When You Get More, You Can Do More
Get extra services at no extra cost through our best-in-market D-SNP plan.
The Medicare Advantage Dual (HMO D-SNP) plan offers more support to those who qualify for both Medicare Parts A and B and Apple Health (Medicaid).
Where Is This Plan Offered?
Adams, Benton, Chelan, Clallam, Clark, Cowlitz, Douglas, Franklin, Grant, Grays Harbor, Jefferson, King, Kitsap, Lewis, Mason, Okanogan, Pacific, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Wahkiakum, Whatcom, and Yakima counties
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Call 1-800-944-1247 (TTY: 711) Enroll Now
7 days a week, 8 a.m. to 8 p.m.
Benefits at a Glance
Coverage Includes: Medical, Vision, Dental, Prescription Drugs, Over-the-Counter Benefits, Hearing Aid Supplement, Transportation, Fitness Program, and more.
| CHPW Medicare Advantage | Original Medicare | |
|---|---|---|
Premium |
$0* | $0 |
Pharmacy |
Generic drugs: $0 Brand drugs: $0 |
Not Covered |
Vision |
1 routine eye exam per year + up to $500 every year for prescription vision hardware | Not Covered |
Dental |
$0 copay. Up to $5,000 per year for preventative and comprehensive services. |
Not Covered |
Hearing Aids |
$0 copay exam and fitting. Up to $2,250 for hearing aids and supplies every year. | Not Covered |
Podiatry |
$0 copay. Up to 4 supplemental routine visits per year. | Not Covered |
Health and Wellbeing |
$0 copay. Up to 25 visits combined per year for acupuncture, naturopathy, massage therapy, and non-Medicare covered chiropractic, as well as various CHPW-recommended Wellbeing programs | Not Covered |
Family on Demand |
60 hours per year of free personalized support and companionship | Not Covered |
Transportation |
75 one-way rides per year to provider offices, medical centers, and pharmacies | Not Covered |
Over the Counter Allowance (OTC) |
$125 to spend on health products each month | Not Covered |
Grocery |
$50 to spend on groceries each month, up to $600 per year | Not Covered |
Fitness Program |
Fitness kit and gym membership | Not Covered |
Note: Your monthly plan premium may be paid for as long as you qualify for 100% Low Income Subsidy (“Extra Help”). Your Medicare Part B premium must continue to be paid, although that too may be paid for through these subsidies. Contact us to learn more: 1-800-942-0247 (TTY Relay: 711), 8 a.m. to 8 p.m., seven days a week.
Downloads documents
Summary of Benefits
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Download the Summary of Benefits |
Evidence of Coverage
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Evidence of Coverage (EOC) |
Covered Services & Cost
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Special Benefits |
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Prescription CoverageOur list of covered drugs (also called a formulary) provides information about costs, restrictions, and other important details related to a plan’s prescription medication coverage. |
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Providers and Care FacilitiesUse our Find a Doctor tool or browse our provider directories to find primary care providers, vision providers, specialists, care facilities, and pharmacies in our network. |
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Evidence of CoverageThe Evidence of Coverage (EOC) provides plan details and payment information for services, including copays, coinsurance, limitation, prior authorizations, and deductibles. |
Has Anything Changed for 2023?
Download the Annual Notice of Change (ANOC) to review any changes to the plan.
2023 Annual Notice of Change (ANOC)
Don’t Qualify for Dual?
You might qualify for a similar plan, CHPW MA Plan 2 (HMO).
Questions?
Call us at 1-800-944-1247 (TTY: 711). Our licensed Medicare experts will help you over the phone. We’re here for you 7 days a week, from 8 a.m. to 8 p.m.
