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

MA Plan 1 (HMO)

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%
Standard: $5/$15/$47/50%/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

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 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.

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

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