The Extra Plan offers full coverage including prescription drugs, plus extra benefits. If you regularly take one or more prescription medications or have certain conditions with higher cost drug treatment, this plan may be for you. Extra coverage on the extra plan. Click the button below to learn how to enroll in this plan.
2020 Plan Benefits at a Glance
Coverage in This Plan Includes:
Medical, Vision, Dental, Prescription Drug coverage, and more.
|CHPW Medicare Advantage||Original Medicare|
|Premium||$32*||Part B Premium|
|Pharmacy||Tier 5 Preferred Pharmacy, 33% coinsurance||Not Covered|
|Vision||$0 copay, limit one exam per year. Up to $150 every two years for prescription eyewear||Not Covered|
|Dental||$0 copay, no limit for preventive dental services||Not Covered|
|Podiatry||$0 copay (up to 4 supplemental routine visits per year)||Not Covered|
|Alternative Medicine||$0 copay (up to 12 visits per year) for acupuncture, naturopathy, and non-Medicare covered chiropractic||Not Covered|
|Fitness Program||Free basic gym membership or Fitbit device, personal coaching||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.
Offered in the Following Counties:
Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Grant, Franklin, King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, and Yakima.
Covered Services & Cost
The Evidence of Coverage lays out coverage and payment details for different services including copays, coinsurance, limitation, prior authorizations, and deductibles.
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.
What has changed for 2020?
That’s a great question. Any changes to the plan are detailed in the Annual Notice of Change (ANOC).
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.
Post Discharge Meals
After an inpatient hospital or skilled nursing facility stay, members can receive 2 meals per day delivered to their door for 14 days.