Community Health Plan of Washington Medicare Advantage Plans Community Health Plan of Washington Medicare Advantage Plans

MA Dual Plan (HMO D-SNP)

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

« Back to Plans
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

Covered Services & Cost

Special Benefits

Prescription Coverage

Our 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.

Providers and Care Facilities

Use 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.

Evidence of Coverage

The 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.

☏ HAVE QUESTIONS ?

Sales Team

Get real answers
from real people

Phone: 1-800-944-1247
Email: [email protected]

x