Value Plan (HMO) 016 - Community Health Plan of Washington - Medicare Advantage

Value Plan (HMO) 016

This plan offers complete coverage for no extra cost. If you are a King county resident who needs prescription drug, vision and dental coverage, this plan may be for you.

Click the button below to learn how to enroll in this plan.

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2019 Plan Benefits at a Glance

Coverage in this Plan Includes:

Medical, vision, prescription drugs, gym membership and more.

CHPW Medicare Advantage Original Medicare
Premium $0* Part B Premium
Pharmacy Tier 5 Preferred Pharmacy, 33% coinsurance Not Covered
Vision $0 copay, limit one exam per year. Up to $100 every two years for prescription eye wear Not Covered
Podiatry $0 copay (up to 4 supplemental routine visits per year) Not Covered
Fitness Program No-cost basic gym membership or up to 2 Home Fitness kits per year Not Covered

*You must continue to pay your Medicare Part B premium.

The Summary of Benefits booklet gives you an idea of what services we cover and how much you pay. It does not list every service that we cover or list every limitation or exclusion.

➔ Summary of Benefits

Offered in King County only.

Covered Services & Cost

The Evidence of Coverage lays out coverage and payment details for different services including copays, coinsurance, limitation, prior authorizations, and deductibles.

➔ Download the Evidence of Coverage

Prescription Coverage

Browse the prescription drug formularies to check if your current medications are covered by the plan. Find information about restrictions and limitations to certain medications, and how much you will pay.  Download a PDF or search for your medications by name in the online formulary.

➔ Check prescription coverage

Special Benefits

Silver & Fit Program

Stay fit at home or at the gym with the Silver & Fit Program. Meet new people, participate in challenges, and earn rewards while you get exercise to keep you active and healthy.

➔ Explore Silver & Fit

DID YOU KNOW...?

Dental Coverage

Keeping your teeth and gums healthy is an important part of your whole health care plan. Dental coverage is included on select plans for yearly cleanings, x-rays, fluoride treatments, and other limited services.

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