The Medicare Advantage Plan 2 is similar to our best value plan, but with the added benefits of one free preventive dental visit every year and lower copays for services like specialist and hospital visits. All for a low monthly premium.
- New $0 copay for primary care visits
- Hundreds of dollars in preventive and comprehensive dental coverage
- The financial security of an out-of-pocket maximum
2022 Plan Benefits at a Glance
Coverage Includes: Medical, Vision, Dental, Prescription Drug coverage, and more.
Where This Plan is Offered: Adams, Benton, Chelan, Clallam, Clark, Cowlitz, Douglas, Franklin, Grant, Jefferson, King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Whatcom, and Yakima counties.
|CHPW Medicare Advantage||Original Medicare|
|Premium||$40.50*||Part B Premium|
|Pharmacy||5 Tiers (1/2/3/4/5)
Use preferred pharmacy and preferred mail order for lowest copay
|Vision||$0 copay, limit one exam per year. Up to $150 every two years for prescription eyewear.||Not Covered|
|Dental||$0 copay. One free preventive visit per year + up to $200 per year for preventative and comprehensive 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||Fitness kit and gym membership||Not Covered|
*You must continue to pay your Medicare Part B premium.
Covered Services & Cost
Evidence of Coverage
The Evidence of Coverage (EOC) provides plan details and payment information for services, including copays, coinsurance, limitation, prior authorizations, and deductibles.
Prescription drug formularies provide information about costs, restrictions, and other considerations related to the plan’s prescription medication coverage.
Providers and Care Facilities
Has Anything Changed for 2022?
Download the 2022 Annual Notice of Change (ANOC) to review any changes to the plan.