Best Medicare Companies in Sumner, Washington (2024)
Discover the Top Medicare Companies in Sumner, Washington for 2023. Compare plans, coverage, and rates from trusted providers. Find the perfect Medicare Advantage, Medicare Supplement, or Part D plan that suits your needs. Take the first step towards securing comprehensive Medicare coverage by exploring the top companies in Sumner, Washington.
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Dani Best
Licensed Insurance Producer
Dani Best has been a licensed insurance producer for nearly 10 years. Dani began her insurance career in a sales role with State Farm in 2014. During her time in sales, she graduated with her Bachelors in Psychology from Capella University and is currently earning her Masters in Marriage and Family Therapy. Since 2014, Dani has held and maintains licenses in Life, Disability, Property, and Casualt...
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UPDATED: Sep 16, 2024
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UPDATED: Sep 16, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
UPDATED: Sep 16, 2024Fact Checked
Are you searching for reliable Medicare companies in Sumner, Washington? Look no further! In this article, we will explore the key topics surrounding Medicare coverage options in Sumner, including Medicare Advantage, Medicare Supplement, and Part D plans.
- Health insurance companies like UnitedHealthcare and Premera Blue Cross Medicare Advantage offer Medicare Advantage plans in Sumner
- There are offering Medicare plans in Sumner, Washington
- Original Medicare doesn’t cover prescription drugs, but you can buy a standalone Sumner, Washington, Medicare Part D plan for coverage
Don’t miss out on the opportunity to secure the right Medicare plan that meets your healthcare needs and budget. Enter your zip code now and gain access to personalized quotes from top-rated insurance providers in Sumner, Washington. Take control of your healthcare coverage today!
Medicare Advantage by Company in Sumner, Washington
There are Medicare Advantage companies in Sumner, WA, offering a range of options including HMO and PPO plans. There are even some plans available at no additional cost beyond your Sumner Medicare Part B premium. Take a look at the Medicare Advantage companies in Sumner, Washington, to compare plans and coverage.
Medicare Advantage Companies in Sumner, Washington
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage Choice (PPO) – H1821-003-0 | $19.00 | $225 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $6,500 |
| AARP Medicare Advantage Plan 1 (HMO) – H3805-037-0 | $88.00 | $185 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $4,200 |
| AARP Medicare Advantage Plan 2 (HMO) – H3805-019-0 | $24.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $6,700 |
| AARP Medicare Advantage Plan 3 (HMO) – H3805-015-0 | $45.00 | $225 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $5,900 |
| AARP Medicare Advantage Walgreens (HMO-POS) – H3805-032-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,500 |
| Aetna Medicare Choice Plan (PPO) – H5521-127-0 | $63.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Eagle Plan (PPO) – H5521-330-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| Aetna Medicare Elite Plan (HMO) – H3748-009-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,900 |
| Aetna Medicare Platinum Plus Plan (HMO) – H3748-004-0 | $37.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,000 |
| Aetna Medicare Prime Plan (HMO) – H3748-008-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Select Plan (PPO) – H5521-128-0 | $99.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,000 |
| Aetna Medicare Value Plan (HMO) – H3931-126-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Value Plus Plan (HMO) – H3748-003-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Amerivantage Classic (HMO) – H1894-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $5,900 |
| Amerivantage Dual Coordination (HMO D-SNP) – H1894-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
| Community Health Plan of WA Dual Plan (HMO D-SNP) – H5826-014-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15% | n/a |
| Community Health Plan of WA MA No Rx Plan (HMO) – H5826-006-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Community Health Plan of WA MA Plan 1 (HMO) – H5826-016-0 | $0.00 | $230 . Tier 1, 2, 3 and 4 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 29% | $6,700 |
| Community Health Plan of WA MA Plan 2 (HMO) – H5826-010-0 | $26.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 33% | $6,700 |
| Community Health Plan of WA MA Plan 3 (HMO) – H5826-008-0 | $68.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 33% | $6,700 |
| Humana Gold Plus H5619-061 (HMO) – H5619-061-0 | $54.00 | $50 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 32% | $5,900 |
| Humana Gold Plus H5619-100 (HMO) – H5619-100-0 | $0.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $6,500 |
| Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP) – H5619-136-4 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | n/a |
| Humana Honor (PPO) – H5216-046-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 |
| Humana Value Plus H5619-134 (HMO) – H5619-134-0 | $25.00 | $445 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $6,700 |
