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

Your Medicare Coverage Options in Jefferson County, WA

This page explains all Medicare coverage options available to residents of Jefferson County, Washington, including Original Medicare, Medicare Advantage, Part D, Medigap, and local assistance.

Medicare Options at a Glance

Medicare coverage in Jefferson County is built around several core options, each serving different needs depending on how you want to receive care, manage costs, and access providers. They include:

  • Original Medicare: Best for broad provider access nationwide.
  • Medicare Advantage: Best for bundled coverage with lower premiums.
  • Part D: Best for prescription drug coverage with Original Medicare.
  • Medigap: Best for predictable out-of-pocket costs.
  • SNPs: Best for specific health or eligibility needs.
  • Other Options: These may include VA benefits, employer or retiree coverage, and local assistance programs.

Each of these options works differently. Understanding how they compare is the key to choosing the right Medicare coverage in Yavapai County.

Medicare Advantage Options in Jefferson County

Medicare Advantage plans in Jefferson County combine hospital and medical coverage into a private plan option, often with prescription drug coverage and extra benefits. Availability, plan type, and out-of-pocket limits vary by county.

Medicare Advantage Snapshot Jefferson County
Total Medicare Advantage plans 17
$0 premium plans 11
HMO plans 1
PPO plans 10
Plans with drug coverage 13
Lowest MOOP $4,200
Highest MOOP $9,250
Highest Part B giveback $61.70

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
AARP Medicare Advantage from UHC WA-12 4.5 ★ 19,597
Humana USAA Honor Giveback 3.5 ★ 11,478
AARP Medicare Advantage from UHC WA-16 4.5 ★ 7,360

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Humana Gold Plus H5619-061 3.0 ★ 2,561

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
AARP Medicare Advantage Extras from UHC WA-14 3.5 ★ 75,965
Wellcare Simple 0.0 ★ 22,895
AARP Medicare Advantage Essentials from UHC WA-6 3.5 ★ 15,431

Medicare Advantage coverage varies based on network structure, inclusion of drug benefits, and maximum out-of-pocket costs each year. Many beneficiaries begin with these plans for their all-in-one coverage and added perks, but provider access and plan rules play a key role in the decision.

See Medicare Advantage plans in Jefferson County

Medicare Part D Options in Jefferson 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
HealthSpring Assurance Rx $0.00 $615 92,444
Wellcare Classic $0.00 $615 59,912
Humana Basic Rx Plan $0.00 $615 58,488

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $0.00 $615 211,649
AARP Medicare Rx Preferred from UHC $110.00 $130 56,317
Humana Value Rx Plan $22.10 $601 54,080

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 Washington

Medicare Supplement (Medigap) Coverage in Jefferson County

Medigap plans work with Original Medicare and help pay deductibles, copayments, and coinsurance. Unlike Medicare Advantage, Medigap does not replace Original Medicare and usually requires separate Part D coverage for prescriptions.

Sample data across 18 insurers shows monthly premiums starting around $48 and exceeding $482 depending on plan type and pricing structure. Even when coverage is identical, differences in rating methods and discounts can lead to wide variation across insurers.

Medigap Snapshot Jefferson 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

For residents of Jefferson, Medigap is often considered by people who want the flexibility to use providers nationwide who accept Medicare without relying on local Medicare Advantage networks.

Sample Plan G Pricing in Washington

Plan G typically ranges from $102 to $326.

Carrier Plan Low High
AARP - UnitedHealthcare G $256 $0
Cigna G $225 $0
Humana G $241 $0
Mutual of Omaha G $252 $0
Wellcare G $216 $0

Sample Plan N Pricing in Washington

Plan N typically ranges from $147 to $0.

Carrier Plan Low High
AARP - UnitedHealthcare N $209 $0
Cigna N $171 $0
Humana N $195 $0
Mutual of Omaha N $177 $0
Wellcare N $164 $0

Explore all Medicare Supplement plans in Washington for more details.

Special Needs Plans (SNPs) in Jefferson County

SNPs are Medicare Advantage plans tailored for people with defined eligibility profiles, including those enrolled in Medicaid, living with certain chronic conditions, or receiving long-term or institutional care.

SNP Snapshot Jefferson County
Total SNP plans 26
D-SNP plans 22
C-SNP plans 3
I-SNP plans 1

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete WA-S6 3.5 ★ 12,498
Molina Medicare Complete Care 3.0 ★ 11,951
Humana Gold Plus SNP-DE H5619-166 3.0 ★ 10,104

Top C-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Complete Care WA-13 3.5 ★ 9,177
DEVOTED C-SNP CHOICE PLUS 006 WA 0.0 ★ 188
DEVOTED C-SNP CHOICE PREMIUM 005 WA 0.0 ★ 74

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Humana Together in Health 3.5 ★ 0

Availability of SNPs in Jefferson is tied to eligibility requirements. These plans are not available to all beneficiaries but can be especially valuable for those with Medicaid or qualifying chronic conditions.

See Special Needs Plans in Jefferson County

VA Benefits and Local Medicare Help in Jefferson County

Beneficiaries may also have access to coverage or support options outside traditional Medicare plan types, such as VA benefits, employer or retiree plans, and counseling services.

Additional Support Options Jefferson County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability Washington SHIBA
Local help resource Statewide Health Insurance Benefits Advisors

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

Choosing Medicare coverage comes down to how you want to receive care, manage 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 Jefferson 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
  • Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed May 6, 2026
  • Medicare.gov, "Joining a plan" — Last accessed May 7, 2026
  • Medicare.gov, "Get Medigap Basics" — Last accessed May 5, 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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