English
Chinese (Simplified)
Russian
Somali
Spanish
Vietnamese
This standard plan offers enhanced Medicare coverage for no extra cost per month.
Please note: this plan does not offer prescription drug coverage. If you don’t need prescription drug coverage but want coverage for dental and vision, this plan may be for you. This plan is a great choice for individuals who have creditable prescription drug coverage through the VA.
Click the button below to learn how to enroll in this plan.
2021 Plan Benefits at a Glance
Coverage in This Plan Includes:
Medical, Dental, Vision, Fitness Program, and more.
| CHPW Medicare Advantage | Original Medicare | |
|---|---|---|
| Premium | $0* | Part B Premium |
| Vision | $0 copay, limit one exam per year. Up to $150 every two years for prescription vision hardware. | Not Covered |
| Pharmacy | Not Covered | Not Covered |
| Dental | $0 copay, no limit for preventive services. Up to $500 supplemental benefit limit 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 | Fitness kit and gym membership | 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.
➔ Download the Summary of Benefits
Offered in the Following Counties:
Clark, Cowlitz, King, Kitsap, Pierce, Snohomish, Spokane, and Thurston.
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
Prescription drug coverage is not included in this plan.
Has Anything Changed for 2021?
That’s a great question. Any changes to the plan are detailed in the Annual Notice of Change (ANOC).
➔ Download the 2021 Annual Notice of Change
Special Benefits
Fitness Program
Stay fit at home or at the gym. Make sure to 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.
Keeping your teeth and gums healthy is an important part of your whole health care plan. Dental coverage is included on all plans for yearly cleanings, x-rays, and fluoride treatments. Select plans have additional coverage for other basic and major dental services.
