Cascade Valley Hospital, at 330 S. Stillaguamish Ave. in Arlington and part of Skagit Regional Health, is the only general acute-care hospital that state and federal records list in Snohomish County north of Everett. So if your Medicare Advantage plan is changing or ending for 2027 and you live in Arlington, the first question isn't abstract. It's this: will my next plan let me keep going to Cascade Valley, and to the doctors I already see?
Arlington in numbers
| Measure | Arlington | Snohomish County |
|---|---|---|
| People (OFM count, April 2026) | 23,390 | 879,700 |
| Age 65+ (ACS 2020-2024) | about 2,900 (plus or minus 390) | 124,763 |
| 65+ share | 13.8% | 14.8% |
| Medicare beneficiaries in Medicare Advantage and other health plans (CMS, July 2026) | CMS doesn't break this out by city | 59.6% of 152,940 |
| Land area | about 10 square miles | about 2,087 square miles |
From OFM; Census ACS 2020-2024 and the 2025 Census Gazetteer; CMS enrollment data for July 2026.
Arlington skews slightly younger than the county. CMS doesn't publish city figures; countywide, about six of every ten Medicare beneficiaries are in Medicare Advantage and other health plans.
Two roads, seen from Arlington
Medicare's handbook boils it down: when a plan stops participating, you join another Medicare Advantage plan or go back to Original Medicare. Here is how each looks if Cascade Valley and your local doctors are what you care about most.
| Question | A different Medicare Advantage plan | Original Medicare, plus Part D, plus Medigap if you want it |
|---|---|---|
| Can I keep using Cascade Valley? | Only if it is in that plan's 2027 network. Check by name. | Yes, if the hospital accepts Medicare. |
| What about specialists in Everett or Mount Vernon? | Each must be in the network; you may need referrals. | Any provider who takes Medicare; usually no referral. |
| Drugs | Most plans include them. | A separate Part D plan. |
| Yearly cost ceiling | The plan has an out-of-pocket limit for covered services. | None in Original Medicare by itself; Medigap fills much of the gap. |
| Second chance | If you join by January 1, one more switch is allowed January 1 to March 31, 2027. | A guaranteed issue right to buy Medigap without health questions, until March 4, 2027. |
Based on Medicare & You 2027, CMS enrollment guidance and RCW 48.66.055.
How to check a network properly
Don't rely on a plan's general description. On Medicare Plan Finder, or on the phone with 1-800-MEDICARE (1-800-633-4227), ask about Cascade Valley Hospital by name, then each doctor by name, then your pharmacy. Write down who you spoke to and the date. Networks change every January, and the 2026 network of your old plan tells you nothing about a different plan's 2027 network.
The January to March switch has a catch
Between January 1 and March 31, 2027, people who are in a Medicare Advantage plan get one more change. That only helps if you are in a Medicare Advantage plan on January 1. If you let your plan end without choosing, you land in Original Medicare, and that January to March option isn't yours. What you'd have instead is the plan-ending special enrollment period, which runs December 8, 2026 through February 28, 2027.
Dates that apply to every Arlington resident with this letter
- Your plan is good through December 31, 2026.
- Whatever you choose by that date takes effect January 1, 2027.
- Let it ride and Original Medicare takes over January 1, minus drug coverage. Extra Help recipients are the exception; CMS slots them into a drug plan.
- If you choose Original Medicare, OIC says to apply for Medigap no earlier than November 1.
The full rules, including the Part D penalty and the Medigap plan letters available, are in the Washington statewide guide.
Local help in Arlington
Stilly Valley Center, 18308 Smokey Point Blvd. (360-653-4551), is Arlington's senior center according to the city's senior resources page.
Rides to medical appointments. The city's page links to the Homage Transportation Assistance Program, which helps eligible older adults and adults with disabilities in Snohomish County arrange curb-to-curb rides to medical appointments and errands. If a new plan sends you to a specialist in Everett, set this up early.
Tribal elders. The county's senior center list includes the Stillaguamish Tribe of Indians Elder's Program in Arlington (360-572-3466).
SHIBA and Medicare. SHIBA's statewide line is 800-562-6900, weekdays 8:30 to 4:30. When we checked on October 26, 2026, OIC showed the county's local SHIBA sponsor as "Currently not accepting appointments" and pointed people to 1-800-MEDICARE, which answers 24 hours a day, 7 days a week, except some federal holidays (TTY 1-877-486-2048).
Medicare's federal rules and Washington law are the authority here, and your plan's notice carries your exact dates; before you switch, a call to Medicare, SHIBA or a licensed agent can confirm them.
Arlington Medicare questions
Will a new Medicare Advantage plan cover Cascade Valley Hospital in Arlington?
Can I use the January to March 2027 switch if my plan ends?
Which senior center serves Arlington?
Is there help getting to medical appointments from Arlington?
Sources
- WA OFM: April 1, 2026 population of cities, towns and counties
- U.S. Census Bureau: ACS 2020-2024 5-year, table B09020 (population 65+)
- CMS Medicare Monthly Enrollment, July 2026 (Washington counties)
- WA DOH hospital data (HOFIDAR, data.wa.gov)
- CMS Hospital General Information
- Medicare & You 2027
- CMS: CY 2027 MA and Part D Enrollment and Disenrollment Guidance
- RCW 48.66.055: Medigap guaranteed issue (Washington)
- Washington OIC: Is your Medicare Advantage plan changing or leaving?
- City of Arlington: Senior Resources
- Snohomish County: Senior Centers listing (2026, PDF)
- Washington OIC: Get free Medicare help from SHIBA
- Washington OIC: Find a local SHIBA office (checked Oct 26, 2026)
- Medicare Plan Finder
