County guide · Washington County, OR · 2027 plan year
Original Medicare vs Medicare Advantage in Washington County, OR
This guide lists 32 Medicare Advantage plans for 2027 in Washington County, with the yearly cost of each one next to Original Medicare with Medigap. Special needs plans are not on this list.
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- Plans
- 32
- $0 premium
- 19 plans
- Lowest in-network limit
- $4,000
- Highest in-network limit
- $9,250
In most states, including Oregon, you cannot count on getting Medigap later
You can buy any Medigap plan with no health questions in the 6 months that start when you are 65 or older and have Part B. After that, a Medigap company in Oregon can ask about your health. It can say no, or it can charge you more. So if you join a Medicare Advantage plan now, you may not be able to get Medigap later. Oregon’s birthday rule helps only people who already have Medigap, not people who leave Medicare Advantage.
One exception is the trial right. If you joined Medicare Advantage when you first got Medicare at 65, or you left a Medigap plan to try Medicare Advantage for the first time, you can switch back within 12 months. Then you can buy a Medigap plan with no health questions.
Read about Medigap rights on Medicare.govYearly cost of each plan
Totals include premiums, the Part B premium, copays, and drug costs for three levels of care. A light year is checkups and a few visits. A regular year has ongoing specialist care. A heavy year has frequent care and a 5-day hospital stay.
| Plan | Monthly premiums | Yearly limit on medical costs | Stars | Prior authorization | Light year | Regular year | Heavy year |
|---|---|---|---|---|---|---|---|
| Original Medicare with Medigap Plan Gand the lowest-cost drug plan | Part B $209.50 + Plan G + a drug plan from $5.30 | $292 Part B deductible, then Plan G pays | Not rated | Short list of services | We have no checked Medigap price for this county yet. Check Medigap prices on Medicare.gov | ||
| DEVOTED GIVEBACK 028 OR (HMO)HMO from Devoted Health · Plan ID H2923-028 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 (the plan pays back $154.20 of Part B) | $8,900 in network | 3 of 5 | 24 services | $900 | $3,956 | $10,898 |
| ATRIO Choice Rx (PPO)PPO from ATRIO Health Plans · Plan ID H7006-018 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 | $5,900 in network; $5,900 in and out of network | 2.5 of 5 | 18 services | $2,609 | $4,718 | $10,814 |
| Kaiser Permanente Senior Advantage Value (HMO-POS)HMO-POS from Kaiser Permanente · Plan ID H9003-009 · Medicare.govIts page is set for Clark County, WA | $0 plan + Part B $209.50 | $6,750 in network | 4.5 of 5 | 24 services | $2,609 | $4,774 | $11,424 |
| Kaiser Permanente Senior Advantage Standard (HMO-POS)HMO-POS from Kaiser Permanente · Plan ID H9003-006 · Medicare.govIts page is set for Clark County, WA | $49 plan + Part B $209.50 | $5,250 in network | 4.5 of 5 | 24 services | $3,192 | $5,017 | $10,512 |
| DEVOTED CORE 001 OR (HMO)HMO from Devoted Health · Plan ID H2923-001 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 | $6,700 in network | 3 of 5 | 24 services | $2,554 | $5,436 | $11,614 |
| DEVOTED GIVEBACK EXTRAS 025 OR (HMO)HMO from Devoted Health · Plan ID H2923-025 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 (the plan pays back $70 of Part B) | $7,700 in network | 3 of 5 | 24 services | $1,860 | $5,643 | $11,687 |
| Humana Essentials Plus Giveback (HMO)HMO from Humana · Plan ID H1036-323 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 (the plan pays back $56 of Part B) | $9,050 in network | 4.5 of 5 | 24 services | $2,544 | $5,673 | $11,519 |
| Humana Total Complete (HMO)HMO from Humana · Plan ID H1036-153 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 | $5,150 in network | 4.5 of 5 | 24 services | $2,584 | $5,687 | $10,064 |
