2026 Medicare Advantage Plans in Clallam County, WA
Last update: . Enrollment data updated: May 2, 2026
In Clallam County, WA, there are 9 Medicare Advantage plans available for 2026. Of these, 6 offer a $0 monthly premium, and about 29% 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 Clallam County, WA. Or explore all Medicare Options available in Clallam County, WA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
| 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 | |
| Wellcare Patriot Giveback Open | $0 | $5,700 | N/A | H5965-003-0 |
What is the total number of PPO plans offered in Clallam?
Clallam County has 3 PPO plans for 2026, with 1,634 enrolled.
How much do PPO plans cost in Clallam?
The typical PPO premium in Clallam is $18.67, and 2 plans have no monthly premium.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 6
- Average Monthly Premium $19.50/mo
- Total HMO-POS Enrollment 1,927
- $0 Premium HMO-POS Plans 4
- Average MOOP $6,592
- Top HMO-POS by Enrollment AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) — 1,239 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC WA-6 | $0 | $6,300 | $355 | H3805-017-0 | |
| AARP Medicare Advantage Extras from UHC WA-14 | $0 | $6,700 | $440 | H3805-044-0 | |
| 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 | |
| Wellcare Giveback | $0 | $9,250 | $615 | H0029-009-0 | |
| Wellcare Simple | $0 | $6,500 | $615 | H0029-011-0 |
What is the total number of HMO-POS plans in Clallam?
There are 6 HMO-POS plans in 2026, covering 1,927 enrollees.
How much do HMO-POS plans cost in Clallam?
The average HMO-POS premium in Clallam is $19.50 per month, with 4 plans offering $0 premiums.
What is the leading HMO-POS plan in Clallam?
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) is the top HMO-POS in Clallam, with 1,239 enrollees.
What is the number of HMO-POS plans without Part D coverage in Clallam?
0 HMO-POS plans in Clallam do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Clallam 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) | 2 | 29% |
| 3 Stars | 4 | 57% |
| Below 3 Stars | 1 | 14% |
| Not Rated | 2 | 22% |
| Average Rating | 3.64 | |
* 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
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (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.