| HumanaChoice H5216-048 (PPO) – H5216-048-0 | $201.00 | $320 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $16.00, Generic: $18.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
| HumanaChoice H5216-247 (PPO) – H5216-247-0 | $0.00 | $400 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $7,550 |
| Kaiser Permanente Medicare Advantage Basic (HMO) – H5050-001-0 | $40.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,200 |
| Kaiser Permanente Medicare Advantage Essential (HMO) – H5050-009-0 | $99.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Brand: $99.00, Specialty Tier: 33%, Vaccines: $0.00 | $4,800 |
| Kaiser Permanente Medicare Advantage Key (HMO) – H5050-022-0 | $0.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $99.00, Specialty Tier: 31%, Vaccines: $0.00 | $6,600 |
| Kaiser Permanente Medicare Advantage Optimal (HMO) – H5050-004-0 | $295.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Brand: $99.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,450 |
| Kaiser Permanente Medicare Advantage Vital (HMO) – H5050-013-0 | $28.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Brand: $99.00, Specialty Tier: 33%, Vaccines: $0.00 | $5,800 |
| Molina Medicare Complete Care (HMO D-SNP) – H5823-006-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $29.00, Non-Preferred Drug: 44%, Specialty Tier: 25% | n/a |
| PacificSource Medicare MyCare 35 (HMO) – H3864-035-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| PacificSource Medicare MyCare Rx 34 (HMO) – H3864-034-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $37.00, Non-Preferred Drug: 31%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,600 |
| Premera Blue Cross Medicare Advantage (HMO) – H7245-001-0 | $0.00 | $180 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 29% | $6,300 |
| Premera Blue Cross Medicare Advantage Alpine (HMO) – H9302-004-0 | $42.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,500 |
| Premera Blue Cross Medicare Advantage Charter + Rx (HMO) – H9302-003-0 | $151.00 | $160 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 30% | $4,900 |
| Premera Blue Cross Medicare Advantage Classic (HMO) – H7245-002-0 | $55.00 | $180 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: 33%, Specialty Tier: 29% | $5,000 |
| Premera Blue Cross Medicare Advantage Classic Plus (HMO) – H7245-003-0 | $191.00 | $180 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 29% | $5,000 |
| Premera Blue Cross Medicare Advantage Peak + Rx (HMO) – H9302-011-0 | $0.00 | $160 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 30% | $6,700 |
| Premera Blue Cross Medicare Advantage Sound + Rx (HMO) – H9302-007-0 | $40.00 | $160 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 30% | $6,500 |
| Regence BlueAdvantage HMO (HMO) – H1997-009-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 28% | $6,200 |
| Regence BlueAdvantage HMO Plus (HMO) – H1997-002-0 | $48.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 31% | $5,900 |
| Regence MedAdvantage + Rx Classic (PPO) – H5009-008-0 | $78.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 28% | $6,200 |
| Regence MedAdvantage + Rx Enhanced (PPO) – H5009-002-0 | $157.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $8.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 28% | $5,400 |
| Regence MedAdvantage + Rx Primary (PPO) – H5009-009-0 | $38.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 27% | $6,700 |
| Regence Valiance (HMO) – H1997-008-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,900 |
| Regence Valiance (PPO) – H5009-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,200 |
| UnitedHealthcare Assisted Living Plan (PPO I-SNP) – H0710-030-0 | $36.00 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | n/a |
| UnitedHealthcare Dual Complete (HMO D-SNP) – H5008-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | n/a |
| UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) – H5008-001-0 | $30.70 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| UnitedHealthcare Nursing Home Plan (PPO I-SNP) – H0710-031-0 | $36.00 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| WellCare Access (HMO D-SNP) – H1353-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 25% | n/a |
| WellCare Dividend (HMO) – H1353-006-0 | $0.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $7,550 |
| WellCare Liberty (HMO D-SNP) – H1353-004-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $46.00, Non-Preferred Drug: 49%, Specialty Tier: 25% | n/a |
| WellCare Patriot (PPO) – H5965-003-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,000 |
| WellCare Premier (PPO) – H5965-002-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| WellCare Prime (PPO) – H5965-001-0 | $65.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $6,000 |
| WellCare Value (HMO) – H1353-005-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,900 |
Medicare Part D by Company in Sumner, Washington
Sumner Medicare Part D companies offer plans that cover prescription medications, with deductible and copay options that vary along with the monthly cost. Whether you have original Medicare or a Sumner, Washington, Medicare Advantage plan, you can buy standalone Part D coverage from a local company.
