Consumers
2025 Medicare Advantage plans
Medicare Advantage Special Enrollment Period
If you received a letter from your Medicare Advantage (MA) plan that it will no longer sell its plan in your area, you have a special enrollment from Dec. 8 – Feb. 28. You have the option to:
Policy and operational recommendations
Background
In the late summer of 2022, the OIC and HCA called for participation in a multi-stakeholder workgroup (PDF 147.02KB) with the objective to recommend policy and operational changes to enable Commercial Insurance Coverage for Behavioral Health Crisis Service as emergency services per E2SHB1688.
In addition to the OIC and HCA, the following organizations are represented and participating in the workgroup:
- Behavioral Health – Administrative Services Organizations (BH-ASOs)
- Behavioral Health Providers; Mobile Crisis Response providers and behavioral health crisis facilities
- Commercial carriers
On November 8, 2022, the workgroup reached consensus on a set of recommendations to achieve the following goal:
“To the extent possible, maintain the Behavioral Health Crisis System as it currently exists so that 1) the inclusion of Commercial Coverage is seamless from the perspective of the patient and ideally of the provider and 2) and new/additional administrative burden and/or cost to the provider is minimized.“
Between November 8th and the present, the Policy and Operational Recommendations continue to be refined for each of the services below
Links to Related Documents (for History and Audit Trail of Changes)
- 10-23-2023: Workgroup Meeting Synopsis (PDF 149.49KB)
- 09-11-2023: Workgroup Meeting Synopsis (PDF 191.52KB)
- 07-31-2023: Workgroup Meeting Synopsis (PDF 176.29KB)
- 05-31-2023: Workgroup Meeting Synopsis (PDF 147.03KB)
- 05-08-2023: Workgroup Meeting Synopsis (PDF 151.34KB)
- 04-17-2023: Workgroup Meeting Synopsis (PDF 180.23KB)
- 03-27-2023: Workgroup Meeting Synopsis (PDF 99.00KB)
- 03-06-2023: Workgroup Meeting Synopsis (PDF 138.24KB)
- 02-13-2023: Workgroup Meeting Synopsis (PDF 144.76KB)
- 01-31-2023: Workgroup Meeting Synopsis (PDF 140.44KB)
- 11-08-2022: Consensus Recommendation (PDF 135.71KB)
About 1688 behavioral health crisis services
With the passage of the Engrossed 2nd Substitute House Bill – E2SHB 1688 by the Washington state legislature in 2022, commercial carriers, along with managed Medicaid organizations (MCOs), will now provide insurance coverage for behavioral health crisis services as emergency services:
- Mobile Crisis Response Services
- Crisis Facility Services; Hospital Emergency Room, Evaluation & Treatment (E&T), Crisis Stabilization, Crisis Triage and Withdrawal Management
The OIC and HCA pulled together a multi-stakeholder workgroup (PDF 147.02KB) to recommend how to build upon the current Behavioral Health Crisis System to implement the new law.
Carriers, BH-ASOs, agencies and facilities
To find active Mobile Crisis Response Agencies/Providers, the BH-ASO in the associated Region should be the primary source of information. As a secondary source for Mobile Crisis Response Agencies / Providers, access Department of Health (DOH) list of Behavioral Health Agencies, either via their Directory or their “Green Book” interactive tool. (Agencies/ providers in DOH’s list may not be Active.) To confirm that the license of an agency / provider is still active, access DOH’s Credential Search. |
Click Below for: DOH Directory DOH Interactive Selection Tool DOH Credential Search |
To find active Behavioral Health Crisis Service Facilities / Providers, access Department of Health (DOH) list of Behavioral Health Facilities, either via their Directory or their “Green Book” interactive tool. (Facilities/ providers in DOH’s list may not be Active.) To confirm that the license of a facility / provider, access DOH’s Credential Search. |
Click Below for: DOH Directory DOH Interactive Selection Tool DOH Credential Search |
BH-ASOs (Behavioral Health – Administrative Services Organizations) mapped by the 10 geographical regions. | Download |
Carriers: Contact information for contracting point persons (XLSX 20.46KB) |
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2025 Medicare Advantage and Special Needs Plans (SNPs)
Washington state consumers can find more information about Medicare Advantage plans and SNPs, including prices, by looking for plans in their county.
All Counties
2025 Medicare Landscape All Counties (Excel, 96.51 KB) (XLSX 96.51KB)
Adams
2025 Medicare Advantage plans and Special Needs Plans, Adams County (PDF, 202.32 KB) (PDF 202.32KB)
Asotin
2025 Medicare Advantage plans and Special Needs Plans, Asotin County (PDF, 201.03 KB) (PDF 201.03KB)
Benton
2025 Medicare Advantage plans and Special Needs Plans, Benton County (PDF, 215.49 KB) (PDF 215.49KB)
Chelan
2025 Medicare Advantage plans and Special Needs Plans, Chelan County (PDF, 207.55 KB) (PDF 207.55KB)
Clallam
Clark
2025 Medicare Advantage plans and Special Needs Plans, Clark County (PDF, 241.66 KB) (PDF 241.66KB)
Columbia
Cowlitz
Douglas
Ferry
2025 Medicare Advantage plans and Special Needs Plans, Ferry County (PDF, 200.86 KB) (PDF 200.86KB)
Franklin
Garfield
Grant
2025 Medicare Advantage plans and Special Needs Plans, Grant County (PDF, 202.78 KB) (PDF 202.78KB)
Grays Harbor
Island
2025 Medicare Advantage plans and Special Needs Plans, Island County (PDF, 246.42 KB) (PDF 246.42KB)
Jefferson
King
2025 Medicare Advantage plans and Special Needs Plans, King County (PDF, 231.50 KB) (PDF 231.50KB)
Kitsap
2025 Medicare Advantage plans and Special Needs Plans, Kitsap County (PDF, 228.48 KB) (PDF 228.48KB)
Kittitas
Klickitat
Lewis
2025 Medicare Advantage plans and Special Needs Plans, Lewis County (PDF, 251.55 KB) (PDF 251.55KB)
Lincoln
Mason
2025 Medicare Advantage plans and Special Needs Plans, Mason County (PDF, 248.93 KB) (PDF 248.93KB)
Okanogan
Pacific
Pend Oreille
Pierce
2025 Medicare Advantage plans and Special Needs Plans, Pierce County (PDF, 263.85 KB) (PDF 263.85KB)
San Juan
Skagit
2025 Medicare Advantage plans and Special Needs Plans, Skagit County (PDF, 267.57 KB) (PDF 267.57KB)
Skamania
Snohomish
Spokane
Stevens
Thurston
Wahkiakum
Walla Walla
Whatcom
Whitman
Yakima
2025 Medicare Advantage plans and Special Needs Plans, Yakima County (PDF, 242.22 KB) (PDF 242.22KB)