Medicare Advantage HMO plans in District of Columbia
There are 6 Medicare Advantage HMO plans in District of Columbia from 3 carriers, averaging 4.08 out of 5 stars across the 6 plans CMS has rated. 50% of those with a published premium charge $0 a month (3 of 6); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 6 HMO plans in District of Columbia that publish one, the in-network out-of-pocket maximum has a median of $7,450 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $7,375, which sits below the median — the spread is not symmetric, so the median is the better guide.
District of Columbia has one of the smallest Medicare Advantage HMO markets in the country.
There are 6 HMO plans here from 3 insurers, against an average of about 77 per state. Fewer options makes the comparison quicker, but it also means one plan's network or drug list can decide the whole choice.
District of Columbia HMO plans rate well above the national average.
Averaged across the 6 rated plans here, HMO coverage in District of Columbia scores 4.08 stars against a national median of 3.75 for this plan type — 4th highest of 49 states. Star ratings measure the contract's performance on care quality, member experience and complaints.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated HMO plans in District of Columbia
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| Kaiser Permanente Medicare Advantage High DC (HMO-POS)Kaiser Permanente | 4.5★ | $5,700 | $115 |
| Kaiser Permanente Medicare Advantage Liberty (HMO)Kaiser Permanente | 4.5★ | $5,900 | $0 |
| Kaiser Permanente Medicare Advantage Standard DC (HMO-POS)Kaiser Permanente | 4.5★ | $7,400 | $38 |
| Kaiser Permanente Medicare Advantage Value DC (HMO-POS)Kaiser Permanente | 4.5★ | $7,900 | $0 |
| Aetna Medicare Enhanced Plus (HMO-POS)Aetna Medicare | 3.5★ | $7,500 | $48 |
Showing 5 of 6. See all District of ColumbiaMedicare Advantage plans →
HMO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| Kaiser PermanenteKaiser Foundation Health Plan, Inc. | 4 | 4.5 | — |
| Aetna MedicareCVS Health Corporation | 1 | 3.5 | — |
| UnitedHealthcareUnitedHealth Group, Inc. | 1 | 3.0 | 1 |
How HMO compares
States with similar HMO star ratings
District of Columbia Medicare Advantage HMO plans, answered
How much do Medicare Advantage HMO plans cost in District of Columbia?
What are the star ratings for District of Columbia HMO plans?
How many Medicare Advantage HMO plans are available in District of Columbia?
Do District of Columbia HMO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in District of Columbia?
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