Medicare Special Needs Plans in Washington
Every Special Needs Plan in Washington for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.
Showing all 44 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with Washington Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | UHC Dual Complete WA-S2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing4 of 39 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 2 | UHC Dual Complete WA-S5 (PPO D-SNP)UnitedHealthcare · PPO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing12 of 39 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 3 | UHC Dual Advantage WA-V2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only31 of 39 counties | $6.30 | $6,700 | $6,776 | 4.5★ |
| 4 | Humana Gold Plus SNP-DE H1036-325 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing2 of 39 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 5 | UHC Dual Complete WA-Q1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing31 of 39 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 6 | UHC Dual Complete WA-S1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing15 of 39 counties | $6.30 | $9,850 | $9,926 | 4.5★ |
| 7 | Humana Dual Select H5619-165 (HMO D-SNP)Humana · HMO D-SNPCoordination-only36 of 39 counties | $0 | $9,850 | $9,850 | 4★ |
| 8 | Humana Dual Select H5619-166 (HMO D-SNP)Humana · HMO D-SNPCoordination-only36 of 39 counties | $0 | $9,850 | $9,850 | 4★ |
| 9 | Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing34 of 39 counties | $0 | $9,850 | $9,850 | 4★ |
| 10 | UHC Dual Complete WA-S4 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing3 of 39 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 11 | UHC Dual Complete WA-S6 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing13 of 39 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 12 | Community Health Plan of WA Dual Complete (HMO D-SNP)Community Health Plan of WA Medicare Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 39 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 13 | Wellpoint Full Dual Advantage (HMO D-SNP)Wellpoint · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing11 of 39 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 14 | UHC Dual Advantage WA-V1 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only30 of 39 counties | $0 | $6,700 | $6,700 | 3.5★ |
| 15 | UHC Dual Complete WA-Q2 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only30 of 39 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 16 | UHC Dual Complete WA-S3 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing14 of 39 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 17 | Community Health Plan of WA Dual Select (HMO D-SNP)Community Health Plan of WA Medicare Advantage · HMO D-SNPCoordination-only29 of 39 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 18 | Wellpoint Dual Advantage (HMO D-SNP)Wellpoint · HMO D-SNPCoordination-only11 of 39 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 19 | Wellpoint Dual Advantage Plus (HMO D-SNP)Wellpoint · HMO D-SNPCoordination-only · $0 Medicare cost sharing11 of 39 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 20 | Molina Medicare Complete Care (HMO D-SNP)Molina Healthcare of Washington, Inc. · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing36 of 39 counties | $6.30 | $9,850 | $9,926 | 3★ |
| 21 | Molina Medicare Complete Care (HMO D-SNP)Molina Healthcare of Washington, Inc. · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing3 of 39 counties | $6.30 | $9,850 | $9,926 | 3★ |
| 22 | Molina Medicare Elect (HMO D-SNP)Molina Healthcare of Washington, Inc. · HMO D-SNPCoordination-onlyAll 39 counties | $8.10 | $8,875 | $8,972 | 3★ |
| 23 | Wellcare Coordinated Care Dual Liberty Sync (HMO D-SNP)Wellcare · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 39 counties | $0 | $9,850 | $9,850 | 2.5★ |
| 24 | Wellcare Coordinated Care Dual Access (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharingAll 39 counties | $0 | $9,850 | $9,850 | 2.5★ |
C-SNPs: chronic conditions
Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes10 of 39 counties | $0 | $4,550 | $4,550 | 4.5★ |
| 2 | DEVOTED C-SNP ENHANCED 003 WA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 39 counties | $0 | $7,050 | $7,050 | Too new to rate |
| 3 | DEVOTED C-SNP ENHANCED 008 WA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 39 counties | $0 | $7,050 | $7,050 | Too new to rate |
| 4 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 39 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 5 | DEVOTED C-SNP ENHANCED 013 WA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 39 counties | $0 | $7,250 | $7,250 | Too new to rate |
| 6 | DEVOTED C-SNP CHOICE ENHANCED 005 WA (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 39 counties | $0 | $7,550 | $7,550 | Not rated |
| 7 | DEVOTED C-SNP GIVEBACK EXTRAS 009 WA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 39 counties | $0 | $8,100 | $8,100 | Too new to rate |
| 8 | DEVOTED C-SNP GIVEBACK EXTRAS 014 WA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 39 counties | $0 | $8,200 | $8,200 | Too new to rate |
| 9 | DEVOTED C-SNP GIVEBACK EXTRAS 004 WA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 39 counties | $0 | $8,300 | $8,300 | Too new to rate |
| 10 | DEVOTED C-SNP CHOICE PLUS 006 WA (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 39 counties | $0 | $9,850 | $9,850 | Not rated |
| 11 | DEVOTED C-SNP PLUS 005 WA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 39 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 12 | DEVOTED C-SNP PLUS 010 WA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 39 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 13 | DEVOTED C-SNP PLUS 015 WA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 39 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 14 | UHC Complete Care Support WA-1A (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes13 of 39 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 15 | UHC Complete Care Support WA-2A (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 39 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 16 | UHC Complete Care Support WA-3A (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes3 of 39 counties | $0 | $9,850 | $9,850 | 3.5★ |
I-SNPs: institutional care
For people who live, or are expected to live, at least 90 days in a nursing home or similar facility, or who need that level of care at home. Sorted by worst-case year.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | UHC Care Advantage WA-E001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPInstitutional-equivalent (at home)14 of 39 counties | $6.30 | $4,000 | $4,076 | 5★ |
| 2 | AgeRight Advantage Plus Health Plan (HMO I-SNP)AgeRight Advantage · HMO I-SNPHybrid (at home or in a facility)6 of 39 counties | $74 | $6,000 | $6,888 | Not rated |
| 3 | AgeRight Advantage Health Plan (HMO I-SNP)AgeRight Advantage · HMO I-SNPHybrid (at home or in a facility)6 of 39 counties | $0 | $9,850 | $9,850 | Not rated |
| 4 | UHC Nursing Home Plan WA-F001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based15 of 39 counties | $0 | $9,850 | $9,850 | 5★ |
Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort
Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.
Questions
How many Special Needs Plans are in Washington for 2027?
CMS lists 44: 24 D-SNPs (Medicare and Medicaid), 16 C-SNPs (chronic conditions) and 4 I-SNPs (institutional), from 9 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Washington are integrated with Medicaid?
9 of the 24 D-SNPs are fully integrated, highly integrated or applicable integrated plans, which cover or coordinate Medicaid benefits more closely. The rest are coordination-only plans. Integrated plans are listed first among plans with the same star rating.
Do Special Needs Plans include drug coverage?
Yes. Every Special Needs Plan must include Part D drug coverage.
Can I stay in a Special Needs Plan if I no longer qualify?
Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
- Medicare.gov, “Special Needs Plans” — medicare.gov.
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure
Keep going
- How Special Needs Plans work →
- General Medicare Advantage plans in Washington →
- Medicare Savings Programs →
- Extra Help with drug costs →
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