MA Freedom Plan (HMO) - Community Health Plan of Washington - Medicare Advantage

MA Freedom Plan (HMO)

The Community Health Plan of Washington (CHPW) Medicare Advantage Freedom Plan offers enhanced Medicare coverage for those who don’t need or want prescription benefits.

  • $0 monthly premium* and $0 copay for primary care visits
  • Dental care with unlimited preventive visits, up to $500 a year towards comprehensive services
  • Vision coverage, including one free eye exam per year and $150 for eyewear every two years
  • $0 copay for Health and Wellbeing services of up to a combined 12 visits per year for acupuncture, naturopathy, and routine chiropractic

If you don’t need prescription drug coverage but want coverage for dental and vision, this plan may be for you. A great choice for individuals who have creditable prescription drug coverage through Veterans Affairs (VA).


Plan Benefits at a Glance

Coverage Includes: Medical, Dental, Vision, Fitness Program, and more.
Please note: this plan does not offer prescription drug coverage.

Download the Summary of Benefits – Freedom Plan begins on page 36 | Resumen de Beneficios (Spanish)

Where This Plan is Offered: Clark, Cowlitz, King, Kitsap, Pierce, Snohomish, Spokane, and Thurston counties.

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. Unlimited preventive visits + up to $500 in comprehensive services per year. Not Covered
Podiatry $0 copay. Up to 4 supplemental routine visits per year. Not Covered
Health and Wellbeing $0 copay. Up to 12 visits per year for acupuncture, naturopathy, massage therapy, 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 Coverage

This plan does not offer prescription drug coverage.

Special Benefits

Providers and Care Facilities

Use our Find a Doctor tool or browse our provider directories to find primary care providers, vision providers, specialists, and care facilities in our network.

Has Anything Changed for 2023?

Download the 2023 Annual Notice of Change (ANOC) to review any changes to the plan.


Dental Coverage

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.



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