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  1. 🏠
  2. Medicare Options
  3. Maine
  4. Washington County

Your Medicare Coverage Options in Washington County, ME

Learn about Medicare coverage options available in Washington County, Maine, including Original Medicare, Medicare Advantage, Part D, Medigap plans, and local support resources.

Last update: May15, 2026. Enrollment data updated: May 2, 2026

Medicare Options at a Glance

Residents of Washington County, Maine can choose from several Medicare coverage types, each offering a different balance of access, cost, and benefits. The main options are:

  • Original Medicare: Provides broad access to providers across the country.
  • Medicare Advantage: Offers all-in-one coverage, often with lower upfront costs.
  • Part D: Covers prescription drugs when paired with Original Medicare.
  • Medigap: Reduces gaps in coverage and limits out-of-pocket expenses.
  • SNPs: Tailored plans for individuals with qualifying health or financial needs.
  • Other Options: Includes VA coverage, employer-sponsored plans, and local support programs.

Because each option works in a different way, understanding the differences is critical when choosing Medicare coverage in Washington County.

Medicare Advantage Options in Washington County

Medicare Advantage plans in Washington County provide an all-in-one private coverage option that includes hospital and medical benefits, often with prescription drug coverage and additional extras. Plan availability, types, and cost limits vary by county.

Medicare Advantage Snapshot Washington County
Total Medicare Advantage plans 18
$0 premium plans 13
HMO plans 3
PPO plans 9
Plans with drug coverage 13
Lowest MOOP $4,950
Highest MOOP $9,250
Highest Part B giveback $109.00

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
HumanaChoice Giveback H5216-138 3.5 ★ 24,703
AARP Medicare Advantage from UHC ME-0002 4.5 ★ 20,452
Humana USAA Honor Giveback 3.5 ★ 4,446

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Martin's Point Generations Advantage Alliance 4.0 ★ 6,689
Humana Gold Plus H5619-001 3.0 ★ 2,902
Humana Gold Plus Giveback H5619-066 3.0 ★ 2,484

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
Martin's Point Generations Advantage Essential 4.0 ★ 15,958
UHC Northern Light Health ME-0001 4.0 ★ 6,391
Wellcare Simple 3.5 ★ 4,671

Medicare Advantage options are shaped mainly by provider network type, prescription drug inclusion, and annual out-of-pocket exposure. Beneficiaries who want bundled coverage and extra benefits often start here, but network access and plan rules matter.

See Medicare Advantage plans in Washington County

Medicare Part D Plans in Washington County

Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Classic $0.00 $615 31,569
HealthSpring Assurance Rx $0.00 $615 29,027
Humana Basic Rx Plan $0.00 $615 27,044

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $0.00 $615 87,913
AARP Medicare Rx Preferred from UHC $104.30 $130 28,720
Humana Value Rx Plan $54.40 $601 7,050

Part D plan choice depends less on the number of plans and more on whether your drugs are covered at your preferred pharmacy at a reasonable cost.

See Medicare Part D plans in Maine

Medigap Plans in Washington County

Medigap plans supplement Original Medicare by covering deductibles, copayments, and coinsurance. Unlike Medicare Advantage, these plans do not replace Original Medicare and typically require a separate Part D plan for prescription drug coverage.

Across 13 insurers, sample data shows monthly premiums starting near $47 and rising above $591 based on plan type and pricing approach. Even with standardized benefits, pricing can vary significantly due to different rating methods and available discounts.

Medigap Snapshot Washington County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

Many residents of Washington consider Medigap when they want nationwide provider access under Original Medicare, rather than relying on the network restrictions of Medicare Advantage plans.

Sample Plan G Pricing in Maine

Plan G typically ranges from $219 to $582.

Carrier Plan Low High
AARP - UnitedHealthcare G $240 $264
Cigna G $220 $243
Humana G $390 $582
Mutual of Omaha G $219 $251

Sample Plan N Pricing in Maine

Plan N typically ranges from $178 to $366.

Carrier Plan Low High
AARP - UnitedHealthcare N $189 $208
Cigna N $178 $195
Humana N $245 $366

Explore all Medicare Supplement plans in Maine for more details.

Special Needs Plans (SNPs) in Washington County

Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.

SNP Snapshot Washington County
Total SNP plans 7
D-SNP plans 7
C-SNP plans 0
I-SNP plans 0

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete ME-S2 4.5 ★ 11,016
Anthem I MaineHealth Advantage Dual Plus 3.5 ★ 9,196
UHC Dual Complete ME-S1 4.5 ★ 6,342

SNP availability in Washington depends on eligibility. These plans are not general Medicare options for everyone, but they can be important for beneficiaries with Medicaid or qualifying chronic health conditions.

See Special Needs Plans in Washington County

VA Coverage and Local Medicare Help in Washington County

Some beneficiaries may have additional coverage or support beyond standard Medicare plans, including VA health benefits, retiree coverage, and local counseling programs.

Additional Support Options Washington County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability Maine SHIP
Local help resource State Health Insurance Assistance Program

How to Choose the Right Medicare Coverage for You in Washington County

Choosing Medicare coverage comes down to how you want to receive care, manage Medicare costs, and access providers. Most decisions begin by choosing between Medicare Advantage and Original Medicare.

Medicare Advantage plans combine hospital, medical, and often prescription drug coverage into a single plan. These plans may offer lower monthly premiums and additional benefits, but typically require you to use a provider network.

Original Medicare allows you to see providers nationwide who accept Medicare. Many beneficiaries add a Part D prescription drug plan and a Medigap policy to help manage out-of-pocket costs and provide more predictable coverage.

Special Needs Plans (SNPs) may be available for individuals with specific health conditions or eligibility, including those with Medicaid. These plans are not available to everyone but can offer targeted benefits when you qualify.

The right choice depends on your preferred doctors, prescription needs, and how you want to balance monthly premiums with out-of-pocket costs.

To explore your options in more detail, start by reviewing available plans and coverage types in Washington County.

  • CMS.gov, Medicare Advantage & Special Needs Plan 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) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "How to get prescription drug coverage" — Last accessed May 2, 2026
  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed May 7, 2026
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed May 6, 2026
  • Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?" — Last accessed May 6, 2026

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.

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.

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