| Kaiser Permanente Senior Advantage Enhanced (HMO-POS)HMO-POS from Kaiser Permanente · Plan ID H9003-001 · Medicare.govIts page is set for Clark County, WA | $134 plan + Part B $209.50 | $4,000 in network | 4.5 of 5 | 24 services | $4,222 | $5,782 | $10,282 |
| Humana Value Choice (PPO)PPO from Humana · Plan ID H5216-428 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 | $6,950 in network; $10,750 in and out of network | 4 of 5 | 24 services | $2,674 | $5,963 | $11,864 |
| AARP Medicare Advantage Essentials from UHC OR-7 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H3805-048 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 | $6,700 in network | 3.5 of 5 | 24 services | $2,514 | $6,045 | $11,614 |
| AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H3805-041 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 | $7,150 in network | 3.5 of 5 | 24 services | $2,514 | $6,148 | $12,064 |
| AARP Medicare Advantage from UHC OR-0002 (PPO)PPO from UnitedHealthcare · Plan ID H2406-070 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 | $7,150 in network; $10,750 in and out of network | 4 of 5 | 24 services | $2,514 | $6,326 | $12,064 |
| DEVOTED CHOICE PREMIUM 002 OR (PPO)PPO from Devoted Health · Plan ID H7199-002 · Medicare.govIts page is set for Multnomah County, OR | $28.50 plan + Part B $209.50 | $6,000 in network; $10,750 in and out of network | 4.5 of 5 | 24 services | $3,116 | $6,367 | $11,256 |
| Aetna Medicare Elite (HMO)HMO from Aetna Medicare · Plan ID H2056-003 · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 | $7,150 in network | 3 of 5 | 19 services | $3,229 | $6,407 | $12,064 |
| Wellcare Low Premium (HMO-POS)HMO-POS from Wellcare · Plan ID H6815-038 · Medicare.govIts page is set for Multnomah County, OR | $44.50 plan + Part B $209.50 | $7,900 in network | 3 of 5 | 20 services | $3,249 | $6,807 | $12,545 |
| AARP Medicare Advantage from UHC OR-0001 (PPO)PPO from UnitedHealthcare · Plan ID H2406-042 · Medicare.govIts page is set for Multnomah County, OR | $94 plan + Part B $209.50 | $6,700 in network; $10,750 in and out of network | 4 of 5 | 24 services | $3,642 | $6,863 | $12,742 |
| DEVOTED PREMIUM 005 OR (HMO)HMO from Devoted Health · Plan ID H2923-005 · Medicare.govIts page is set for Multnomah County, OR | $43 plan + Part B $209.50 | $5,900 in network | 3 of 5 | 24 services | $3,259 | $6,932 | $11,330 |
| Wellcare Low Premium Open (PPO)PPO from Wellcare · Plan ID H5439-015 · Medicare.govIts page is set for Clark County, WA | $29 plan + Part B $209.50 | $9,250 in network; $13,700 in and out of network | 3 of 5 | 20 services | $3,174 | $6,951 | $12,950 |
| HumanaChoice H5216-048 (PPO)PPO from Humana · Plan ID H5216-048 · Medicare.govIts page is set for King County, WA | $97 plan + Part B $209.50 | $7,000 in network; $10,100 in and out of network | 4 of 5 | 24 services | $3,860 | $7,123 | $13,078 |
| Regence MedAdvantage + Rx Primary (PPO)PPO from Regence BlueCross BlueShield of Oregon · Plan ID H3817-011 · Medicare.govIts page is set for Multnomah County, OR | $88 plan + Part B $209.50 | $7,150 in network; $10,100 in and out of network | 3.5 of 5 | 19 services | $3,665 | $7,302 | $12,765 |
| Wellcare Premium Enhanced Open (PPO)PPO from Wellcare · Plan ID H5439-019 · Medicare.govIts page is set for Clark County, WA | $76.60 plan + Part B $209.50 | $7,000 in network; $10,700 in and out of network | 3 of 5 | 20 services | $3,729 | $7,402 | $12,833 |
| Regence MedAdvantage + Rx Classic (PPO)PPO from Regence BlueCross BlueShield of Oregon · Plan ID H3817-008 · Medicare.govIts page is set for Multnomah County, OR | $130 plan + Part B $209.50 | $6,700 in network; $10,100 in and out of network | 3.5 of 5 | 19 services | $4,164 | $7,641 | $12,714 |
