HMO · Special Needs Plan · Contract H5823 · 2026
Molina Healthcare OF Washington, Inc.
Molina Healthcare OF Washington, Inc. is a HMO Medicare Advantage plan from Molina Healthcare of Washington, Inc., available in 1 state. Here is its CMS quality rating, drug coverage, and benefits.
- 3.0★
- Average
- $0
- Premium/mo
- 4.0★
- Above average
- 1
- States available
The verdict
Molina Healthcare OF Washington, Inc. holds a 3.0-star CMS rating, placing it below the national median of 484 rated Medicare Advantage contracts nationwide, at a $0 monthly premium.
- 24th pct.
- nationwide CMS rating percentile (of 484)
- 3.0★
- overall CMS star rating
- $0
- monthly premium
- $350
- annual drug deductible
Percentile is computed against every CMS-rated Medicare Advantage contract nationwide (contract_summary), not just plans sold in your area.
Where Molina Healthcare OF Washington, Inc. sits on CMS quality
This contract's overall CMS star rating, against every rated Medicare Advantage contract nationwide
3★ Top 76% higher than 24% of 484 CMS Medicare contracts
Each bar is a band; taller bars hold more CMS Medicare contracts. 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
Molina Healthcare OF Washington, Inc. plan score
A single 0-100 verdict combining Molina Healthcare OF Washington, Inc.'s nationwide standing on 4 of 4 CMS-filed measures: quality, affordability, cost protection, and supplemental-benefit richness, each from its own CMS source file. A missing filing drops out and redistributes its weight rather than deflating the score.
55/100
Percentile-weighted across 4 of 4 measures
- CMS quality (star rating)
- F 3 stars
24th percentile nationwide
- Affordability (premium)
- A 0 $/mo
100th percentile nationwide
- Cost protection (deductible)
- B 350 $/yr
78th percentile nationwide
- Benefit richness (supplemental coverage)
- D 4 benefits
43th percentile nationwide
Benchmarked live against every plan or plan-county row reporting each measure in the current CMS extract (CY2026 Star Ratings, Landscape file, and Plan Benefit Package). Not a CMS-endorsed score; PlainMedicare's own weighting (quality 40%, affordability 25%, cost protection 15%, benefit richness 20%).
What the CMS Data Shows About Molina Healthcare OF Washington, Inc.
Molina Healthcare OF Washington, Inc. operates under CMS contract H5823, issued by Molina Healthcare of Washington, Inc. (parent organization Molina Healthcare, Inc.). The contract is classified as a HMO product, which governs how enrollees access care: HMOs require in-network providers and referrals for most specialist care, trading network flexibility for lower cost-sharing. This contract is also flagged in CMS data as a Special Needs Plan (SNP), meaning enrollment is restricted to beneficiaries meeting specific eligibility criteria, chronic condition, dual Medicare-Medicaid status, or institutional residence. Service area spans 1 state (WA) and 39 counties, a geography set at the CMS service-area definition level.
The overall CMS Star Rating for this contract is 3.0 out of 5.0, compared to 3.0 in the prior plan year (a 0.0-star movement). This rating synthesizes 36 individual quality measures spanning 9 CMS domains, including clinical outcomes, patient experience (CAHPS), member complaints and appeals, and plan operations. The Part D drug-benefit portion of this contract carries a separate CMS Star Rating of 4.0, which reflects pharmacy cost, adherence to chronic medications, and drug pricing accuracy. Ratings at 4+ stars trigger federal Quality Bonus Payments that insurers typically reinvest in supplemental benefits.
On costs, this contract lists a monthly plan premium of $0 (no premium beyond Part B) and an annual Part D drug deductible of $350.00, from the CMS CY2026 Landscape file; every enrollee also pays the standard Part B premium. Beyond standard Medicare Parts A and B, the contract documents 8 supplemental benefits in the CMS benefits file, coverage extras such as dental, vision, hearing aids, fitness programs, and OTC allowances that Original Medicare does not provide. Before enrolling, verify that your preferred providers participate in the plan's network for your specific county, review the current Summary of Benefits, and confirm that your prescriptions appear on the plan formulary. All figures shown come from CMS public-use files for the 2026 contract year; this page is informational only and is not personalized Medicare counseling advice.
Year-over-Year Star Rating
Quality Measures by Domain
Managing Chronic Conditions
13 measuresCare for Older Adults – Pain Assessment
Controlling High Blood Pressure
Diabetes Care – Blood Sugar Controlled
Diabetes Care – Eye Exam
Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
Getting Needed Care
Improving Bladder Control
Kidney Health Evaluation for Patients with Diabetes
Medication Reconciliation Post-Discharge
Osteoporosis Management in Women who had a Fracture
Plan All-Cause Readmissions
Reducing the Risk of Falling
Transitions of Care
Member Experience
5 measuresCare Coordination
Complaints about the Health Plan
Customer Service
Getting Appointments and Care Quickly
Rating of Health Care Quality
Complaints & Changes
2 measuresMembers Choosing to Leave the Plan
Plan Makes Timely Decisions about Appeals
Customer Service
3 measuresCall Center – Foreign Language Interpreter and TTY Availability
Call Center – Foreign Language Interpreter and TTY Availability
Reviewing Appeals Decisions
Drug Plan Customer Service
1 measuresComplaints about the Drug Plan
Drug Plan Experience
2 measuresGetting Needed Prescription Drugs
MPF Price Accuracy
Drug Safety & Pricing
4 measuresMedication Adherence for Cholesterol (Statins)
Medication Adherence for Diabetes Medications
MTM Program Completion Rate for CMR
Statin Use in Persons with Diabetes (SUPD)
Tests & Vaccines
3 measuresImproving or Maintaining Mental Health
Improving or Maintaining Physical Health
Monitoring Physical Activity
Member Complaints and Changes in the Drug Plan’s Performance
3 measuresDrug Plan Quality Improvement
Members Choosing to Leave the Plan
Rating of Drug Plan
Supplemental Benefits
| Benefit | Covered | Max Benefit |
|---|---|---|
| Hearing Aids | ✓ Yes | - |
| Hearing Exam | ✓ Yes | - |
| Vision, Eye Exam | ✓ Yes | - |
| Vision, Eyewear | ✓ Yes | - |
County Availability
Medicare Advantage Guides
Official Medicare resources
Frequently Asked Questions
What is the star rating for Molina Healthcare OF Washington, Inc.?
Molina Healthcare OF Washington, Inc. (Contract H5823) by Molina Healthcare of Washington, Inc. has an overall CMS star rating of 3.0 out of 5. The previous year's rating was 3.0 stars. Star ratings are based on quality measures including preventive care, chronic disease management, and member satisfaction.
How much does Molina Healthcare OF Washington, Inc. cost per month?
Molina Healthcare OF Washington, Inc. has a monthly plan premium (Part C + D combined) of $0, no premium beyond your Part B premium, with an annual Part D drug deductible of $350. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026). Premiums are from the CMS CY2026 Landscape file and can vary by county; confirm current costs on Medicare.gov.
What type of plan is Molina Healthcare OF Washington, Inc.?
Molina Healthcare OF Washington, Inc. is a HMO Medicare Advantage plan offered by Molina Healthcare of Washington, Inc.. This is also a Special Needs Plan (SNP) designed for beneficiaries with specific diseases, characteristics, or care needs. HMO plans generally require you to use in-network providers and get referrals for specialists.
Where is Molina Healthcare OF Washington, Inc. available?
Molina Healthcare OF Washington, Inc. is available in 1 state (WA) across 39 counties. Coverage area can vary, check with the insurer or Medicare.gov for exact availability in your ZIP code.
What supplemental benefits does Molina Healthcare OF Washington, Inc. offer?
Molina Healthcare OF Washington, Inc. covers 8 supplemental benefits beyond standard Medicare, including hearing aids, hearing exam, vision eye exam, vision eyewear. Many Medicare Advantage plans include dental, vision, and hearing coverage not available under Original Medicare.
How is Molina Healthcare OF Washington, Inc. rated on quality measures?
CMS evaluates Molina Healthcare OF Washington, Inc. across 36 individual quality measures spanning 9 domains, including DD1: Drug Plan Customer Service, DD2: Member Complaints and Changes in the Drug Plan’s Performance, DD3: Member Experience with the Drug Plan and more. These measures cover clinical outcomes, patient experience, and plan operations.
Data Source
Data from CMS Medicare Advantage 2026 Star Ratings and Plan Finder datasets. Contract ID: H5823. Last updated: 2026 plan year.
Nationwide Medicare Advantage plans with similar county footprint or CMS star rating
Data-derived peers across the CMS Landscape file: nearest county inventory and nearest overall CMS star rating at the contract level. Not parent-org containment or same-state overlap.
Similar county footprint
- Health Care Service Corporation 39 counties
- Care Improvement Plus South Central Insurance Co. 39 counties
- Usable Mutual Insurance Company 39 counties
- Community Health Plan OF Washington 39 counties
- Wellcare Health Insurance Company OF Washington 39 counties
- Viva Health, Inc. 40 counties
Similar CMS star rating
Related
Before you enroll in Molina Healthcare OF Washington, Inc.
Star rating and network fit matter more than the premium alone.
- This contract holds a 3.0-star CMS rating, below the national median of rated plans nationwide - see how star ratings are built before comparing plans. How star ratings work
- Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Medicare Plan Compare
- This plan documents 8 supplemental benefits beyond Original Medicare - see how it stacks up against Original Medicare's coverage. MA vs Original Medicare
Figures are from CMS CY2026 public files for this contract; benefits and premiums can vary by the specific plan you enroll in and your county.
PlainMedicare is rendered directly from CMS Medicare Advantage and Part D public files, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a correction. Data current as of 2026-09-01.
CMS lists 131,985 Medicare Advantage and Part D plan records in the current public files. PlainMedicare refreshes this registry with each annual release.