Provider Newsletter - Community Health Plan of Washington - Medicare Advantage

Provider Newsletter

CHPW 2020 Medicare Advantage Changes

Community Health Plan of Washington Medicare Advantage is pleased to announce exciting changes for our Medicare Advantage products, effective January 1, 2020!

In addition to adding products to certain counties throughout the state, CHPW will be increasing the benefit allowance for benefits such as Over-the-Counter Supplies and Non-Emergency Transportation for our Special Needs Plan (SNP) members. We are also excited to offer an opportunity where members with certain diagnoses may also qualify for a new “reduced to $0 cost share” benefit for certain services. We hope this new benefit will help increase access to services and improve the health of some of our most vulnerable members. To support the health of our members after they’ve had an inpatient stay, we will also be offering a Meals Post-Discharge benefit on select products. Other changes include adding Dental and Alternative Medicine benefits to all products and increasing the Vision Hardware allowance for all products. Please see below for more information on these changes and contact your Provider Relations representative with any questions.

CHPW Medicare Advantage Product Expansion

$0 Premium Plan (016): Added to 10 new counties (Clark, Cowlitz, Kitsap, Pierce, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, Yakima)
Low Premium Plan (010): Added to 3 new counties (Adams, Benton, Franklin)

CHPW MA Benefit Changes and Reduced Cost Share for Certain Benefits

CHPW will reduce the cost share to $0 for members with certain diagnoses of Diabetes, COPD, and Congestive Heart Failure.

Other CHPW MA benefit changes include:

  • Alternative Medicine (acupuncture, naturopathy, non-Medicare chiropractic) added to all plans
  • Dental benefit added to all plans
  • Vision hardware benefit increased on all plans
  • Members engaged in care management may be eligible for additional health items at no extra cost including a scale, blood pressure cuff and Personal Emergency Response System (PERS)

People with Disabilities, Getting the Care They Need:

Did you know that health care providers are required to offer everyone access to medical services without discrimination based on disability?  The Centers for Medicare & Medicaid Services (CMS) recently provided materials explaining:

  • The requirements for providers
  • How the provider and the patient can work together to ensure the patient’s
    needs are met
  • A checklist for the patient to use when scheduling an appointment
  • Tips for the patient before, during, and after the appointment
  • Please see the post “People with Disabilities: Getting the Care You Need” for more information.

Read the complete Fall Provider Newsletter

Click to Read Past Updates (Newsletter Archive)

LEARN MORE ABOUT US

Nurse Advice Line
Doctors in an emergency room with patient,What kind of care do you need? Not every medical issue needs emergency care. If you have a medical issue that doesn’t seem to be life-threatening, but you’re not sure what to do, you can call our Nurse Advice Line for help. They can help you decide if you should see a primary or urgent care doctor. The Nurse Advice Line is free and available 24/7 for members at 1-866-418-2920 (TTY Relay: 7-1-1).

CALL NOW

☏ HAVE QUESTIONS ?

Sales Team

Get real answers
from real people

Phone: 1-800-944-1247
Email: Sales@chpw.org

x