Local Care for a Low Premium
The Medicare Advantage Plan 3 covers medical, dental, vision, and prescription drugs for a low monthly premium.
You also get extra benefits that support your whole health—like acupuncture and routine chiropractic.
Where Is This Plan Offered?
Clark, Cowlitz, King, Kitsap, Pierce, Snohomish, Spokane, and Thurston counties.
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Call 1-800-944-1247 (TTY: 711) Enroll Now
7 days a week, 8 a.m. to 8 p.m.
Extra Benefits at a Glance
Coverage Includes: Vision, Prescription Drugs, Fitness Program, and more.
| CHPW Medicare Advantage | Original Medicare | |
|---|---|---|
Premium |
$79* | Part B Premium |
Pharmacy |
5 Tiers (1/2/3/4/5)
Preferred: $0/$10/$37/50%/33% |
Not Covered |
Vision |
1 routine eye exam plus up to $150 every two years for glasses or contacts. Choose from a wide network of vision providers. | Not Covered |
Dental |
$500 a year for comprehensive services and unlimited preventive. Choose from a large network of dentists.** | Not Covered |
Podiatry |
$0 copay. Up to 4 visits per year for non-Medicare covered foot care from a Medicare-approved foot care provider. | Not Covered |
Health and Wellbeing |
Combined total of 12 visits a year for acupuncture, naturopathy, and chiropractic. | Not Covered |
Fitness Program |
Fitness kit, gym membership. | Not Covered |
*You must continue to pay your Medicare Part B premium.
**You must use a dentist who is part of Delta Dental of Washington’s dental network. To find the most current listing of Delta Dental PPO Plus Premier network dentists, visit DeltaDentalWA.com.
Download documents
Summary of Benefits
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Summary of Benefits – Plan 3 begins on page 26 |
Evidence of Coverage
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Evidence of Coverage (EOC) |
Covered Services & Cost
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Special Benefits |
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Prescription CoverageOur list of covered drugs (also called a formulary) provides information about costs, restrictions, and other important details related to a plan’s prescription medication coverage. |
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Providers and Care FacilitiesUse our Find a Doctor tool or browse our provider directories to find primary care providers, vision providers, specialists, care facilities, and pharmacies in our network. |
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Evidence of CoverageThe Evidence of Coverage (EOC) | Evidencia de cobertura (EOC) provides plan details and payment information for services, including copays, coinsurance, limitation, prior authorizations, and deductibles. |
Has Anything Changed for 2023?
Download the 2024 Annual Notice of Change (ANOC) to review any changes to the plan.
Questions?
Call us at 1-800-944-1247 (TTY: 711). Our licensed Medicare experts will help you over the phone. We’re here for you 7 days a week, from 8 a.m. to 8 p.m.
