Medicare · Where you live

Medicare in Washington

Medicare's rules are federal — the same everywhere, explained once on the hub. This page is only what's different in Washington: your numbers, your free help, your deadlines.

Find my enrollment window →

Washington at a glance

~1.6M
Washington residents on Medicare — all coverage types (March 2026)
CMS Monthly Enrollment · 2026 (source, opens in new tab)
50%
chose Medicare Advantage; the rest kept Original Medicare
CMS Monthly Enrollment · 2026 (source, opens in new tab)
(800) 562-6900
SHIBA — your free counselor. They do not sell anything
shiphelp.org · 2026 (source, opens in new tab)

Verified June–July 2026 · Figures are approximate and state-level — how we check our data. Educational only, not counseling: talk to SHIBA before any enrollment decision.

Data current as of July 2026. Plan and enrollment figures are approximate; verify current numbers at cms.gov (opens in new tab).

Down to your county: the federal rules and Washington numbers above are the same across the state. County-level detail — your county's plan list and local help — is coming soon; those figures aren't in our data yet, so we don't show them. For plans in your exact ZIP, use Medicare's Plan Finder (opens in new tab).

This information is for general educational purposes only and is not a substitute for personalized Medicare counseling. Enrollment rules have many exceptions. Contact a licensed Medicare counselor or your State Health Insurance Assistance Program (SHIP) before making enrollment decisions. Find your local SHIP at shiphelp.org (opens in new tab) or call 1-800-MEDICARE (1-800-633-4227).

How Medicare works in Washington

The four parts are federal — identical in Washington and every other state. What changes here is which plans your county sells, the Medicaid limits that lower your costs, and how the free counseling program runs.

Part A
Inpatient hospital, skilled nursing, hospice, some home health. Most people pay no premium.
Part B
Doctor visits, outpatient care, prevention. The standard 2026 premium is $202.90/mo; higher incomes pay an IRMAA surcharge. IRMAA calculator →
Part C
Medicare Advantage — a private bundle of A + B, usually with drug coverage, through a network. We never name or rank specific plans.
Part D
Prescription drugs — as a stand-alone plan or built into an Advantage plan.

When you can act

Compute my exact dates
10%/yr

The permanent Part B late-enrollment penalty for every year you go without coverage — the mistake this page exists to prevent. Medicare.gov · 2026 (source, opens in new tab)

What Washington can pay for you

Check what I qualify for

Washington's Medicare Savings Program income limits aren't confirmed to a 2026 dollar figure here. Washington sets them differently from the federal floor, and we don't print a number we can't stand behind — no guess, no stale figure. Your SHIBA counselor or Washington Medicaid has the current thresholds. Applying is free, and qualifying for any Medicare Savings Program also gives you Extra Help with drug costs automatically. Washington Medicaid (opens in new tab)

Not sure where you land? The federal Extra Help screener uses its own limits and can point you in the right direction.

How Washington compares

Washington — Advantage share50%
U.S. national average51%

Washington sits right at the national rate — about half of residents on Medicare choose Advantage, half keep Original Medicare + Medigap. Neither is "better"; it's a fit-to-your-situation choice. CMS Monthly Enrollment · 2026 (source, opens in new tab)

✓ FREE · UNBIASED · NO SALES

Talk to Washington SHIBA first

One-on-one Medicare counseling from people who can't earn a commission. Get the independent opinion before you talk to anyone paid — including anyone we link to.

(800) 562-6900  ·  Find your local office (opens in new tab)

AskForSeniors receives no payment for SHIBA referrals.

Only if it applies to you

Medigap in Washington — the six-month window that matters

Washington uses the federal standardized system: Plan G is Plan G, insurer to insurer — only price and service differ. Your protection is timing: for six months after you are both 65 and on Part B, no insurer can turn you down or charge more for your health history. We never name or price policies; SHIBA can show you current Washington rates for free.

Washington State Health Insurance Pharmacy Assistance Program — extra prescription help

Washington's own drug-cost program works alongside Medicare Part D. Washington has a prescription assistance program for seniors. Eligibility and benefits change — confirm current details with the program or your SHIBA counselor.

PACE — nursing-home-level care, at home

The Program of All-Inclusive Care for the Elderly keeps people who need that level of care in their own communities. Washington has about 3 PACE programs. You must be 55+, live in a service area, and be certified as needing that level of care. Details at Medicare.gov (opens in new tab).

How Medicare's four parts fit together

Federal and identical everywhere — so it lives once, on the hub: Medicare in plain language. Five minutes, no state-by-state copy-paste.

Washington Medicare: common questions

When can I enroll in Medicare in Washington?

Timing is federal, so it is the same as everywhere: a 7-month Initial Enrollment Period around your 65th birthday, then the Annual Enrollment Period each October 15 – December 7. Missing Part B without qualifying coverage creates a permanent penalty.

Does Washington have its own Medicare rules?

No. Eligibility, enrollment windows, and penalties are identical nationwide. What varies is which plans your county sells, the Medicaid income limits for Medicare Savings Programs, Medigap consumer protections, and how SHIBA operates.

Can Washington help me pay my Medicare premiums?

Yes, if your income is limited. Medicare Savings Programs — QMB, SLMB, QI — can pay your Part B premium and, with QMB, your deductibles and cost-sharing. Qualifying also gives you Extra Help with drug costs automatically. Apply through Washington Medicaid or ask a SHIBA counselor.

How many Medicare plans are available in Washington?

Washington has roughly 126 Medicare Advantage plans statewide, though the number in your specific county may be higher or lower. We do not name, compare, or recommend specific plans — see every plan in your ZIP on the official Medicare Plan Finder at Medicare.gov.

Your people, on paper

Washington SHIBA — (800) 562-6900
Free counseling · we receive no payment for SHIBA referrals
insurance.wa.gov (opens in new tab)
Washington Medicaid — apply for premium help
Free to apply · not affiliated with us
Find your office (opens in new tab)
Area Agency on Aging — rides, meals, home safety
Find your local agency by county
Eldercare Locator (opens in new tab)
Washington Office of the Insurance Commissioner (OIC) — (800) 562-6900
Medigap complaints · Advantage/Part D → Medicare directly
Insurance dept. (opens in new tab)

Keep going

This information is for general educational purposes only and is not a substitute for personalized Medicare counseling. Enrollment rules have many exceptions. Contact a licensed Medicare counselor or your State Health Insurance Assistance Program (SHIP) before making enrollment decisions. Find your local SHIP at shiphelp.org (opens in new tab) or call 1-800-MEDICARE (1-800-633-4227).

Reviewed July 2026 · Sources: CMS Medicare Monthly Enrollment (March 2026); CMS 2026 MA/Part D Landscape; SSA POMS HI 00815.023; shiphelp.org (Statewide Health Insurance Benefits Advisors (SHIBA)); Washington State Health Insurance Pharmacy Assistance Program. · Corrections