Read More: Best Medicare Advantage Providers
Standalone Medicare Part D Plans in Sumner, Washington
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 205 – 0 by Aetna Medicare |
Monthly Premium: $6.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
| Clear Spring Health Premier Rx (PDP) S6946 – 054 – 0 by Clear Spring Health |
Monthly Premium: $14.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 136 – 0 by Elixir Insurance |
Monthly Premium: $14.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 209 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 18% Tier 4: 35% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 199 – 0 by WellCare |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 135 – 0 by WellCare |
Monthly Premium: $18.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $4.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 309 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 50% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 306 – 0 by WellCare |
Monthly Premium: $24.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 099 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 41% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5660 – 246 – 0 by Express Scripts Medicare |
Monthly Premium: $29.50 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Express Scripts Medicare – Value (PDP) S5660 – 132 – 0 by Express Scripts Medicare |
Monthly Premium: $30.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 47% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 020 – 0 by WellCare |
Monthly Premium: $30.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: $25.00 Tier 4: 33% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 025 – 0 by Clear Spring Health |
Monthly Premium: $31.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 34% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 060 – 0 by Aetna Medicare |
Monthly Premium: $31.30 Annual Deductible: $260 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 43% Tier 5: 28% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 374 – 0 by UnitedHealthcare |
Monthly Premium: $32.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $32.00 Tier 4: 40% Tier 5: 25% |
| Elixir RxSecure (PDP) S7694 – 030 – 0 by Elixir Insurance |
Monthly Premium: $32.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 35% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 148 – 0 by Cigna |
Monthly Premium: $33.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $36.00 Tier 4: 50% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 064 – 0 by WellCare |
Monthly Premium: $33.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $35.00 Tier 4: 41% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 411 – 0 by UnitedHealthcare |
Monthly Premium: $34.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 113 – 0 by Humana |
Monthly Premium: $34.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 34% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 275 – 0 by Cigna |
Monthly Premium: $40.30 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Humana Premier Rx Plan (PDP) S5884 – 176 – 0 by Humana |
Monthly Premium: $65.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 215 – 0 by Express Scripts Medicare |
Monthly Premium: $71.60 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 153 – 0 by WellCare |
Monthly Premium: $71.90 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 48% Tier 5: 33% |
| SilverScript Plus (PDP) S5601 – 061 – 0 by Aetna Medicare |
Monthly Premium: $75.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 029 – 0 by Mutual of Omaha Rx |
Monthly Premium: $91.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 36% Tier 5: 25% |
| AARP MedicareRx Preferred (PDP) S5820 – 029 – 0 by UnitedHealthcare |
Monthly Premium: $92.10 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| Asuris Medicare Script Basic (PDP) S5609 – 001 – 0 by Asuris Northwest Health |
Monthly Premium: $93.50 Annual Deductible: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $13.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 27% |
| Asuris Medicare Script Enhanced (PDP) S5609 – 002 – 0 by Asuris Northwest Health |
Monthly Premium: $124.50 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $3.00 Tier 2: $10.00 Tier 3: $47.00 Tier 4: 40% Tier 5: 33% |
Medicare Supplement By Company in Sumner, Washington
Sumner, Washington, Medicare supplement plans are designed to fill in the gaps left by original Medicare. That’s why they’re also known as Medigap plans. Compare Sumner, WA, Medigap companies, and the plans they offer here.
