Washington Medicare Coverage Guide
Find dental, vision, hearing aid, and nursing home Medicare benefits available to Washington residents.
Washington Dental Coverage
Washington Apple Health (Medicaid) covers comprehensive dental for dual-eligible beneficiaries. University of Washington School of Dentistry in Seattle is a nationally top-ranked program.
Available Programs
- Apple Health Dental
- Medicare Advantage dental plans
- UW School of Dentistry
- Neighborcare Health dental clinics
Typical Out-of-Pocket Cost
$0–$300/year for Apple Health eligible; $400–$1,500 for others
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Washington Residents
- UW dental school offers excellent care at reduced rates in Seattle
- Washington SHIBA (1-800-562-6900) for plan guidance
- Apple Health covers cleanings, fillings, and more for eligible enrollees
Washington Vision Coverage
Apple Health covers vision for dual-eligible members. Competitive MA market in Seattle metro and Spokane.
Available Programs
- Apple Health vision
- Medicare Advantage vision
- Washington State Department of Services for the Blind
Typical Out-of-Pocket Cost
$0 for Apple Health eligible; $100–$300 for others
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Washington Residents
- DSB: 1-800-552-7103 for vision rehabilitation
- UW Medicine Eye Institute offers specialized care
- Washington SHIBA: 1-800-562-6900
Washington Hearing Aids Coverage
Apple Health covers hearing aids for dual-eligible beneficiaries. Washington has excellent audiology resources in Seattle.
Available Programs
- Apple Health hearing aid coverage
- Medicare Advantage hearing plans
- Washington School for the Deaf
- UW Audiology Clinic
Typical Out-of-Pocket Cost
$0 for Apple Health eligible; $1,000–$6,500 for others
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Washington Residents
- Apple Health covers hearing aids for eligible dual enrollees
- UW Audiology Clinic is a regional leader
- Washington SHIBA: 1-800-562-6900
Washington Nursing Home Coverage
Apple Health covers nursing home care for eligible seniors. Washington has strong PACE programs and emphasizes home and community-based care.
Available Programs
- Medicare Part A SNF
- Apple Health LTC
- PACE Washington (several sites)
- Washington SHIBA (1-800-562-6900)
Typical Out-of-Pocket Cost
$300–$400/day
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Washington Residents
- PACE programs in Seattle, Spokane, and Tacoma areas
- Community First Choice program supports home-based care
- SHIBA: 1-800-562-6900
📊 Live CMS Data Washington Medicare Snapshot
Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 — public data from data.cms.gov
- Kaiser Permanente
- Regence BCBS
- UnitedHealth
Get Free Help in Washington
SHIP Counseling
Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.
Find Washington SHIP →1-800-MEDICARE
Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.
Medicare.gov →Medicare Plan Finder
Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Washington by ZIP code.
Compare Plans →Nursing Home Compare
Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Washington.
Care Compare →