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Medicare · Olympia

Medicare in Washington: 2026 Guide

Washington Medicare at a Glance

Washington allows Medigap plan switches without underwriting under certain state rules — verify annually.

MetricValue (2026)
Medicare enrollees1.42 million
Medicare Advantage penetration45%
Typical Plan G (65 yo nonsmoker)$140/month
Nursing homes (Medicare-certified)200
5-star nursing homes26%
Median SNF semi-private room$9,900/month
Median assisted living$6,500/month

Your Medicare Choices in Washington

Every Medicare-eligible resident chooses between two paths:

  • Original Medicare + Medigap + Part D — any-doctor access, stable benefits, higher premium.
  • Medicare Advantage (Part C) — bundled benefits, often $0 premium, but networks and prior auth.

About 45% of Washington's Medicare enrollees choose Advantage. Your best path depends on your doctors, travel patterns, health, and budget.

Medigap in Washington

Medigap is federally standardized across all states except Massachusetts, Minnesota, and Wisconsin — so Plan G in Washington is the same coverage as Plan G anywhere else in the country. What differs is premium and carrier availability.

  • Typical 65-year-old nonsmoker Plan G: $140/month
  • Plan N averages 20–30% less
  • Your one-time Medigap Open Enrollment is the 6 months beginning when you're 65+ AND enrolled in Part B
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Nursing Home Quality in Washington

Washington has 200 Medicare-certified nursing homes; 26% carry a 5-star Overall CMS rating. Before choosing a facility, check its Medicare Care Compare listing, read the most recent state inspection report, and visit in person on both a weekday meal and a weekend shift. Oversight agency: Washington State Department of Social and Health Services.

  • SHIP (free Medicare counseling): 1-800-562-6900
  • State long-term care ombudsman: 1-800-562-6028

Related Resources

Disclaimer: Figures are approximate 2026 benchmarks. Not affiliated with the U.S. government or the federal Medicare program. Consult a licensed agent or SHIP counselor before making decisions.

Frequently Asked Questions

When can I enroll in Medicare in Washington?+
Your 7-month Initial Enrollment Period begins 3 months before the month you turn 65 and ends 3 months after. Washington follows federal Medicare enrollment rules; SHIP counselors at 1-800-562-6900 can walk you through timing.
What is the average Medigap Plan G premium in Washington?+
A 65-year-old nonsmoker in Washington typically pays around $140/month for Plan G. Your actual premium depends on carrier, tobacco use, and sometimes ZIP code.
How many nursing homes are in Washington?+
Washington has approximately 200 Medicare-certified nursing homes. About 26% carry an Overall 5-star CMS rating.
Who regulates nursing homes in Washington?+
Washington State Department of Social and Health Services conducts state surveys on behalf of CMS. The long-term care ombudsman (1-800-562-6028) advocates for residents.
What is the median nursing home cost in Washington?+
The median semi-private room runs about $9,900/month; assisted living about $6,500/month (Genworth Cost of Care Survey benchmarks).