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 need prescription drug, vision and dental coverage, this plan may be for you. Our best value plan is now available in most counties!

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

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2020 Plan Benefits at a Glance

Coverage in This Plan Includes:

Medical, Vision, Prescription Drugs, Fitness Program, and more.

CHPW Medicare Advantage Original Medicare
Premium $0* Part B Premium
Pharmacy 5 Tiers (1/2/3/4/5)

Preferred: $0/$10/$42/50%/33%
Standard: $5/$15/$47/50%/33%

Use preferred pharmacy for the lowest copay.

Not Covered
Vision $0 copay, limit one exam per year. Up to $150 every two years for prescription eyewear Not Covered
Dental $0 copay, limit one preventive visit per year 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.

➔ Summary of Benefits

Offered in the Following Counties:

Clark, Cowlitz, King, Kitsap, Pierce, Snohomish, Spokane, Thurston, Yakima, Walla Walla, and Whatcom.

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

Has Anything Changed for 2020?

That’s a great question. Any changes to the plan are detailed in the Annual Notice of Change (ANOC).

➔ Download the 2020 Annual Notice of Change

Special Benefits

Fitness 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 our Fitness benefit

DID YOU KNOW...?

Stay Active, Stay Healthy

As a member of CHPW Medicare Advantage, a free gym membership is included in your plan coverage. The Silver & Fit program provides basic membership at a participating fitness center near you. Stay active and social by taking a fitness class. Regular exercise keeps you feeling better and supports your overall health.

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

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