Medicare Supplement Companies in Sumner, Washington
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Cigna Health & Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| GPM Health and Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
| Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Humana (HumanaDental Insurance Company) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Humana (HumanaDental Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Premera BlueCross BlueShield of Washington | Medigap Plan A, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Regence BlueShield | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan N |
| Sentinel Security Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F |
| State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United American Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| United World Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| United of Omaha Life Insurance | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Premera Blue Cross (HCA) | Medigap Plan G |
| Premera Blue Cross (HCA) (PEBB Retiree) | Medigap Plan G |
Medicare Supplement Coverage by Plan in Sumner, Washington
Medicare supplement plans in Sumner, WA, are standardized, so you’ll get the same coverage regardless of which company you choose. Find out what the standard Medigap plans in Washington cover here.
Sumner, Washington Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Plan A | Premiums range from $121-$307 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan B | Premiums range from $198-$459 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan C | Premiums range from $229-$423 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan D | Premiums range from $160-$365 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan F | Premiums range from $231-$428 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan F-high deductible | Premiums range from $44-$73 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G | Premiums range from $100-$321 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G-high deductible | Premiums range from $44-$66 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan K | Premiums range from $61-$121 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan L | Premiums range from $137-$147 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan M | Premiums range from $163-$163 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan N | Premiums range from $124-$210 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
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Shop for Medicare Coverage in Sumner, Washington
Finding the right coverage for Medicare in Sumner, Washington, is a matter of looking at your choices and narrowing down the best fits for your needs and budget. Whether you want a PPO Medicare Advantage plan in Sumner, WA, or you prefer to bolster original Medicare with a Sumner Medicare supplement plan, shopping around is your best bet.
To compare Sumner, Washington, Medicare rates, enter your ZIP code here for fast, free quotes.
Frequently Asked Questions
What are the different Medicare companies available in Sumner, Washington in 2023?
Medicare is a federal health insurance program that provides coverage to individuals aged 65 or older, as well as to younger people with disabilities or certain medical conditions. In Sumner, Washington, there are four different Medicare companies available in 2023 that offer various types of Medicare plans, including:
- Original Medicare: This is the traditional Medicare program that is run by the federal government. It includes Medicare Part A, which covers hospital stays and some skilled nursing care, and Medicare Part B, which covers doctor visits, medical equipment, and some preventive services.
- Medicare Advantage: Medicare Advantage plans are offered by private insurance companies and provide all the benefits of Original Medicare, as well as additional benefits such as prescription drug coverage, vision and dental care, and wellness programs.
- Medicare Supplement: Medicare Supplement plans, also known as Medigap, are private insurance plans that can be used in conjunction with Original Medicare to help cover the costs of deductibles, copayments, and coinsurance.
- Prescription Drug Plans: Medicare Part D plans provide prescription drug coverage to those enrolled in Original Medicare or a Medicare Advantage plan that does not include prescription drug coverage.
It’s important to note that the availability of Medicare companies and their plans can vary by state and county. Therefore, it’s essential to research and compare the different Medicare companies available in Sumner, Washington in 2023 to find the best plan that suits your specific needs and budget.
How do I choose the best Medicare company in Sumner, Washington for my needs?
Choosing the best Medicare company in Sumner, Washington for your needs can be a complex process that requires careful consideration of several factors. Here are the seven tips to help you choose the right Medicare company:
- Determine your healthcare needs: Consider your current health status and any medical conditions you have, as well as any healthcare services or treatments you may need in the future. This can help you choose a Medicare plan that provides coverage for the services you require.
- Research Medicare plans: Research and compare the different Medicare plans offered by various companies in Sumner, Washington. Consider the benefits and costs of each plan, including premiums, deductibles, copays, and coinsurance.
- Check the provider network: If you have a preferred healthcare provider, make sure they are included in the provider network of the Medicare plan you are considering.
- Consider prescription drug coverage: If you require prescription medications, make sure the Medicare plan you choose includes prescription drug coverage.
- Check customer satisfaction ratings: Look for customer satisfaction ratings and reviews of the Medicare companies and plans you are considering.
- Consider financial stability: Look into the financial stability of the Medicare companies you are considering to ensure they have a good track record of paying claims and providing quality customer service.
- Seek expert advice: Consider consulting with a Medicare expert, such as a licensed insurance agent, who can provide guidance on choosing the best Medicare plan for your needs.
Overall, choosing the best Medicare company in Sumner, Washington requires careful consideration of your healthcare needs, research of the available plans, and expert advice.
