MA Plan 2 (HMO)

More Coverage, Lower Premium

The Medicare Advantage Plan 2 offers medical, dental, vision, and prescription drug benefits for a low premium and reduced copays.

You also get extra benefits that support your whole health—from massage therapy to $25 to spend each month on over-the-counter necessities.

If you’re worried about premium and copay costs, Plan 2 could be a great choice for you.

Where Is This Plan Offered?

Adams, Benton, Chelan, Clallam, Clark, Cowlitz, Douglas, Franklin, Grant, Jefferson, King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Whatcom, and Yakima counties.

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7 days a week, 8 a.m. to 8 p.m.

Plan 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	$41*	Part B Premium
Pharmacy	5 Tiers (1/2/3/4/5) Preferred: $0/$10/$42/50%/33% Standard: $5/$15/$47/50%/33% 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. Unlimited preventive visits + up to $500 per year for comprehensive services.	Not Covered
Podiatry	$0 copay. Up to 4 supplemental routine visits per year.	Not Covered
Over the Counter Allowance (OTC)	$25 to spend on health products each month	Not Covered
Family on Demand	60 hours per year of free personalized support from Family on Demand.	Not Covered
Health and Wellbeing	$0 copay. Up to 25 visits per year for acupuncture, naturopathy, massage therapy, and non-Medicare covered chiropractic, as well as various CHPW-recommended Wellbeing programs.	Not Covered
Fitness Program	Fitness kit and gym membership	Not Covered

*You must continue to pay your Medicare Part B premium.

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Downloads documents

Covered Services & Cost

	Special Benefits Family on Demand Post-Discharge Meals Over the Counter Benefit Fitness Program Acupuncture, Massage Therapy, Naturopathy, and Non-Medicare Covered Chiropractic Personalized case management
	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.

• 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.