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Lake Stevens, WA · Plan ending

My Medicare Advantage plan is ending in Lake Stevens. What now?

Lake Stevens is younger than the rest of Snohomish County. The checklist works for everyone, and if you're under 65 on Medicare through a disability, read the under-65 section closely.

Updated 2026-10-26 · Vadim Marusin, licensed independent insurance agent (NPN 22261820)

Important Medicare disclaimer: We do not offer every plan available in your area. Please contact Medicare.gov or 1‑800‑MEDICARE to get information on all of your options.

Not connected with or endorsed by the United States government or the federal Medicare program. For free, unbiased Medicare counseling in Washington, contact SHIBA (Statewide Health Insurance Benefits Advisors) through the Office of the Insurance Commissioner at 800-562-6900.

Checklist first, explanations after

  1. Find the letter. Your plan had to mail it at least 90 days before it ends, so it should have been mailed by early October. Note the end date. For almost everyone it is December 31, 2026.
  2. Write down what you use: doctors, clinics, any hospital you have been to, your pharmacy, and every prescription with its dose.
  3. Decide between two roads: another Medicare Advantage plan, or Original Medicare with a separate Part D drug plan and, if you want one and can get one, a Medigap policy.
  4. If you are under 65, phone SHIBA's statewide number before you settle on Original Medicare. Medigap access works differently for you. Details below.
  5. Make your choice by December 31 so it starts January 1, 2027.

Lake Stevens is the youngest city on our Snohomish County list. Census figures put about 3,450 residents at 65 or older (plus or minus 340), only 8.6% of the city, against 14.8% for the county. Some people on Medicare are under 65 because they qualified through a disability; countywide, CMS counted 10,994 such people in July 2026. Most of this page applies to everyone; one section is specifically for them.

Lake Stevens figures

MeasureLake StevensSnohomish County
Population, April 1, 202642,590879,700
Residents 65+ (ACS 2020-2024)about 3,450124,763
65+ share8.6%14.8%
Medicare beneficiaries under 65 with a disability (CMS, July 2026)Not published by city10,994 (7.2% of beneficiaries)
Hospital with a Lake Stevens addressNone in state or federal recordsAcute care in Arlington, Edmonds, Everett, Monroe

Sources: WA OFM; U.S. Census ACS 2020-2024 (B09020); CMS Medicare Monthly Enrollment, July 2026; WA DOH and CMS hospital files.

If you are under 65 and on Medicare

The Medigap part of this is where under-65 beneficiaries get caught. Here is what the sources say, plainly:

  • Nationally, Medigap companies mostly aren't obligated to cover people younger than 65. CMS keeps a list of states that force them to, and this state is not on it.
  • The Washington statute covering plan terminations, RCW 48.66.055, doesn't set a minimum age. The catch: a company is only bound to issue the policies it is already selling to new applicants, and when you look at OIC's approved Medigap list, some companies show rates for disabled beneficiaries younger than 65 and others show none.
  • OIC itself tells people in this group that their choices are narrower, and offers to help.
  • When you turn 65, you get a fresh six-month Medigap open enrollment period, even if you already have Part B.

What that means in practice: before you count on Original Medicare plus Medigap, find out whether a Medigap policy is actually available to you, and at what price. If it isn't, another Medicare Advantage plan, which has a yearly out-of-pocket limit, may look different to you. Either way, get the answer before December 31, not after.

The core rules, for any age

Your current plan pays through December 31, 2026. Choices made by then take effect January 1. There is also extra time built in for people whose plan is going away: a special window that opens December 8, 2026 and closes at the end of February 2027. Anything decided in January kicks in February 1; anything in February kicks in March 1.

Doing nothing puts you in Original Medicare on January 1. You keep Parts A and B, but your plan's drug coverage is gone and no new drug plan appears, unless you get Extra Help, in which case CMS assigns one. Going 63 days or more without drug coverage can bring a Part D late penalty that lasts as long as you have Medicare drug coverage.

