
Washington County

Guide to Medicare Advantage Plans in Washington County, OR for 2025

List of Plans | Plan Overview | Benefits | How to Choose | Enrollment | FAQ

There are 50 Medicare Advantage plans available in Washington County, OR for the 2025 plan year, including 31 plans with $0 premiums. Most plans include prescription drug coverage. These counts exclude Special Needs Plans.

Not in Washington County? Enter your ZIP code to see plans in your area.

  • Top 3 Plans by Enrollment:
    1. AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS) — 7,790 enrollees
    2. Providence Medicare Prime + Rx (HMO) — 4,930 enrollees
    3. Kaiser Permanente Senior Advantage Standard (HMO-POS) — 4,717 enrollees
  • Average Monthly Premium: $26.74
  • Average Maximum Out-of-Pocket Limit: $5,551
  • Average Prescription Drug Deductible: $260.63
  • Ratings (Plan Mix): 4+ Stars: 32% · 3 Stars: 66% · Below 3: 2%
  • Plan Type Breakdown 26 PPO · 9 HMO · 15 HMO-POS

Washington County, Oregon Medicare Advantage Plans

Medicare Advantage Plans in Washington County, OR for 2024
Plan Name Type Premium MOOP Rx Ded. Rating
Aetna Medicare Greater Portland Eagle* PPO $0 $5,900 N/A
☆☆☆☆☆
Aetna Medicare Preferred* PPO $0 $6,900 $590
☆☆☆☆☆
AARP Medicare Advantage from UHC OR-0001 PPO $49 $4,900 $420
☆☆☆☆☆
AARP Medicare Advantage from UHC OR-0002 PPO $0 $6,700 $420
☆☆☆☆☆
AARP Medicare Advantage Patriot No Rx OR-MA01 PPO $0 $6,700 N/A
☆☆☆☆☆
Humana Gold Plus H1036-153 HMO $0 $6,750 $100
☆☆☆☆☆
Kaiser Permanente Senior Advantage Enhanced HMO-POS $114 $3,000 $0
☆☆☆☆☆
Kaiser Permanente Senior Advantage Standard HMO-POS $28 $4,175 $0
☆☆☆☆☆
Kaiser Permanente Senior Advantage Value HMO-POS $0 $5,000 $0
☆☆☆☆☆
Providence Medicare Bridge + Rx HMO-POS $29 $6,500 $0
☆☆☆☆☆
Providence Medicare Choice + Rx HMO-POS $82 $5,000 $0
☆☆☆☆☆
Providence Medicare Extra + Rx HMO $161 $4,000 $0
☆☆☆☆☆
Providence Medicare Focus Medical HMO $140 $3,800 N/A
☆☆☆☆☆
Providence Medicare Prime + Rx HMO $0 $5,000 $250
☆☆☆☆☆
Providence Medicare Reverence HMO-POS $25 $5,000 N/A
☆☆☆☆☆
AARP Medicare Advantage Essentials from UHC OR-4 HMO-POS $0 $4,500 $255
☆☆☆☆☆
AARP Medicare Advantage Extras from UHC OR-6 HMO-POS $0 $6,700 $340
☆☆☆☆☆
AARP Medicare Advantage from UHC OR-0003 HMO-POS $46 $3,500 $255
☆☆☆☆☆
Aetna Medicare Elite HMO-POS $0 $5,900 $0
☆☆☆☆☆
Aetna Medicare Value HMO-POS $0 $6,350 $590
☆☆☆☆☆
Humana USAA Honor Giveback PPO $0 $5,100 N/A
☆☆☆☆☆
Humana USAA Honor Giveback PPO $0 $9,350 N/A
☆☆☆☆☆
HumanaChoice H5216-048 PPO $118 $6,700 $590
☆☆☆☆☆
HumanaChoice H5216-428 PPO $0 $6,750 $125
☆☆☆☆☆
PacificSource Medicare MyCare Choice 30 HMO-POS $0 $4,200 N/A
☆☆☆☆☆
PacificSource Medicare MyCare Choice Rx 34 HMO-POS $10 $6,500 $199
☆☆☆☆☆
PacificSource Medicare MyCare Rx 40 HMO $0 $5,800 $150
☆☆☆☆☆
Regence MedAdvantage + Rx Classic PPO $73 $5,700 $50
☆☆☆☆☆
Regence MedAdvantage + Rx Enhanced PPO $192 $5,000 $0
☆☆☆☆☆
Regence MedAdvantage + Rx Primary PPO $29 $6,000 $100
☆☆☆☆☆
Regence Valiance PPO $0 $5,000 N/A
☆☆☆☆☆
Aetna Medicare Eagle PPO $0 $5,900 N/A
☆☆☆☆☆
ATRIO Choice Rx PPO $0 $4,150 $0
☆☆☆☆☆
ATRIO Freedom PPO $0 $4,150 N/A
☆☆☆☆☆
ATRIO Select Rx PPO $40 $4,150 $0
☆☆☆☆☆
Cigna True Choice Courage Medicare PPO $0 $5,700 N/A
☆☆☆☆☆
Cigna True Choice Medicare PPO $0 $4,700 $0
☆☆☆☆☆
Devoted CHOICE Oregon PPO $0 $5,900 $590
☆☆☆☆☆
Devoted CHOICE PLUS Oregon PPO $1 $5,900 $590
☆☆☆☆☆
Wellcare Giveback Open PPO $0 $8,850 $420
☆☆☆☆☆
Wellcare Low Premium Open PPO $38 $6,800 $420
☆☆☆☆☆
Wellcare Patriot Giveback Open PPO $0 $5,000 N/A
☆☆☆☆☆
Wellcare Premium Ultra Open PPO $146 $4,000 $420
☆☆☆☆☆
Wellcare Simple HMO-POS $0 $6,000 $420
☆☆☆☆☆
Wellcare Simple Open PPO $0 $3,450 $420
☆☆☆☆☆
Wellcare Simple Value HMO-POS $0 $6,600 $420
☆☆☆☆☆
Cigna Preferred Medicare HMO $0 $4,200 $0
☆☆☆☆☆
Devoted CORE Oregon HMO $0 $5,900 $590
☆☆☆☆☆
Devoted GIVEBACK Oregon HMO $0 $7,900 $590
☆☆☆☆☆
Devoted PREMIUM Oregon HMO $16 $5,900 $590
☆☆☆☆☆
**Certain PFFS, MSA, and HMO-POS plans have a combined in and out-of-network maximum. Limits are detailed on the plan pages.
📊 At a Glance: Medicare Advantage in Washington County
Average Monthly Premium
$26.74
Plans with $0 Premium
31
Average MOOP Limit
$5,551 ($9,350 max. in 2025)
Average Rx Deductible
$260.63
Plans Without Drug Coverage
4 (standalone Oregon Part D plans)
Plans with 5-Star Ratings
No 5-star plans available.
Stars  Ratings (Plan Mix)
4+ Stars: 32% · 3 Stars: 66% · Below 3: 2%
Plans Available
50 (excluding Washington County SNP plans)
Plan Type Breakdown
26 PPO · 9 HMO · 15 HMO-POS
Countywide Enrollments
52,943 (excluding SNP plans)
Top 3 Plans by Enrollment
1. AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS) — 7,790 enrollees
2. Providence Medicare Prime + Rx (HMO) — 4,930 enrollees
3. Kaiser Permanente Senior Advantage Standard (HMO-POS) — 4,717 enrollees

Data Sources: CY2025 Landscape, PBP Benefits, Star Ratings Data, Monthly Enrollment by CPSC, and SimpleMaps U.S. Counties. Enrollment data last updated April 7, 2025. County demographic data last updated April 5, 2025.

Understanding Your Medicare Advantage Options

Medicare Advantage Plans, also known as Medicare Part C, are private health plans that provide all-in-one coverage, including Medicare Part A (hospital insurance) and Medicare Part B (medical insurance). On top of the core benefits, many of the plans in Washington County throw in some nice extras - think prescription drug coverage, dental, vision, and wellness programs - making them a solid choice for those in Washington County looking for something more than Original Medicare.

🏥 Health Maintenance Organization (HMO) Plans

HMO plan members must use the plan's network of doctors and hospitals in Washington County, and typically need a referral to see a specialist. Some Medicare Advantage HMO Plans may have lower costs but offer less flexibility in choosing healthcare providers. There are 8,699 residents enrolled in HMO plans in this county. The most popular plan is Providence Medicare Prime + Rx .

