Medicare Advantage insurer · Part of Providence St Joseph Health · 2026
Providence Medicare Advantage Plans
Providence Medicare Advantage Plans's Medicare Advantage footprint for 2026, how many plans it offers, where, and how CMS rates their quality.
- 13
- Plans offered
- 4.0★
- Avg CMS rating
- 3
- States covered
- 0
- 5-star plans
The short answer
Providence Medicare Advantage Plans offers 13 Medicare Advantage plans across 3 states, averaging 4.0★ on the CMS quality scale.
- 13
- plans offered
- 4.0★
- average CMS rating
- 22
- counties served
- -
- members enrolled (CMS)
Star ratings are set yearly by CMS. Plan availability varies by county, open a plan to see where it is sold.
What the CMS Data Shows About Providence Medicare Advantage Plans
Providence Medicare Advantage Plans is registered with the Centers for Medicare & Medicaid Services as a Medicare Advantage Organization and, in the 2026 contract year, markets 13 distinct plans across 3 states and 22 counties. The contracts sit inside the Providence St Joseph Health corporate family, which matters for quality measurement because CMS aggregates many Star Rating measures at the parent-organization level before applying the contract-level bonus payment rules. CMS-reported enrollment across this issuer's MA plans is not disclosed in the public file for the 2026 plan year, a figure drawn from the same Monthly Enrollment by Contract/Plan/State/County Report used by Medicare researchers.
On quality, Providence Medicare Advantage Plans carries a weighted mean CMS Star Rating of 4.00 out of 5 across its Medicare Advantage book, with 0 contracts earning the top 5-star tier. The star score is not a marketing claim, it is a composite CMS calculates from more than 40 individual measures spanning preventive care delivery, chronic-condition management, patient safety, member-experience surveys (CAHPS), appeals handling, and plan-operations metrics. Contracts above 4 stars trigger federal Quality Bonus Payments, a rebate mechanism that insurers typically re-invest into supplemental benefits such as dental, vision, hearing, over-the-counter allowances, and fitness programs, which is why two plans from the same issuer can look very different on extras depending on which contract they fall under.
The product mix shown below - HMO, HMO POS - determines how beneficiaries access care. HMO plans keep cost-sharing low but lock to in-network providers; local and regional PPOs relax that at higher copays; and Special Needs Plans (SNPs) add disease-specific formulary and care-management features for chronic conditions, duals, or institutional residents. Before enrolling, verify that Providence Medicare Advantage Plans's plan is offered in your specific county, that your preferred providers are in network, and that your prescriptions appear on the plan's current formulary. All figures on this page originate from CMS public-use files for the 2026 contract year and are informational only, not Medicare counseling advice.
Plans Offered by Providence Medicare Advantage Plans
| Plan Name | Type | State | Stars | Action |
|---|---|---|---|---|
| PROVIDENCE HEALTH ASSURANCE | HMO | CA | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO | OR | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO | OR | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO | OR | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO | WA | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO POS | WA | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO | WA | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO | WA | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO | WA | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO | WA | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO POS | WA | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO | WA | 4.0 | View details → |
| PROVIDENCE HEALTH ASSURANCE | HMO POS | WA | 4.0 | View details → |
Official Medicare resources
Insurers With a Similar Star Rating
Other Medicare Advantage organizations nationwide whose average star rating is closest to Providence Medicare Advantage Plans's 4.0.
Medicare Advantage Guides
Frequently Asked Questions
How many Medicare Advantage plans does Providence Medicare Advantage Plans offer?
Providence Medicare Advantage Plans offers 13 Medicare Advantage plans across 3 states (OR, WA, CA), serving beneficiaries in 22 counties.
What is Providence Medicare Advantage Plans's average star rating?
Providence Medicare Advantage Plans has an average CMS star rating of 4.0 out of 5 across its Medicare Advantage plans. Star ratings are based on quality measures including clinical outcomes, patient experience, and plan operations.
What plan types does Providence Medicare Advantage Plans offer?
Providence Medicare Advantage Plans offers HMO, HMO POS Medicare Advantage plans. Providence Medicare Advantage Plans operates under Providence St Joseph Health. Plan types differ in provider network flexibility and cost structure.
How many people are enrolled in Providence Medicare Advantage Plans plans?
CMS-reported enrollment for Providence Medicare Advantage Plans is not disclosed in the public file for the 2026 plan year. Enrollment figures, where published, reflect CMS's Monthly Enrollment by Contract/Plan/State/County Report.
Read our methodology - how this data is sourced, computed, and verified.