Medicare Advantage PPO plans in District of Columbia
There are 9 Medicare Advantage PPO plans in District of Columbia from 4 carriers, averaging 3.78 out of 5 stars across the 9 plans CMS has rated. 66% of those with a published premium charge $0 a month (6 of 9); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 9 PPO plans in District of Columbia that publish one, the in-network out-of-pocket maximum has a median of $7,150 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $7,728, which sits above the median — the spread is not symmetric, so the median is the better guide.
District of Columbia has 1 five-star Medicare Advantage PPO plan.
Of the 9 PPO plans here, 1 carry CMS's top overall rating of 5 stars and 7 rate 4 or above. That matters beyond quality: a 5-star plan can be joined at almost any point in the year through a special enrollment period, rather than only during the autumn window.
District of Columbia has one of the smallest Medicare Advantage PPO markets in the country.
There are 9 PPO plans here from 4 insurers, against an average of about 40 per state. Fewer options makes the comparison quicker, but it also means one plan's network or drug list can decide the whole choice.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated PPO plans in District of Columbia
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| UHC Nursing Home Plan EX-F004 (PPO I-SNP)UnitedHealthcare · Institutional SNP | 5★ | $9,850 | $0 |
| Aetna Medicare Premier (PPO)Aetna Medicare | 4★ | $5,900 | $68 |
| Aetna Medicare Eagle Giveback (PPO)Aetna Medicare | 4★ | $6,750 | $0 |
| AARP Medicare Advantage from UHC DC-0002 (PPO)UnitedHealthcare | 4★ | $7,150 | $72 |
| HumanaChoice H5216-383 (PPO)Humana | 4★ | $7,150 | $0 |
Showing 5 of 9. See all District of ColumbiaMedicare Advantage plans →
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| UnitedHealthcareUnitedHealth Group, Inc. | 4 | 4.3 | 3 |
| Aetna MedicareCVS Health Corporation | 2 | 4.0 | — |
| CareFirst BlueCross BlueShield Medicare AdvantageCareFirst, Inc. | 2 | 2.5 | — |
| HumanaHumana Inc. | 1 | 4.0 | — |
How PPO compares
States with similar PPO star ratings
District of Columbia Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in District of Columbia?
What are the star ratings for District of Columbia PPO plans?
How many Medicare Advantage PPO plans are available in District of Columbia?
Do District of Columbia PPO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in District of Columbia?
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