🔓 Preferred Provider Organization (PPO)

A PPO allows more flexibility in choosing healthcare providers, with the option to see specialists without referrals, though often at a higher cost. Medicare Advantage PPOs usually have higher premiums and out-of-pocket expenses. There are 10,759 Washington County residents enrolled in PPO plans. The most popular of these plans by enrollments is AARP Medicare Advantage from UHC OR-0001 .

🔀 Health Maintenance Organization Point of Sale (HMO-POS)

Medicare HMO-POS plans are a type of HMO that offers a little more flexibility. Like a regular HMO, you typically use the plan's network of doctors and hospitals for care, usually requiring a referral to see specialists. However, an HMO-POS plan lets you receive certain healthcare services outside of the network at a higher cost. There are 33,485 residents enrolled in HMO-POS plans in this Washington County. The most popular plan by enrollments is AARP Medicare Advantage Essentials from UHC OR-4 .

If you qualify for Original Medicare or Medicare Advantage in Washington County but don't know where to begin, we have licensed insurance agents[1] at 1-855-728-0510 (TTY 711) who can answer your questions (Mon-Fri 5am-6pm, Sat 6am-5pm PST) and help you get enrolled. There's no obligation.

Advantages of Enrolling in Medicare Advantage

Many Medicare Advantage Plans offer extra benefits that go beyond Original Medicare, making them an attractive option for some people. These plans provide comprehensive coverage, often including additional services like prescription drug coverage, dental, vision, and wellness programs, all bundled into one plan. By choosing a Medicare Advantage Plan, you can simplify your healthcare and potentially save on costs.

Take a look at the main benefits provided by Medicare Advantage Plans in Washington County:

🧑‍⚕️Coordinated Care

Plans often include care coordination services, which help you manage your healthcare across different providers and services.

💸 Cost Savings

Many plans have low or $0 premiums and offer capped out-of-pocket costs, providing financial protection against high medical expenses.

🧾 Comprehensive Coverage

Includes Medicare Part A, Part B, and often Part D (prescription drug coverage), along with additional benefits like dental, vision, and hearing.

🧘 Wellness Programs

Many Yavapai County plans offer free gym memberships, wellness programs, and preventive care services. You need to stay healthy, right?

Tips for Selecting a Medicare Advantage Plan

Choosing the right Medicare Advantage Plan out of the 50 plans available in Washington County requires careful consideration of several key factors:

🏥1. Provider Network

Verify that your current doctors and preferred hospitals are included in the plan's network. Access to your healthcare providers can significantly impact your care experience.

💊 2. Prescription Drug Coverage

Make sure the plan covers your medications, particularly if you have specific prescriptions you rely on regularly.

💰 3. Costs

Examine the plan's premiums, copayments, and out-of-pocket limits. Compare these costs against your budget to avoid unexpected expenses.

🎁 4. Additional Benefits

Consider what extra services, such as dental, vision, or wellness programs, are important to you, and check if the plan offers them.

⭐ 5. Plan Ratings

Look into the plan's star ratings, which provide insight into the plan's overall quality and member satisfaction.

Learn more about the basics of comparing Medicare Advantage Plans.

Medicare Advantage Enrollment Periods

Making sense of Medicare Advantage enrollment periods can seem overwhelming, but it's worth the effort for better health coverage. Missing these key dates could delay your coverage or limit your plan choices for 2025 in Washington County.

📅 Initial Enrollment Period (IEP)

This initial enrollment window starts three months before and ends three months after your 65th birthday, offering a total of seven months to enroll in a Medicare Advantage Plan.

🗓️ Annual Enrollment Period (AEP)

Every year from October 15 to December 7, you have the option to change, enroll, or disenroll from a Medicare Advantage Plan.

🔁 Open Enrollment Period (OEP)

Running from January 1 to March 31, this period allows changes to your Medicare Advantage Plan if you’re already enrolled or lets you switch back to Original Medicare.

For comprehensive details on how to enroll, visit our detailed guide on Medicare Enrollment.