How do I know if my current healthcare provider is part of a Medicare company in Sumner, Washington
If you are already enrolled in Medicare and have a healthcare provider you prefer, it’s essential to ensure that your provider is included in the network of the Medicare plan you are considering or currently enrolled in. Here are four steps to follow to determine if your current healthcare provider is part of a Medicare company in Sumner, Washington:
- Check the provider directory: Most Medicare companies have an online provider directory that lists all the healthcare providers that are part of their network. Check the provider directory of your Medicare plan to see if your current healthcare provider is included.
- Call the Medicare company: If you cannot find your healthcare provider in the online directory, call the customer service number of your Medicare plan and ask if your provider is included in their network. Make sure to have your provider’s name, address, and contact information ready.
- Contact your healthcare provider: Contact your healthcare provider directly and ask if they accept your Medicare plan. They can also provide you with information on their network affiliations.
- Consult with a Medicare expert: A licensed insurance agent or Medicare expert can provide guidance on finding a Medicare plan that includes your preferred healthcare provider.
It’s important to note that even if your healthcare provider is included in the network of your Medicare plan, they may not accept your plan’s reimbursement rates or may require additional out-of-pocket costs from you. Always check with your provider and Medicare plan to confirm the coverage and costs of your healthcare services.
What is the quality of care like at Medicare companies in Sumner, Washington?
The quality of care provided by Medicare companies in Sumner, Washington can vary depending on several factors, such as the company’s network of providers, the plan options offered, and the quality ratings assigned to the company by government agencies. Here are the seven key factors:
- Medicare companies in Sumner, Washington must meet certain standards set by the Centers for Medicare and Medicaid Services (CMS) to ensure quality care.
- CMS evaluates and rates Medicare companies on a five-star scale based on several quality measures, including preventive care, chronic disease management, member satisfaction, and customer service.
- Consumers can review Medicare companies’ quality ratings and compare them to other companies in Sumner, Washington on the Medicare website.
- Checking consumer reviews and ratings of Medicare companies from websites like Yelp, Google, or BBB can also provide helpful insights into the quality of care provided by different companies.
- Researching and comparing the provider networks of different Medicare companies can also help ensure they include quality healthcare providers and facilities in Sumner, Washington.
- Seeking feedback from friends or family members who have experience with Medicare companies in the area can also provide helpful insights into the quality of care provided by different companies.
- It’s important to carefully consider your healthcare needs and preferences and research and compare different Medicare companies to find the one that best meets your needs and provides quality care.
How do I know if I qualify for extra help with my Medicare expenses in Sumner, Washington?
Extra Help, also known as the Low-Income Subsidy (LIS), is a program offered by Medicare to help eligible individuals with limited income and resources pay for their Medicare Part D prescription drug costs. Here are the three steps to determine if you qualify for Extra Help with your Medicare expenses in Sumner, Washington:
- Check your income and asset levels: To qualify for Extra Help, your income must be below a certain level, and your assets must not exceed a certain limit. The income and asset limits change each year and are based on the Federal Poverty Level. You can check the current income and asset limits on the Social Security Administration (SSA) website or by contacting them directly.
- Apply for Extra Help: If you think you may qualify for Extra Help, you can apply by completing an application online at the SSA website, calling the SSA at 1-800-772-1213 to apply by phone, or visiting your local SSA office in person. You will need to provide information about your income, assets, and current prescription drug coverage.
- Receive a decision: After you apply, you will receive a decision from the SSA regarding your eligibility for Extra Help. If you are eligible, you may qualify for assistance paying for your Medicare Part D premium, deductible, and co-payments.
It’s important to note that even if you do not qualify for Extra Help, there may be other assistance programs available to help you with your Medicare expenses. Some state programs, non-profit organizations, and pharmaceutical companies offer assistance programs for those with limited income and resources. You can contact your local Area Agency on Aging or a licensed insurance agent for more information on available programs and resources.
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Dani Best
Licensed Insurance Producer
Dani Best has been a licensed insurance producer for nearly 10 years. Dani began her insurance career in a sales role with State Farm in 2014. During her time in sales, she graduated with her Bachelors in Psychology from Capella University and is currently earning her Masters in Marriage and Family Therapy. Since 2014, Dani has held and maintains licenses in Life, Disability, Property, and Casualt...
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