Medicare Advantage · Washington · 2026 plan year

Medicare Advantage in Whatcom, WA

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Whatcom, WA for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

45
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$15.37
Avg premium/mo
RSS updates for this county

The short answer

Whatcom has 45 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 15 reach 4★ or higher, and 17 carry a $0 monthly premium.

45
plans to compare
4.5★
highest CMS rating here
17
$0-premium plans
15
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Whatcom, WA

Whatcom, WA (FIPS 53073): 45 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Plan-type mix: 18 Local PPO, 14 HMO, 13 HMO POS. Monthly plan premiums (Part C + D) range $0 – $87.00 (avg $15.37), with 17 $0-premium plans. 40 of 45 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Whatcom sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.66★ Top 70% higher than 30% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). This entry sits in this band. 3.75★–4★: 1,344 US counties (43%). Above this entry. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Whatcom, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
2Humana Medical Plan, Inc. (SNP)HumanaHMO$04.5★
3Humana Medical Plan, Inc. (SNP)HumanaHMO$04.5★
4Humana Medical Plan, Inc. (SNP)HumanaHMO$04.5★
5Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$04.5★
6Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$04.5★
7Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$9.404.5★
8Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$10.504.5★
9Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$10.504.5★
10Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$10.504.5★
11Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$56.004.5★
12Emphesys Insurance Company (SNP)HumanaLocal PPO$87.004.5★
13Kaiser Foundation Health Plan OF Washington (SNP)Kaiser PermanenteHMO-4.0★
14Kaiser Foundation Health Plan OF Washington (SNP)Kaiser PermanenteHMO$04.0★
15Kaiser Foundation Health Plan OF Washington (SNP)Kaiser PermanenteHMO$74.004.0★
16Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
17Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
18Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
19UnitedHealthcare Benefits of Texas, Inc. (SNP)UnitedHealthcareHMO POS$03.5★
20UnitedHealthcare Benefits of Texas, Inc. (SNP)UnitedHealthcareHMO POS$03.5★
21UnitedHealthcare Benefits of Texas, Inc. (SNP)UnitedHealthcareHMO POS$03.5★
22Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$03.5★
23Humana Insurance Company (SNP)HumanaLocal PPO$0.703.5★
24Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$10.003.5★
25Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$10.503.5★
26UnitedHealthcare Benefits of Texas, Inc. (SNP)UnitedHealthcareHMO POS$38.003.5★
27Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$42.003.5★
28UnitedHealthcare Benefits of Texas, Inc. (SNP)UnitedHealthcareHMO POS$79.003.5★
29Humana Insurance Company (SNP)HumanaLocal PPO$87.003.5★
30Arcadian Health Plan, Inc. (SNP)HumanaHMO$03.0★
31Arcadian Health Plan, Inc. (SNP)HumanaHMO$03.0★
32Arcadian Health Plan, Inc. (SNP)HumanaHMO$03.0★
33Molina Healthcare OF Washington, Inc. (SNP)Molina Healthcare of Washington, Inc.HMO$03.0★
34Molina Healthcare OF Washington, Inc. (SNP)Molina Healthcare of Washington, Inc.HMO$03.0★
35Arcadian Health Plan, Inc. (SNP)HumanaHMO$8.003.0★
36Community Health Plan OF Washington (SNP)Community Health Plan of WA Medicare AdvantageHMO$10.503.0★
37Community Health Plan OF Washington (SNP)Community Health Plan of WA Medicare AdvantageHMO$10.503.0★
38Wellcare Health Insurance Company OF Washington (SNP)WellcareLocal PPO-2.5★
39Wellcare Health Insurance Company OF Washington (SNP)WellcareLocal PPO$10.502.5★
40Wellcare Health Insurance Company OF Washington (SNP)WellcareLocal PPO$10.502.5★
41Coordinated Care OF Washington, Inc. (SNP)WellcareHMO POS$0N/R
42Coordinated Care OF Washington, Inc. (SNP)WellcareHMO POS$0N/R
43Coordinated Care OF Washington, Inc. (SNP)WellcareHMO POS$6.20N/R
44Coordinated Care OF Washington, Inc. (SNP)WellcareHMO POS$7.60N/R
45Coordinated Care OF Washington, Inc. (SNP)WellcareHMO POS$10.50N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (15 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Whatcom, WA?

There are 45 Medicare Advantage plans available in Whatcom, WA for the 2026 plan year, including 18 Local PPO, 14 HMO, 13 HMO POS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Whatcom?

The highest-rated plan in Whatcom has a CMS star rating of 4.5 out of 5 - CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Whatcom?

Monthly plan premiums (Part C + D combined) in Whatcom range from $0 to $87.00, averaging $15.37. 17 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Whatcom?

Whatcom has 18 Local PPO, 14 HMO, 13 HMO POS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare