2026 Medicare Advantage Plans in Pierce County, WA
Last update: . Enrollment data updated: May 2, 2026
In Pierce County, WA, there are 40 Medicare Advantage plans available for 2026. Of these, 25 offer a $0 monthly premium, and about 44% 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 Pierce County, WA. Or explore all Medicare Options available in Pierce 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 21
- Average Monthly Premium $47.05/mo
- Total PPO Enrollment 15,026
- $0 Premium PPO Plans 13
- Average MOOP $6,557
- Top PPO by Enrollment Aetna Medicare Signature Extra (PPO) — 3,195 enrollees
- PPO Plans Without Drug Coverage 6
What is the total number of PPO plans offered in Pierce?
There are 21 PPO plans in 2026, covering 15,026 beneficiaries.
How much do PPO plans cost in Pierce?
The average PPO premium in Pierce is $47.05 per month, with 13 plans offering $0 premiums.
What is the most popular PPO plan in Pierce?
Aetna Medicare Signature Extra (PPO) is the top PPO in Pierce, with 3,195 enrollees.
What is the number of PPO plans without Part D coverage in Pierce?
There are 6 PPO plans in Pierce 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
- 10
- Average Monthly Premium
- $49.00/mo
- Total HMO Enrollment
- 14,032
- $0 Premium HMO Plans
- 7
- Average MOOP
- $5,800
- Top HMO by Enrollment
- Kaiser Permanente Medicare Advantage Essential Pce (HMO) — 4,266 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H1036-319 | $0 | $8,800 | $615 | H1036-319-0 | |
| Humana Gold Plus H1036-321 | $0 | $5,900 | $615 | H1036-321-0 | |
| Kaiser Permanente Medicare Advantage Basic | $0 | $4,200 | N/A | H5050-001-0 | |
| Kaiser Permanente Medicare Advantage Essential Pce | $69 | $4,950 | $0 | H5050-025-0 | |
| Kaiser Permanente Medicare Advantage Key Pierce | $0 | $6,750 | $0 | H5050-029-0 | |
| Kaiser Permanente Medicare Advantage Optimal | $358 | $3,150 | $0 | H5050-004-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H3748-003-0 | |
| Aetna Medicare Signature Advantage | $0 | $6,750 | $615 | H3931-126-0 | |
| 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 Pierce cost $49.00 per month on average.
Which HMO plan is most popular in Pierce?
The most popular HMO plan in Pierce is Kaiser Permanente Medicare Advantage Essential Pce (HMO), with 4,266 enrollees.
How many HMO plans in Pierce do not include drug coverage?
There are 1 HMO plans in Pierce 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 |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC WA-6 | $0 | $6,300 | $355 | H3805-017-0 | |
| AARP Medicare Advantage Essentials from UHC WA-7 | $0 | $5,900 | $355 | H3805-032-0 | |
| 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 leading HMO-POS plan in Pierce?
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) is the top HMO-POS in Pierce, with 14,255 enrollees.
What is the number of HMO-POS plans without Part D coverage in Pierce?
0 HMO-POS plans in Pierce do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Pierce 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) | 15 | 44% |
| 3 Stars | 18 | 53% |
| Below 3 Stars | 1 | 3% |
| Not Rated | 4 | 11% |
| Average Rating | 3.76 | |
* 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
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