For those 65 and older moving to Original Medicare, Washington's guaranteed issue right to Medigap is straightforward: insurers must accept you for certain plans without health questions. OIC recommends sending the application November 1 or later, and the protection expires March 4, 2027. The statewide guide lists the plan letters.

No hospital in town: what to check

State and federal hospital records list no hospital with a Lake Stevens address. Wherever you go for hospital care, find out whether that specific hospital is in a new plan's 2027 network before you join. Ask the same about any specialist you see outside the city.

Help and rides

  • Lake Stevens Senior Center, 2302 Soper Hill Road (425-335-0345), is on the county's senior center list. County senior centers are open to residents 55 and older.
  • Community Transit reduced fare. Riders who show a Medicare card qualify for the reduced fare, not only those 65 and older: $1.00 a bus ride or $36 a month on an ORCA card, according to Community Transit.
  • DART paratransit serves Snohomish County residents who can't use regular buses because of a disability or condition, within three-quarters of a mile of local bus routes. Reservations: 425-347-5912.
  • SHIBA: the statewide number, 800-562-6900, picks up weekdays during business hours (8:30 to 4:30). OIC's local listing for the county said on October 26, 2026 that the local office was "Currently not accepting appointments" and sent people to 1-800-MEDICARE (1-800-633-4227), which is available 24/7 except some federal holidays.

Your rights here come from federal Medicare law and Washington's insurance statutes, and your own plan's notice controls the dates; get them confirmed by 1-800-MEDICARE, SHIBA or a licensed agent before you act.

Lake Stevens questions

I'm younger than 65 and get Medicare through disability. Can I get Medigap after my Lake Stevens plan ends?
Maybe. The Washington statute has no minimum age, yet a company only has to issue what it already sells to new applicants, and not every company has rates for people younger than 65. Ask SHIBA, 800-562-6900, to help you check before choosing Original Medicare.
Is there a hospital in Lake Stevens?
State and federal hospital records list none with a Lake Stevens address. Snohomish County's acute-care hospitals are in Arlington, Edmonds, Everett and Monroe.
Does my Medicare card get me a reduced bus fare?
Yes. Community Transit's reduced fare covers riders 65 and older, riders with disabilities and Medicare cardholders: $1.00 per bus ride or $36 a month, paid with an ORCA card.
When should Lake Stevens residents decide?
By December 31, 2026, so new coverage starts January 1, 2027. The special enrollment period for ending plans continues to February 28, 2027, but later choices leave a gap.

Sources

  1. WA OFM: April 1, 2026 population of cities, towns and counties
  2. U.S. Census Bureau: ACS 2020-2024 5-year, table B09020 (population 65+)
  3. CMS Medicare Monthly Enrollment, July 2026 (Washington counties)
  4. CMS: Choosing a Medigap Policy (2026)
  5. RCW 48.66.055: Medigap guaranteed issue (Washington)
  6. Washington OIC: Is your Medicare Advantage plan changing or leaving?
  7. Washington OIC: 2026 Approved Medicare Supplement plans (PDF)
  8. CMS: CY 2027 MA and Part D Enrollment and Disenrollment Guidance
  9. Medicare.gov: Part D costs and late enrollment penalty
  10. WA DOH hospital data (HOFIDAR, data.wa.gov)
  11. CMS Hospital General Information
  12. Snohomish County: Senior Centers listing (2026, PDF)
  13. Community Transit: Fares and reduced fares
  14. Community Transit: DART paratransit
  15. Washington OIC: Get free Medicare help from SHIBA
  16. Washington OIC: Find a local SHIBA office (checked Oct 26, 2026)
Vadim Marusin, licensed insurance agent at Maru Insurance
Vadim Marusin — Maru Insurance
Licensed independent insurance agent (NPN 22261820) · WA & FL
Written by Vadim Marusin, licensed independent insurance agent. Maru Insurance is an independent agency (WA License WAOIC #1365574, FL License #G363233). This page is general education about Medicare rules, not advice about any specific plan.

Questions about your situation?

Talk with a licensed Maru agent in Washington by phone. Or get unbiased help from SHIBA at 800-562-6900 or Medicare at 1-800-MEDICARE.