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Asuris vs Aetna (First Health Life & Health) Medigap in Washington

By Vadim Marusin, licensed Medicare insurance agent in Washington (WAOIC #1365574). Insurer data checked against the state chart current as of October 8, 2026.

A fact-by-fact comparison of the two insurers' Washington Medicare Supplement line-ups, from the state-approved chart. No rankings, no premiums: just what each sells, where and on what terms.

Side by side

AsurisAetna (First Health Life & Health)
Legal name on the state chartAsuris Northwest HealthFirst Health Life & Health
Parent or branda Cambia Health Solutions company (Regence's parent)an Aetna company (CVS Health); its policies are sold as Aetna Medicare Supplement
Plans sold in WashingtonA, G, K, N, C, FA, B, G, N, F
Counties16 of 39All 39
High-deductible plansNoneNone
Medicare SELECTNoNo
Sells to people under 65NoNo
Health questions outside protected periodsYesYes
Pre-existing condition waiting periodNoneNone
Membership requiredNoNo
Current WA rates effectiveApril 1, 2026October 1, 2026
Washington OIC approved Medigap chart, current as of October 8, 2026.

Where they differ

Only Asuris sells Plan K and Plan C. Only Aetna (First Health Life & Health) sells Plan B. Asuris sells in 16 counties and Aetna (First Health Life & Health) in 39; they overlap in 16.

Where each one sells

Where Asuris and Aetna sell Medigap
Columbia County: only AetnaFranklin County: both sell hereLewis County: only AetnaMason County: only AetnaStevens County: both sell hereAdams County: both sell hereAsotin County: both sell hereBenton County: both sell hereCowlitz County: only AetnaDouglas County: both sell hereFerry County: both sell hereGarfield County: both sell hereGrant County: both sell hereIsland County: only AetnaKittitas County: both sell hereKlickitat County: only AetnaSkamania County: only AetnaWhitman County: both sell hereClark County: only AetnaKitsap County: only AetnaKing County: only AetnaLincoln County: both sell herePend Oreille County: both sell herePierce County: only AetnaSpokane County: both sell hereThurston County: only AetnaWahkiakum County: only AetnaYakima County: only AetnaChelan County: both sell hereOkanogan County: both sell hereJefferson County: only AetnaPacific County: only AetnaSan Juan County: only AetnaSnohomish County: only AetnaWalla Walla County: only AetnaWhatcom County: only AetnaSkagit County: only AetnaClallam County: only AetnaGrays Harbor County: only Aetna

Plans you can compare head to head

BenefitAGNF
Part A hospital coinsurance, plus 365 extra hospital days after Medicare benefits end100%100%100%100%
Part A hospice care coinsurance or copay100%100%100%100%
Part B coinsurance or copay (the 20%)100%100%100%*100%
Medicare preventive care Part B coinsurance100%100%100%100%
First 3 pints of blood100%100%100%100%
Skilled nursing facility care coinsurance–100%100%100%
Part A deductible–100%100%100%
Part B deductible–––100%
Part B excess charges–100%–100%
Foreign travel emergency (up to plan limits)–80%80%80%
Yearly out-of-pocket limit––––
100% = the plan pays the full benefit. – = not covered. Plan N pays the Part B coinsurance except copays of up to $20 for some office visits and up to $50 for ER visits that don't lead to an inpatient admission. Plans K and L pay 100% after the yearly out-of-pocket limit and the Part B deductible. 2026 amounts: Part A deductible $1,736, Part B deductible $283, high-deductible F and G deductible $2,950. Plans C and F: only for people first eligible for Medicare before Jan. 1, 2020. Source: OIC/SHIBA standardized plan chart, 2026.

How to decide

  1. Pick your plan letter first; see choosing a plan.
  2. Check both sell it in your county.
  3. Get current premiums from both, plus household and bank-draft discounts.
  4. Ask each about recent rate increases; see rate increases in Washington.
  5. Remember you can switch later: Washington's switching rule covers Plans B through N.

Insurer pages: Asuris Northwest Health · First Health Life & Health · All comparisons

Common questions

Is Asuris or Aetna (First Health Life & Health) better for Medigap in Washington?

For any plan letter both sell, the benefits are the same. Compare current premiums, recent rate increases and discounts in your county. Both sell Plan A, Plan G, Plan N, and Plan F.

Do Asuris and Aetna (First Health Life & Health) both sell Plan G in Washington?

Asuris: yes. Aetna (First Health Life & Health): yes.

Can I switch from Asuris to Aetna (First Health Life & Health)?

If you have Medigap Plan B through N, Washington lets you switch to another insurer's Plan B through N at any time with no health questions.

Sources

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