District of Columbia · 2026 plan year

Medicare Advantage HMO plans in District of Columbia

There are 11 Medicare Advantage HMO plans in District of Columbia from 4 carriers, averaging 4.00 out of 5 stars across the 11 plans CMS has rated. Nearly all charge no monthly plan premium, so what separates them is network, drug coverage and how much you could owe in a bad year.

11
HMO plans
4
Carriers
1
Counties covered
4.0
Average stars
$6,759
Avg out-of-pocket max
A $0 plan premium is not a free plan. You still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. Star ratings are published by CMS per contract, so every plan a carrier files under the same contract shares one rating — it describes the carrier’s performance, not this specific plan’s benefits. Estimate your real costs.

Kaiser Permanente files 64% of District of Columbia's HMO plans.

7 of the 11 HMO plans in District of Columbia come from a single carrier. Plan counts can make a market look wider than it is — these are counted by the carrier's consumer brand, so plans filed through different legal entities of the same company are grouped together rather than appearing as separate competitors.

District of Columbia HMO plans rank 13th of 49 on star rating.

Across the 11 rated plans here the average overall rating is 4.00 stars, 13th highest of the 49 states with HMO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.

Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.

Highest rated

Top-rated HMO plans in District of Columbia

Showing 5 of 11. See all District of ColumbiaMedicare Advantage plans →

Who sells here

HMO plans by carrier

CarrierPlansAvg starsSNPs
Kaiser PermanenteKaiser Foundation Health Plan, Inc.74.5
Cigna HealthCareHealth Care Service Corporation23.0
Aetna MedicareCVS Health Corporation13.0
UnitedHealthcareUnitedHealth Group, Inc.13.51
Other plan types in District of Columbia

How HMO compares

All District of ColumbiaMedicare Advantage plans →

Nearby on quality

States with similar HMO star ratings

Common questions

District of Columbia Medicare Advantage HMO plans, answered

How much do Medicare Advantage HMO plans cost in District of Columbia?
Of the District of Columbia HMO plans with a published premium, 63% charge $0 a month. A $0 premium does not mean the plan is free: you still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. The number that actually caps a bad year is the in-network out-of-pocket maximum, which averages $6,759 across these plans.
What are the star ratings for District of Columbia HMO plans?
The 11 rated HMO plans in District of Columbia average 4.00 out of 5 stars, with 7 rating 4 or better. CMS rates a contract rather than an individual plan, so every plan a carrier files under the same contract shares one score. A contract that is too new or has too little data is not rated at all, which is different from rating badly.
How many Medicare Advantage HMO plans are available in District of Columbia?
There are 11 HMO plans from 4 carriers, sold across 1 county. Availability is set by county, so the plans you can actually join depend on where you live — the full list is rarely available in any one place. 1 of them are Special Needs Plans with extra eligibility rules (see below).
Do District of Columbia HMO plans include prescription drug coverage?
11 of the 11 HMO plans here bundle Part D drug coverage into the plan. That is the usual arrangement for Medicare Advantage and there is no separate drug premium for it — the plan premium covers both. If you join a Medicare Advantage plan without drug coverage, you generally cannot add a standalone Part D plan alongside it.
What is a Special Needs Plan, and are there any in District of Columbia?
1 of the 11 HMO plans in District of Columbia are Special Needs Plans. SNPs limit enrollment to people who also have Medicaid, live in a nursing home or similar institution, or have a qualifying chronic condition. They often carry richer benefits for that group, but if you do not meet the criteria you cannot join one — so the real number of plans open to you may be lower than the total.

A $0 premium is not the whole cost.
See what a year really looks like.

Simplivera models your actual annual costs across District of Columbia Medicare Advantage plans.

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