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District of Columbia County, Washington D.C. — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

20 individual Medicare Advantage plan segments from 6 parent organizations are filed for District of Columbia County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
20plans filed −2 vs prior year
8with a $0 premium −2 vs prior year
$6,750median in-network MOOP unchanged vs prior year
10on 4-star or better contracts
17report comprehensive dental
16report an OTC allowance

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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
HealthSpring Preferred (HMO)
Health Care Service Corporation · H2108-042-002 · SoB ✓
HMO$0$4,250$03.0out of 5 stars, Average$30Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
HumanaChoice H5216-383 (PPO)
Humana Inc. · H5216-383-000 · SoB ✓
PPO$0$6,750$6153.5out of 5 stars, Average—Vision exam Eyewear Hearing aids Meals
Kaiser Permanente Medicare Advantage Value DC (HMO-POS)
Kaiser Foundation Health Plan, Inc. · H2172-027-000 · SoB ✓
HMO-POS$0$7,500$04.5out of 5 stars, Above average$25Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
UHC Dual Choice DC-Y001 (HMO D-SNP)
UnitedHealth Group, Inc. · H7464-010-000 · SoB ✓
HMO D-SNP$13.40$9,250$6153.5out of 5 stars, AverageReportedOTC allowance Meals
HumanaChoice H5216-389 (PPO)
Humana Inc. · H5216-389-000 · SoB ✓
PPO$16.20$6,750$6153.5out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
UHC Dual Choice DC-Y2 (PPO D-SNP)
UnitedHealth Group, Inc. · H2406-053-000 · SoB ✓
PPO D-SNP$19.70$9,250$6154.0out of 5 stars, Above averageReportedOTC allowance Meals
HealthSpring True Choice Plus (PPO)
Health Care Service Corporation · H7849-142-000 · SoB ✓
PPO$21$6,500$6153.0out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
UHC Dual Choice DC-Q001 (PPO D-SNP)
UnitedHealth Group, Inc. · H2406-099-000 · SoB ✓
PPO D-SNP$22.50$9,250$6154.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Nursing Home Plan EX-F004 (PPO I-SNP)
UnitedHealth Group, Inc. · H0710-032-000 · SoB ✓
PPO I-SNP$27.80$9,250$6154.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
Kaiser Permanente Medicare Advantage Standard DC (HMO-POS)
Kaiser Foundation Health Plan, Inc. · H2172-020-000 · SoB ✓
HMO-POS$36$7,400$04.5out of 5 stars, Above average$50Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
CareFirst BlueCross BlueShield Advantage Complete (PPO)
CareFirst, Inc. · H7379-002-000 · SoB
PPO$42$7,300$03.5out of 5 stars, Average$55Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
AARP Medicare Advantage from UHC DC-0002 (PPO)
UnitedHealth Group, Inc. · H2406-082-000 · SoB ✓
PPO$46$6,700$6004.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Aetna Medicare Enhanced Plus (HMO-POS)
CVS Health Corporation · H3931-095-000 · SoB ✓
HMO-POS$63$7,500$6153.0out of 5 stars, Average$30Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Aetna Medicare Premier (PPO)
CVS Health Corporation · H5521-015-000 · SoB ✓
PPO$70$7,500$6154.5out of 5 stars, Above average$30Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Kaiser Permanente Medicare Advantage High DC (HMO-POS)
Kaiser Foundation Health Plan, Inc. · H2172-001-000 · SoB ✓
HMO-POS$105$5,700$04.5out of 5 stars, Above average$25Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
Aetna Medicare Eagle Giveback (PPO)
CVS Health Corporation · H5521-480-000 · SoB ✓
PPO—$6,750—4.5out of 5 stars, Above average$60Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
CareFirst BlueCross BlueShield Advantage Salute (PPO)
CareFirst, Inc. · H7379-003-000 · SoB
PPO—$5,900—3.5out of 5 stars, Average$40Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
HealthSpring Courage (HMO)
Health Care Service Corporation · H2108-044-000 · SoB ✓
HMO—$6,750—3.0out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
Humana USAA Honor Giveback (PPO)
Humana Inc. · H5216-386-001 · SoB ✓
PPO—$6,750—3.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Kaiser Permanente Medicare Advantage Liberty (HMO)
Kaiser Foundation Health Plan, Inc. · H2172-005-000 · SoB ✓
HMO—$5,900—4.5out of 5 stars, Above average$25Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance

What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.

5 Excellent4 Above average3 Average2 Below average1 Poor

Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.

How to read this table

Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.

Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.

Is a drug covered by plans in District of Columbia County?

Shows the tier, prior-authorization / step-therapy / quantity-limit flags and tier cost sharing for every plan above, plus the 10 stand-alone Part D plans in the Mid-Atlantic (Delaware, District of Columbia and Maryland) region. From the CMS monthly formulary file.

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

Download all 20 District of Columbia County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

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