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2026 Medicare Advantage Plans in Pacific County, WA

Last update: .

For 2026, Pacific County, WA includes 6 Medicare Advantage plans. Enrollment across these plans totals approximately 703, with 4 $0 premium options and 50% rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Pacific County, WA are summarized separately. Visit Medicare Options in Pacific County, WA to see more options.

At a Glance

  • Average Monthly Premium: $25.00/mo
  • $0 Premium Plans: 4
  • Average MOOP: $6,925 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 50% · 3 Stars: 25% · Below 3: 25%
  • Average Part D Deductible: $615.00
  • Total MA/MAPD Enrollment: 703
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Wellcare Simple (HMO-POS) — 383 enrollees
    2. Wellcare Giveback (HMO-POS) — 124 enrollees
    3. HumanaChoice H7617-016 (PPO) — 78 enrollees

Medicare Advantage PPO Plans

Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.

Total PPO Plans
3
Average Monthly Premium
$29.00/mo
Total PPO Enrollment
120
$0 Premium PPO Plans
2
Average MOOP
$7,200
Top PPO by Enrollment
HumanaChoice H7617-016 (PPO) — 78 enrollees
PPO Plans Without Drug Coverage
2

2026 PPO Medicare Advantage plans in Pacific County, Washington (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $9,150 N/A H7617-021-0
HumanaChoice H7617-016
☆☆☆☆☆
 $87 $6,750 $615 H7617-016-0
Wellcare Patriot Giveback Open
☆☆☆☆☆
 $0 $5,700 N/A H5965-003-0
What is the average monthly premium for PPO plans in Pacific?
PPO plans in Pacific cost $29.00 per month on average.
Which PPO plan has the highest enrollment in Pacific?
The most popular PPO plan in Pacific is HumanaChoice H7617-016 (PPO), with 78 enrollees.
How many PPO plans in Pacific do not include prescription drug coverage?
2 PPO plans in Pacific do not include prescription drug coverage.

Medicare Advantage HMO Plans

Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.

Total HMO Plans
1
Average Monthly Premium
$63.00/mo
Total HMO Enrollment
76
$0 Premium HMO Plans
0
Average MOOP
$4,200
Top HMO by Enrollment
Humana Gold Plus H5619-061 (HMO) — 76 enrollees
HMO Plans Without Drug Coverage
0

2026 HMO Medicare Advantage plans in Pacific County, Washington (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Humana Gold Plus H5619-061
☆☆☆☆☆
 $63 $4,200 $615 H5619-061-0
What is the total number of HMO plans offered in Pacific?

There are 1 HMO plans in 2026, covering 76 enrollees.

How much do HMO plans cost in Pacific?

The average HMO premium in Pacific is $63.00 per month, with 0 plans offering $0 premiums.

What is the top HMO by enrollment in Pacific?

Humana Gold Plus H5619-061 (HMO) is the top HMO in Pacific, with 76 enrollees.

What is the number of HMO plans without Part D coverage in Pacific?

0 HMO plans in Pacific do not include prescription drug coverage.

Medicare Advantage HMO-POS Plans

HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.

Total HMO-POS Plans
2
Average Monthly Premium
$0.00/mo
Total HMO-POS Enrollment
507
$0 Premium HMO-POS Plans
2
Average MOOP
$7,875
Top HMO-POS by Enrollment
Wellcare Simple (HMO-POS) — 383 enrollees
HMO-POS Plans Without Drug Coverage
0

2026 HMO-POS Medicare Advantage plans in Pacific County, Washington (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Wellcare Giveback
☆☆☆☆☆
 $0 $9,250 $615 H0029-009-0
Wellcare Simple
☆☆☆☆☆
 $0 $6,500 $615 H0029-011-0

What is the average monthly premium for HMO-POS plans?

HMO-POS plans in Pacific cost $0.00 per month on average.

Which HMO-POS plan is most popular in Pacific?

The most popular HMO-POS plan in Pacific is Wellcare Simple (HMO-POS), with 383 enrollees.

How many HMO-POS plans in Pacific do not include drug coverage?

There are 0 HMO-POS plans in Pacific without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Pacific County, WA (2026) are summarized below.

Medicare Advantage Plan Ratings in Pacific County, WA (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 2 50%
3 Stars 1 25%
Below 3 Stars 1 25%
Not Rated 2 33%
Average Rating 3.63

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.

Data sources and methodology documentation .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .