Understanding Medicare Special Needs Plans in Washington County, Oregon
Washington County, OR offers 15 Special Needs Plans (SNPs) in 2027, including 11 with no monthly premium. Currently, about 5,764 beneficiaries are enrolled, and 50% of SNPs have a 4-star rating or higher. These plans are designed for Medicare beneficiaries who meet special eligibility criteria, such as dual coverage, qualifying chronic conditions, or residence in a long-term care facility.
You can also review all Medicare coverage options available in Washington County, OR.
Page last revised:
Enrollment data refreshed: October 5, 2026
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. Data sources
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are designed for people who qualify for both Medicare and Medicaid. These plans coordinate benefits to reduce costs and provide access to additional support services.
- Total D-SNP Plans: 2
- Average Premium: $0.00/mo
- Beneficiaries Enrolled: 2,372
- $0 Premium D-SNPs: 2
- Zero Cost D-SNP Plans: 1
- Most Popular D-SNP: CareOregon Advantage Plus (D-SNP) with 2,244 enrollees
- D-SNPs Without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| CareOregon Advantage Plus | $0 | HMO D-SNP | H5859 001 0 | |
| Wellcare Trillium Health Plan Dual Select Sync | $0 | HMO D-SNP | H2174 001 0 |
What D-SNP plan has the highest enrollment in Washington County?
CareOregon Advantage Plus (D-SNP) is the most popular D-SNP in Washington County, with 2,244 enrollees.
What is the total number of D-SNP options in Washington County?
There are 2 D-SNP plans in 2027, covering 2,372 beneficiaries.
Institutional Special Needs Plans (I-SNPs)
These plans cater to individuals residing in long-term care facilities, such as nursing homes, or those requiring extended skilled nursing facility care at home. The CMS website provides more information about I-SNPs and their coverage details.
- Total I-SNP Plans
- 6
- Average Premium
- $22.55/mo
- Beneficiaries Enrolled
- 559
- $0 Premium I-SNPs
- 3
- Average MOOP
- $14,517
- Most Popular I-SNP
- UHC Care Advantage OR-E001 (I-SNP) with 254 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| UHC Care Advantage OR-E001 | $6 | PPO I-SNP | H0710 037 0 | |
| UHC Nursing Home Plan OR-F001 | $0 | PPO I-SNP | H0710 036 0 | |
| AgeRight Advantage Health Plan | $0 | HMO I-SNP | H1372 001 0 | |
| AgeRight Advantage Plus Health Plan | $74 | HMO I-SNP | H1372 002 0 | |
| Springs Advantage, a SCAN Medicare Plan | $55 | HMO-POS I-SNP | H3879 001 0 | |
| Springs Together, a SCAN Medicare Plan | $0 | HMO-POS I-SNP | H3879 002 0 |
What is the total number of I-SNP options in Washington County?
Washington County has 6 I-SNP options for 2027, serving 559 members.
How much do I-SNP plans cost on average in Washington County?
The mean monthly I-SNP premium in Washington County is $22.55, with 3 at no cost.
Chronic Condition Special Needs Plans (C-SNPs)
These plans are designed for individuals with severe or disabling chronic conditions. C-SNPs excel at coordinating your care among different medical specialists and often include extra benefits like prescription drug plans.
- Total C-SNP Plans 7
- Average Premium $9.86/mo
- Beneficiaries Enrolled 2,833
- $0 Premium C-SNPs 6
- Average MOOP $15,843
- Most Popular C-SNP UHC Complete Care Support OR-1A (C-SNP) with 1,300 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | H1036 317 0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | H1036 306 0 | |
| UHC Complete Care Support OR-1A | $0 | PPO C-SNP | H2001 045 0 | |
| UHC Complete Care OR-5 | $0 | HMO-POS C-SNP | H3805 040 0 | |
| DEVOTED C-SNP GIVEBACK EXTRAS 019 OR | $0 | HMO C-SNP | H2923 019 0 | |
| DEVOTED C-SNP PLUS 009 OR | $0 | HMO C-SNP | H2923 009 0 | |
| AgeRight Advantage Premier Health Plan | $69 | HMO C-SNP | H1372 003 0 |
What is the typical monthly premium for C-SNPs in Washington County?
On average, C-SNP plans in Washington County cost $9.86 per month.
Which C-SNP plan do most beneficiaries with chronic conditions choose in Washington County?
The leading C-SNP in Washington County is UHC Complete Care Support OR-1A (C-SNP), with 1,300 members.
How many Chronic Condition SNPs are offered in Washington County?
In 2027, Washington County offers 7 C-SNPs with 2,833 enrollees.
Medicare Special Needs Plans have with strict enrollment windows. By knowing when and how to sign up, you’ll avoid missed deadlines and keep your healthcare coverage aligned with your needs.
Understanding Enrollment Windows
- Initial Enrollment Period (IEP): Beginning three months before you turn 65 and lasting until three months after, this is the initial chance to join Medicare. You may also select a Medicare Advantage plan if it fits your needs. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): From October 15 through December 7 each year, you can make changes to your Medicare coverage for the following year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
Ways to Enroll in Medicare Advantage Special Needs Plans
- Consult a Licensed Agent: Call a licensed insurance agent at 1-833-748-3201 (TTY 711), available Mon-Fri 8AM-10PM, Sat 9AM-8PM EST, for help reviewing your Medicare options.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely online.
The D-SNP, C-SNP, and I-SNP plans listed on this page are available to qualifying individuals enrolled in Medicare Part A and Part B living in Beaverton, Tualatin, Banks, Cornelius, Forest Grove, Gaston, Hillsboro, North Plains, Sherwood, Portland, and all other areas of Washington County, Oregon. For a broader statewide overview, see Medicare plan options in Oregon.
Plans Offered through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare®, Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Version: CY2027 Landscape (202609.1)
- CMS.gov, Medicare Part C & D Performance — Version: 2027 Star Ratings Data Tables
- CMS.gov, Plan Benefits Package — Version: PBP Benefits-2027
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Version: 2026-09
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data.
To explore how 2027 Medicare SNP plans available in Washington County compare with plans offered elsewhere, you can search the Special Needs Plan directory to review options nationwide using the same authoritative data sources.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 May, 2025
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.