New Add Change forms are available online. Use this form to notify us of changes in your information.
Community Health Plan of Washington is an HMO plan with a Medicare contract and a contract with the Washington State Medicaid program. Enrollment in Community Health Plan of Washington depends on contract renewal. Community Health Plan of Washington (CHPW) complies with applicable federal, state, and local civil rights laws. Community Health Plan of Washington does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, sex, sexual orientation, gender (including gender identity or expression), veteran or military status, or the presence of any sensory, mental or physical disability or the use of a service animal. If you need an accommodation, or require documents in another format or language, please call 1-800-942-0247 (TTY: 711) 8 a.m. to 8 p.m., 7 days a week. ATENCIÓN: Si habla español y necesita una adaptación, o necesita documentos en otro formato o idioma, llame al 1-800-942-0247 (TTY:711). ВНИМАНИЕ: Если вы владеете русским языком и нуждаетесь в жилье, или вам нужны документы в другом формате или на другом языке, пожалуйста, позвоните по телефону 1-800-942-0247 (TTY:711)
Limitations, copayments, and restrictions may apply.
You must continue to pay your Medicare Part B premium.