Are you ready to enroll? Do you still have questions? Our licensed insurance agents are ready to help with no obligation. Call 1-855-728-0510 (TTY 711) for assistance, Mon-Fri 5am-6pm, Sat 6am-5pm PST.

Frequently Asked Questions

What are the most popular Medicare Advantage plan types in Washington County?

Based on the 2025 plan data, PPO plans are the most common in Washington County. The full breakdown of plan types is: 26 PPO · 9 HMO · 15 HMO-POS.

How much can I expect to pay out of pocket for Medicare Advantage plans?

The average maximum out-of-pocket limit (MOOP) in Washington County is $5,551 for 2025.

Do any Medicare Advantage plans in Washington County have 5-star ratings?

No 5-star rated Medicare Advantage plans are available in Washington County for the 2025 plan year. However, 32% of plans have a rating of 4 stars or higher.

What is the average monthly premium for Medicare Advantage plans in Washington County?

The average monthly premium for Medicare Advantage plans in Washington County is $26.74. A total of 31 offer $0 premiums, though costs vary by plan type and benefits.

More About These Plans

Carrier Plans Offered

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

Master Plan Pages by Plan ID

The plan pages listed in the table above have been modified for localization to help consumers identify plans available in their area. Most plans are available in multiple areas. The following list of plan IDs link to each plan's master page.

H5521 493, H5521 492, H2406 042, H2406 070, H2406 073, H1036 153, H9003 001, H9003 006, H9003 009, H9047 059, H9047 065, H9047 064, H9047 033, H9047 037, H9047 035, H3805 039 1, H3805 041, H3805 001, H2056 003, H2056 004, H5216 301 1, H5216 427 2, H5216 048, H5216 428 2, H3864 030, H3864 034, H3864 040, H3817 008 1, H3817 009 1, H3817 011 1, H3817 010, H9431 015, H7006 018, H7006 021, H7006 019, H7849 139, H7849 055, H7199 001, H7199 002, H5439 015, H5439 019, H5439 010, H5439 011, H6815 039, H5439 017, H6815 038, H7389 002, H2923 001, H2923 004, H2923 005

Plan Availability

The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Banks, Beaverton, Cornelius, Forest Grove, Gaston, Hillsboro, North Plains, Portland, Sherwood, Tualatin, and all other areas of Washington County, Oregon, including the following zip codes: 97003, 97005, 97006, 97007, 97008, 97035, 97056, 97062, 97064, 97070, 97075, 97076, 97077, 97078, 97079, 97106, 97109, 97113, 97116, 97117, 97119, 97123, 97124, 97125, 97129, 97132, 97133, 97140, 97144, 97210, 97221, 97223, 97224, 97225, 97229, 97231, 97281, 97296, 97298.

Citations & References
  • Medicare.gov, "Understanding Medicare Advantage Plans", Last Accessed 19 March, 2025
  • CMS.gov, "Special Needs Plans (SNP)", Last Accessed 24 May, 2024
  • Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?", Last Accessed 19 March, 2025
  • Plan and enrollment data provided by the Centers for Medicare & Medicaid Services (CMS)
  • Data processed and interpreted by MedicareWire.com editorial team.
  • Read our methodology and sourcing policy.

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[1]Affiliate and Sales Agent Disclosure

Many of the plans featured on MedicareWire are offered through our trusted partner, HealthCompare Insurance Services, Inc., a licensed sales agency. HealthCompare may compensate us if you enroll in a plan through their services. Online enrollment services are provided by MedicareEnrollment.com, a HealthCompare affiliate.

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[3]About the Author

David Bynon is a Medicare analyst, published author, and U.S. Navy veteran with over 40 years of experience in cryptology, cybersecurity, and healthcare systems. Since founding MedicareWire in 2012, he has provided unbiased, data-driven Medicare plan research to assist seniors in making informed decisions.

Previously, David served as Vice President of Global Systems at Sony Pictures Entertainment and Director of Systems and Networks at HealthNet, focusing on secure HMO and Medicare infrastructures. His military career includes serving as Command Chief at TACRON-11, earning multiple Navy Commendation Medals and other commendations.

Connect with David on LinkedIn or view his Amazon Author Profile. His latest book, Why Medicare Advantage Plans Are Bad, is available on Amazon.

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