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Special Needs Plans
 » 
Washington

Medicare Advantage Special Needs Plans in Washington

Find Plans in your area with your ZIP Code

To compare the Special Needs Plans available in your area, you can use our zip code lookup tool above or click on your county below. If you'd like to learn more about how the Medicare Advantage SNP program works in Washington and how it compares with other options, keep on reading.

How-To Enroll in a Washington Special Needs Plan

Most people living in Washington, age 65 and older, qualify for Medicare Advantage but do not qualify for a Special Needs Plan (SNP). A SNP is a Medicare Advantage planMedicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part A and Medicare Part B)., but they are only available to people with one of the following special needs:

  • Chronic Condition (C-SNP): You have one or more severe or disabling chronic conditions.
  • Institutional (I-SNP): You live in an institution (like a nursing home), or you require nursing care at home.
  • Dual Eligible (D-SNP): You have both Medicare and MedicaidMedicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States..

Compare Medicare Advantage Special Needs Plans in Washington by County

Adams
Benton
Chelan
Clallam
Clark
Columbia
Cowlitz
Douglas
Franklin
Garfield
Grant
Grays Harbor
Island
Jefferson
King
Kitsap
Kittitas
Lewis
Lincoln
Mason
Okanogan
Pacific
Pend Oreille
Pierce
San Juan
Skagit
Skamania
Snohomish
Spokane
Stevens
Thurston
Wahkiakum
Walla Walla
Whatcom
Whitman
Yakima
If you qualify for Medicare but don't know where to begin, we have licensed agents[1] at 1-855-728-0510 (TTY 711) who can answer your questions and help you get enrolled. There's no obligation.

Each SNP limits membership to people in one of these groups or a subset of one of these groups. For instance, a SNP that's designed to serve people with congestive heart failure might include access to a network of healthcare providers who specialize in treating congestive heart failure. Such a plan would also feature clinical case management that's designed to serve people with this condition.

You can get enrolled three ways:

  1. Call a plan directly. If you know the plan you want, this way is quick and easy.
  2. Go to www.Medicare.gov and enroll through the government website. From there you can look up your medications, compare plans, and get your application started online.
  3. Use an independent Washington insurance agent. This is the best way to go if you need someone to help advise you.

Not Qualified to Enroll in a Special Needs Plan?

Special Needs Plan are not for everyone. Fortunately, there are other options to get additional coverage. Start here:

  • Medicare Advantage HMO and PPO plans
  • Medicare Part D prescription drug plans
  • Medigap plans for supplemental insurance

Find Plans in your area with your ZIP Code

References

medicare.gov
  • Medicare.gov: the official U.S. government site for Medicare | Medicare http://www.medicare.gov/
  • Find a Medicare plan https://www.medicare.gov/plan-compare/
ssa.gov
  • Medicare Benefits | SSA https://www.ssa.gov/medicare/
  • Extra HelpSocial Security's Low-Income Subsidy (LIS) program helps Medicare beneficiaries pay for their Medicare Part D prescription drugs by paying some of the costs. Also known as "Extra Help", beneficiaries who qualify for LIS receive premium... with Medicare Prescription Drug Plan Costs | SSA https://www.ssa.gov/medicare/prescriptionhelp/
  • Medicare Benefits | SSA https://www.ssa.gov/benefits/medicare/
cms.gov
  • Five-Star Quality Rating System | CMS https://www.cms.gov/medicare/provider-enrollment-and-certification/certificat...
  • https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS10106.pdf
  • Medicare Open Enrollment | CMS https://www.cms.gov/Outreach-and-Education/Reach-Out/Find-tools-to-help-you-h...

This Medicare Advantage Special Needs Plan state information page was last updated on July 5, 2022.

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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