2026 Medicare Advantage Plans in Benton County, WA
Last update: . Enrollment data updated: May 2, 2026
In Benton County, WA, there are 15 Medicare Advantage plans available for 2026. Of these, 9 offer a $0 monthly premium, and about 40% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Benton County, WA. Or explore all Medicare Options available in Benton County, WA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 9
- Average Monthly Premium $25.56/mo
- Total PPO Enrollment 2,657
- $0 Premium PPO Plans 6
- Average MOOP $7,250
- Top PPO by Enrollment AARP Medicare Advantage from UHC WA-12 (PPO) — 1,554 enrollees
- PPO Plans Without Drug Coverage 4
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC WA-12 | $0 | $6,700 | $600 | H2001-087-0 | |
| AARP Medicare Advantage from UHC WA-16 | $56 | $6,700 | $600 | H2001-136-0 | |
| Humana USAA Honor Giveback | $0 | $9,150 | N/A | H7617-021-0 | |
| HumanaChoice H7617-016 | $87 | $6,750 | $615 | H7617-016-0 | |
| Humana USAA Honor Giveback | $0 | $5,100 | N/A | H5216-455-0 | |
| Humana USAA Honor Giveback | $0 | $9,150 | N/A | H5216-427-1 | |
| HumanaChoice H5216-048 | $87 | $6,750 | $615 | H5216-048-0 | |
| Wellcare Patriot Giveback Open | $0 | $5,700 | N/A | H5965-003-0 | |
| Wellcare Simple Open | $0 | $9,250 | $615 | H5965-008-0 |
What is the total number of PPO plans offered in Benton?
There are 9 PPO plans in 2026, covering 2,657 beneficiaries.
How much do PPO plans cost in Benton?
The average PPO premium in Benton is $25.56 per month, with 6 plans offering $0 premiums.
What is the most popular PPO plan in Benton?
AARP Medicare Advantage from UHC WA-12 (PPO) is the top PPO in Benton, with 1,554 enrollees.
What is the number of PPO plans without Part D coverage in Benton?
There are 4 PPO plans in Benton without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 3
- Average Monthly Premium
- $21.00/mo
- Total HMO Enrollment
- 3,372
- $0 Premium HMO Plans
- 2
- Average MOOP
- $5,833
- Top HMO by Enrollment
- Humana Gold Plus H5619-133 (HMO) — 2,693 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Providence Medicare Pine + Rx | $0 | $6,750 | $195 | H9047-063-0 | |
| Humana Gold Plus H5619-061 | $63 | $4,200 | $615 | H5619-061-0 | |
| Humana Gold Plus H5619-133 | $0 | $6,550 | $300 | H5619-133-0 |
What is the average monthly premium for HMO plans?
HMO plans in Benton cost $21.00 per month on average.
Which HMO plan is most popular in Benton?
The most popular HMO plan in Benton is Humana Gold Plus H5619-133 (HMO), with 2,693 enrollees.
How many HMO plans in Benton do not include drug coverage?
There are 0 HMO plans in Benton without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Providence Medicare Reverence | $0 | $6,750 | N/A | H9047-035-0 | |
| AARP Medicare Advantage from UHC WA-0005 | $38 | $5,900 | $355 | H3805-015-0 | |
| AARP Medicare Advantage from UHC WA-0010 | $79 | $4,900 | $355 | H3805-037-0 |
What is the leading HMO-POS plan in Benton?
AARP Medicare Advantage from UHC WA-0005 (HMO-POS) is the top HMO-POS in Benton, with 938 enrollees.
What is the number of HMO-POS plans without Part D coverage in Benton?
1 HMO-POS plans in Benton do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Benton County, WA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 6 | 40% |
| 3 Stars | 7 | 47% |
| Below 3 Stars | 2 | 13% |
| Not Rated | 0 | 0% |
| Average Rating | 3.63 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
This page follows data provenance practices aligned with the USCDI Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.