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Premera vs USAA 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.

USAA: Medigap Assist is not appointed with this insurer and does not sell its policies. Information comes from the state's public chart.

Side by side

PremeraUSAA
Legal name on the state chartPremera Blue CrossUSAA
Parent or brandan independent licensee of the Blue Cross Blue Shield Associationavailable to eligible USAA members
Plans sold in WashingtonA, G, HD-G, N, CA, G, N, F
Counties38 of 39All 39
High-deductible plansHD-GNone
Medicare SELECTNoNo
Sells to people under 65NoNo
Health questions outside protected periodsYesYes
Pre-existing condition waiting periodUp to 3 monthsNone
Membership requiredNoNo
Current WA rates effectiveApril 1, 2026August 1, 2026
Washington OIC approved Medigap chart, current as of October 8, 2026.

Where they differ

Only Premera sells high-deductible Plan G and Plan C. Only USAA sells Plan F. Premera sells in 38 counties and USAA in 39; they overlap in 38. USAA shows no pre-existing condition waiting period on the state chart; the other may apply one of up to three months. USAA sells only to eligible members (military, veterans and their families).

Where each one sells

Where Premera and USAA sell Medigap
Columbia County: both sell hereFranklin County: both sell hereLewis County: both sell hereMason County: both sell hereStevens County: both sell hereAdams County: both sell hereAsotin County: both sell hereBenton County: both sell hereCowlitz County: both sell hereDouglas County: both sell hereFerry County: both sell hereGarfield County: both sell hereGrant County: both sell hereIsland County: both sell hereKittitas County: both sell hereKlickitat County: both sell hereSkamania County: both sell hereWhitman County: both sell hereClark County: only USAAKitsap County: both sell hereKing County: both sell hereLincoln County: both sell herePend Oreille County: both sell herePierce County: both sell hereSpokane County: both sell hereThurston County: both sell hereWahkiakum County: both sell hereYakima County: both sell hereChelan County: both sell hereOkanogan County: both sell hereJefferson County: both sell herePacific County: both sell hereSan Juan County: both sell hereSnohomish County: both sell hereWalla Walla County: both sell hereWhatcom County: both sell hereSkagit County: both sell hereClallam County: both sell hereGrays Harbor County: both sell here

Plans you can compare head to head

BenefitAGN
Part A hospital coinsurance, plus 365 extra hospital days after Medicare benefits end100%100%100%
Part A hospice care coinsurance or copay100%100%100%
Part B coinsurance or copay (the 20%)100%100%100%*
Medicare preventive care Part B coinsurance100%100%100%
First 3 pints of blood100%100%100%
Skilled nursing facility care coinsurance–100%100%
Part A deductible–100%100%
Part B deductible–––
Part B excess charges–100%–
Foreign travel emergency (up to plan limits)–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: Premera Blue Cross · USAA · All comparisons

Common questions

Is Premera or USAA 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, and Plan N.

Do Premera and USAA both sell Plan G in Washington?

Premera: yes. USAA: yes.

Can I switch from Premera to USAA?

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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