Our Best Value Plan
The Medicare Advantage Plan 1 is our best value plan, offering prescription drug, vision, and dental coverage, plus the protection of an out-of-pocket maximum. All for a $0 monthly premium*.
*You must continue to pay your Medicare Part B premium.
Where Is This Plan Offered?
Clallam, Clark, Cowlitz, Jefferson, King, Kitsap, Pierce, Snohomish, Spokane, Thurston, Walla Walla, 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, Prescription Drugs, Fitness Program, and more.
| CHPW Medicare Advantage | Original Medicare | |
|---|---|---|
Premium |
$0* | Part B Premium |
Pharmacy |
5 Tiers (1/2/3/4/5)
Preferred: $0/$10/$42/50%/29% $230 deductible on Tier 5 specialty drugs only Use preferred pharmacy and preferred mail order for lowest copay |
Not Covered |
Vision |
$0 copay, limit one exam per year. Up to $150 every two years for prescription eyewear. | Not Covered |
Dental |
$0 copay. $0 for up to two preventive visits per year (that aren’t covered by Original Medicare). | Not Covered |
Podiatry |
$0 copay. Up to 4 supplemental routine visits per year. | Not Covered |
Health & Wellbeing |
$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.
Downloads documents
Summary of Benefits
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Download the Summary of Benefits – Plan 1 begins on page 6 |
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 2023 Annual Notice of Change (ANOC) to review any changes to the plan.
2023 Annual Notice of Change (ANOC)
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.