| Regence MedAdvantage + Rx Enhanced (PPO)PPO from Regence BlueCross BlueShield of Oregon · Plan ID H3817-009 · Medicare.govIts page is set for Multnomah County, OR | $244 plan + Part B $209.50 | $5,900 in network; $9,550 in and out of network | 3.5 of 5 | 19 services | $5,522 | $8,407 | $13,197 |
| Wellcare Premium Ultra Open (PPO)PPO from Wellcare · Plan ID H5439-011 · Medicare.govIts page is set for Multnomah County, OR | $206 plan + Part B $209.50 | $6,500 in network; $8,700 in and out of network | 3 of 5 | 20 services | $5,288 | $8,709 | $13,886 |
| AARP Medicare Advantage Patriot No Rx OR-MA01 (PPO)PPO from UnitedHealthcare · Plan ID H2406-073 · No drug coverage · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 (the plan pays back $170 of Part B) | $7,150 in network; $10,750 in and out of network | 4 of 5 | 24 services | $762 | $9,186 | $29,200 |
| Humana USAA Honor Giveback (PPO)PPO from Humana · Plan ID H5216-427 · No drug coverage · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 (the plan pays back $150 of Part B) | $9,150 in network; $13,900 in and out of network | 4 of 5 | 24 services | $1,087 | $9,300 | $29,345 |
| Aetna Medicare Eagle (HMO)HMO from Aetna Medicare · Plan ID H2056-018 · No drug coverage · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 (the plan pays back $50 of Part B) | $5,500 in network | 3 of 5 | 19 services | $2,292 | $10,326 | $28,990 |
| ATRIO Freedom (PPO)PPO from ATRIO Health Plans · Plan ID H7006-021 · No drug coverage · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 | $4,450 in network; $4,450 in and out of network | 2.5 of 5 | 18 services | $2,892 | $10,516 | $28,540 |
| Humana USAA Honor Giveback (PPO)PPO from Humana · Plan ID H5216-455 · No drug coverage · Medicare.govIts page is set for King County, WA | $0 plan + Part B $209.50 (the plan pays back $43 of Part B) | $5,100 in network; $10,100 in and out of network | 4 of 5 | 24 services | $2,376 | $10,665 | $28,674 |
| Wellcare Patriot Giveback Open (PPO)PPO from Wellcare · Plan ID H5439-010 · No drug coverage · Medicare.govIts page is set for Multnomah County, OR | $0 plan + Part B $209.50 (the plan pays back $10 of Part B) | $6,750 in network; $9,200 in and out of network | 3 of 5 | 20 services | $2,940 | $11,006 | $30,720 |
| Regence Valiance (PPO)PPO from Regence BlueCross BlueShield of Oregon · Plan ID H3817-010 · No drug coverage · Medicare.govIts page is set for Clark County, WA | $0 plan + Part B $209.50 | $5,300 in network; $9,550 in and out of network | 3.5 of 5 | 19 services | $2,892 | $11,051 | $29,390 |
A plan with no drug coverage counts drugs at full price, unless its members can add a separate drug plan. A plan name with a link opens a page where you can change the care level, the Medigap plan, your age, and your drugs.
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Sources and method
Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. Original Medicare amounts are the 2027 projections in the 2026 Medicare Trustees Report (Tables V.E1 and V.E2). CMS sets the final amounts in November. We do not have a Medigap price for Washington County, OR. So the Original Medicare total needs your own Medigap quote. You can look up prices for ZIP 97116 on Medicare.gov. Totals use typical Medicare-allowed amounts for each service and typical drug prices.
- Medigap prices for ZIP 97116 on Medicare.gov
- CMS Plan Benefit Package files, 2027
- CMS 2027 landscape files (premiums and limits)
- CMS 2027 plan crosswalk
- CMS 2027 Star Ratings
- 2026 Medicare Trustees Report: projected 2027 Part A and Part B amounts (Tables V.E1 and V.E2)
- CMS 2026 Part A and Part B amounts
- Medicare.gov: Medigap guaranteed issue rights
These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.
Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.